Left ventricular geometry and function are related to electrocardiographic characteristics and diagnoses

作者: J. Sundström , L. Lind , B. Andrén , H. Lithell

DOI: 10.1046/J.1365-2281.1998.00126.X

关键词: Atrioventricular blockDiastoleElectrocardiographyBody surface areaCardiologyQRS complexInternal medicineEjection fractionLeft ventricular hypertrophyCoronary artery diseaseMedicine

摘要: We investigated the relationships between echocardiographic indices of left ventricular geometry and function major electrocardiographic (ECG) abnormalities in 540 elderly (69-74 years old) male participants a health survey conducted Uppsala county, Sweden. Comparing men with ECG that were present or absent various hierarchic mutually exclusive categories, mass indexed to body surface area (LVMI) was significantly increased Q-waves (P = 0.0002), ST T-wave 0.005), bundle-branch block 0.005) also atrioventricular type 1 0.008) frequent premature beats 0.02). The atrial diameter most abnormalities. LVMI mainly due an diameter, whereas wall thickness beats, prevalence highest eccentric hypertrophy, concentric hypertrophy. Both systolic (ejection fraction) diastolic (E/A) ratio) inversely related Sokolow-Lyon QRS amplitude (r -0.25, P < 0.02 r -0.22, 0.03 respectively). In conclusion, subjects signs coronary artery disease as well several other diagnoses. Furthermore, both dysfunction amplitudes. Thus, finding should raise suspicion structural and/or functional abnormality.

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