Arterial Stiffness Is the Independent Factor of Left Ventricular Hypertrophy Determined by Electrocardiogram

作者: Chang-Min Chung , Yu-Sheng Lin , Shih-Tai Chang , Hui-Wen Cheng , Teng-Yao Yang

DOI: 10.1097/MAJ.0B013E318242A354

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摘要: Abstract Introduction Arterial stiffness may contribute to left ventricular hypertrophy (LVH). This study was conducted evaluate the independent factor of LVH and quantification by electrocardiogram (ECG) predict degree aortic using brachial-ankle pulse wave velocity (baPWV) in subjects with hypertension. Materials Methods A total 984 consecutive patients who were diagnosed as having essential hypertension entered into study. baPWV determination, ECG blood sampling performed after a 12-hour overnight fast. electrocardiography; Romhilt-Estes point score subsequently calculated. Participants separated non-LVH groups. Additional factors associated examined multivariate analyses. Results The groups younger (P =  0.001), had less men (P  = 0.001), lower systolic diastolic pressure 0.001 for each) 0.001). Stepwise multiple logistic regression analysis demonstrated that sex, age, are factors. Using value 1825 cm/sec, area under receiver operating characteristic curve 0.644 highest discriminating sensitivity specificity 60% 65%, respectively. Conclusion Aortic be related electrocardiographically determined Thus, stiffening large arteries, together increased pressure, seems significantly pathogenesis LVH. Quantification can also stiffness.

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