1. Electrocardiographic Criteria for Left Ventricular Hypertrophy in Children
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Maarten Witsenburg, Livia Kapusta, Jan A. Kors, Gerard van Herpen, A. Derk Jan ten Harkel, Peter R. Rijnbeek, Medical Informatics, Pediatrics, and Cardiology
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Male ,medicine.medical_specialty ,Adolescent ,Left ventricular hypertrophy ,Pediatrics ,Sensitivity and Specificity ,Muscle hypertrophy ,Electrocardiography ,Internal medicine ,medicine ,Ventricular Pressure ,Humans ,cardiovascular diseases ,Pediatrics, Perinatology, and Child Health ,Child ,Reference standards ,Ultrasonography ,Cardiovascular diseases [NCEBP 14] ,medicine.diagnostic_test ,business.industry ,Infant, Newborn ,Infant ,Functional imaging [IGMD 1] ,Nutrition and Health [UMCN 5.5] ,Reference Standards ,medicine.disease ,Normal limit ,Cardiac surgery ,Echocardiography ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Cardiology ,Ventricular pressure ,Population study ,Original Article ,Female ,Hypertrophy, Left Ventricular ,business ,Cardiology and Cardiovascular Medicine - Abstract
Contains fulltext : 70398.pdf (Publisher’s version ) (Open Access) Previous studies to determine the sensitivity of the electrocardiogram (ECG) for left ventricular hypertrophy (LVH) in children had their imperfections: they were not done on an unselected hospital population, several criteria used in adults were not applied to children, and obsolete limits of normal for the ECG parameters were used. Furthermore, left ventricular mass (LVM) was taken as the reference standard for LVH, with no regard for other clinical evidence. The study population consisted of 832 children from whom a 12-lead ECG and an M-mode echocardiogram were taken on the same day. The validity of the ECG criteria was judged on the basis of an abnormal LVM index, either alone or in combination with other clinical evidence. The ECG criteria were based on recently established age-dependent normal limits. At 95% specificity, the ECG criteria have low sensitivities (
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