Gasperin Carlos Alberto, Germiniani Helio, Facin Carlos Roberto, Souza Admar Moraes de, Cunha Cláudio Leinig Pereira da
Hospital de Clínicas de Curitiba, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Arq Bras Cardiol. 2002 Jan;78(1):59-82. doi: 10.1590/s0066-782x2002000100006.
To determine the most sensitive criterion for the detection of left ventricular hypertrophy according to echocardiographically defined left ventricular mass.
The Sokolow-Lyon voltage, Sokolow-Lyon-Rappaport, Cornell voltage duration product, White-Bock, and Romhilt-Estes point scoring criteria were compared with left ventricular mass index, corrected for body surface, obtained from the echocardiograms of 306 outpatients (176 females, 130 males), of all age groups.
The Cornell voltage duration product criteria index had the greatest sensitivity in women (54.90%), and the Sokolow-Lyon-Rappaport index was most sensitive in men (73.53%). When applied to men at the same voltage amplitude (20mm) as that in women, the Cornell index showed increased sensitivity relative to the conventional index (28mm) of 67.65% (P</=0.01) and a sensitivity similar to that of the Sokolow-Lyon-Rappaport index, with higher specificity (P</=0.01). The White-Bock and Romhilt-Estes criteria were the least sensitive in men and women, despite their high specificity. The electrocardiographic criteria were more efficient when dilatation predominated over left ventricular hypertrophy.
The Cornell index had greater sensitivity in women, and the Sokolow-Lyon-Rappaport index was more sensitive in men. When applied to men at the same voltage amplitude as that of women, the Cornell index had an increase in sensitivity similar to that of the Sokolow-Lyon-Rappaport index.
根据超声心动图定义的左心室质量，确定检测左心室肥厚最敏感的标准。
将索科洛-里昂电压、索科洛-里昂-拉帕波特、康奈尔电压持续时间乘积、怀特-博克和罗米尔-埃斯特点评分标准与306名各年龄组门诊患者（176名女性，130名男性）超声心动图获得的、经体表面积校正的左心室质量指数进行比较。
康奈尔电压持续时间乘积标准指数在女性中敏感性最高（54.90%），索科洛-里昂-拉帕波特指数在男性中最敏感（73.53%）。当将康奈尔指数应用于与女性相同电压幅度（20mm）的男性时，其相对于传统指数（28mm）的敏感性提高了67.65%（P≤0.01），且敏感性与索科洛-里昂-拉帕波特指数相似，特异性更高（P≤0.01）。怀特-博克和罗米尔-埃斯特点标准在男性和女性中敏感性最低，尽管其特异性较高。当左心室扩张比左心室肥厚更占优势时，心电图标准更有效。
康奈尔指数在女性中敏感性更高，索科洛-里昂-拉帕波特指数在男性中更敏感。当将康奈尔指数应用于与女性相同电压幅度的男性时，其敏感性提高程度与索科洛-里昂-拉帕波特指数相似。
