Correlation Relationship Assessment between Left Ventricular Hypertrophy Voltage Criteria and Body Mass Index in 41,806 Swiss Conscripts

Introduction: Electrocardiographic criteria for left ventricular hypertrophy (LVH) have been limited by low sensitivity at acceptable levels of specificity. A number of studies have demonstrated that body mass index (BMI) is associated with decreased sensitivity of ECG LVH classification in hypertensive patients. The objective of this study is to investigate the correlation relationship between LVH voltage criteria and BMI in Swiss conscripts.

[1]  E. H. Estes,et al.  A point-score system for the ECG diagnosis of left ventricular hypertrophy. , 1968, American heart journal.

[2]  E. de Luca d'Alessandro,et al.  OVERWEIGHT AND OBESITY , 2007, Hormone Research in Paediatrics.

[3]  P Kligfield,et al.  Electrocardiographic detection of left ventricular hypertrophy: development and prospective validation of improved criteria. , 1985, Journal of the American College of Cardiology.

[4]  H. Schirmer,et al.  Prevalence of left ventricular hypertrophy in a general population; The Tromsø Study. , 1999, European heart journal.

[5]  M. O'Mahony Sensory Evaluation of Food: Statistical Methods and Procedures , 1986 .

[6]  H. Yatsuya,et al.  Adiponectin Level and Left Ventricular Hypertrophy in Japanese Men , 2007, Hypertension.

[7]  Treatment of Obesity in Adults Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults--The Evidence Report. National Institutes of Health. , 1998, Obesity research.

[8]  P. Kligfield,et al.  Electrocardiographic identification of left ventricular hypertrophy: test performance in relation to definition of hypertrophy and presence of obesity. , 1996, Journal of the American College of Cardiology.

[9]  P. Kligfield,et al.  Geometric Determinants of Electrocardiographic Left Ventricular Hypertrophy , 1983, Circulation.

[10]  J. Ménard,et al.  Influence of obesity on the diagnostic value of electrocardiographic criteria for detecting left ventricular hypertrophy. , 1996, The American journal of cardiology.

[11]  D. Levy,et al.  Increased left ventricular mass and hypertrophy are associated with increased risk for sudden death. , 1998, Journal of the American College of Cardiology.

[12]  P. Macfarlane,et al.  Enlargement and Hypertrophy , 2010 .

[13]  W. Kannel,et al.  Electrocardiographic left ventricular hypertrophy and risk of coronary heart disease. The Framingham study. , 1970 .

[14]  S. Rössner,et al.  Prevalence of Obesity in Sweden , 2006, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[15]  Cristina Padez,et al.  Trends in overweight and obesity in Portuguese conscripts from 1986 to 2000 in relation to place of residence and educational level. , 2006, Public health.

[16]  Edward K. Chung,et al.  Comprehensive Electrocardiography: Theory and Practice in Health and Disease , 1989 .

[17]  P. Kligfield,et al.  Time-voltage QRS area of the 12-lead electrocardiogram: detection of left ventricular hypertrophy. , 1998, Hypertension.

[18]  P Kligfield,et al.  Electrocardiographic identification of increased left ventricular mass by simple voltage-duration products. , 1995, Journal of the American College of Cardiology.

[19]  M. Gail,et al.  Efficacy and Tolerability of Long-Acting Injectable Naltrexone for Alcohol Dependence: A Randomized Controlled Trial , 2005, Gynecologic oncology.

[20]  W. Elliott Impact of Obesity on 24-Hour Ambulatory Blood Pressure and Hypertension , 2006 .

[21]  M. Sokolow,et al.  The ventricular complex in left ventricular hypertrophy as obtained by unipolar precordial and limb leads. , 1949, American heart journal.

[22]  M. Nieminen,et al.  Body Build and Risk of Cardiovascular Events in Hypertension and Left Ventricular Hypertrophy: The LIFE (Losartan Intervention For Endpoint reduction in hypertension) Study , 2005, Circulation.

[23]  P Kligfield,et al.  Electrocardiographic detection of left ventricular hypertrophy by the simple QRS voltage-duration product. , 1992, Journal of the American College of Cardiology.

[24]  A. Papadimitriou,et al.  Prevalence of overweight and obesity in young Greek men , 2008, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[25]  J. C. Christiansen,et al.  Echocardiographically detected left ventricular hypertrophy: prevalence and risk factors. The Framingham Heart Study. , 2020, Annals of internal medicine.

[26]  J. C. Christiansen,et al.  Determinants of sensitivity and specificity of electrocardiographic criteria for left ventricular hypertrophy. , 1990, Circulation.

[27]  P. Okin,et al.  Effect of obesity on electrocardiographic left ventricular hypertrophy in hypertensive patients : the losartan intervention for endpoint (LIFE) reduction in hypertension study. , 2000, Hypertension.

[28]  P. Okin,et al.  Baseline Characteristics in Relation to Electrocardiographic Left Ventricular Hypertrophy in Hypertensive Patients: The Losartan Intervention For Endpoint Reduction (LIFE) in Hypertension Study , 2000, Hypertension.

[29]  M. Henneberg,et al.  Determinants of inter-individual cholesterol level variation in an unbiased young male sample. , 2008, Swiss medical weekly.

[30]  N. Zakopoulos,et al.  Impact of Obesity on 24-Hour Ambulatory Blood Pressure and Hypertension , 2005, Hypertension.

[31]  J. Schmid,et al.  Prevalence of long and short QT in a young population of 41,767 predominantly male Swiss conscripts. , 2009, Heart rhythm.

[32]  W. Kannel,et al.  Left ventricular hypertrophy by electrocardiogram. Prevalence, incidence, and mortality in the Framingham study. , 1969, Annals of internal medicine.

[33]  R. Kreider,et al.  Obesity: Prevalence, Theories, Medical Consequences, Management, and Research Directions , 2005, Journal of the International Society of Sports Nutrition.

[34]  J. Laragh,et al.  Relation of obesity and gender to left ventricular hypertrophy in normotensive and hypertensive adults. , 1994, Hypertension.

[35]  D. Levy,et al.  Improved detection of echocardiographic left ventricular hypertrophy using a new electrocardiographic algorithm. , 1993, Journal of the American College of Cardiology.

[36]  Lucas M Bachmann,et al.  Accuracy of electrocardiography in diagnosis of left ventricular hypertrophy in arterial hypertension: systematic review , 2007, BMJ : British Medical Journal.

[37]  D. Levy,et al.  Improved electrocardiographic detection of echocardiographic left ventricular hypertrophy: results of a correlated data base approach. , 1995, Journal of the American College of Cardiology.

[38]  Excess Deaths Associated With Underweight, Overweight, and Obesity , 2005 .

[39]  P Maya-Pelzer,et al.  Relation of body mass index, physical fitness, and the cardiovascular risk profile in 3127 young normal weight men with an apparently optimal lifestyle , 2003, International Journal of Obesity.

[40]  H. Hense,et al.  The associations of body size and body composition with left ventricular mass: impacts for indexation in adults. , 1998, Journal of the American College of Cardiology.

[41]  P Kligfield,et al.  Improved sex-specific criteria of left ventricular hypertrophy for clinical and computer interpretation of electrocardiograms: validation with autopsy findings. , 1987, Circulation.