Ciardullo A V, Azzolini L, Bevini M, Cadioli T, Daghio M M, Guidetti P, Lorenzetti M, Malavasi P, Morellini A, Carapezzi C
Local Health Plan, Azienda USL, Italy.
Fam Pract. 2004 Feb;21(1):63-5. doi: 10.1093/fampra/cmh114.
Left ventricular hypertrophy (LVH) is an independent cardiovascular (CV) risk factor in both sexes. We studied if a diagnosis of LVH on electrocardiogram (ECG) was associated with a 'high CV risk condition' among 40- to 69-year-old individuals cared for by GPs.
We studied 4250 individuals, 5.4% of whom had LVH. Cross-sectional frequencies, and age- and gender-adjusted statistical differences have been calculated.
All the study variables were significantly worse for 'LVH' than 'non-LVH' individuals (except smoking). The 'LVH' had both a mean '5-year CV risk' significantly greater than 'non-LVH' individuals (27.0% versus 8.6%), and a significantly higher prevalence of a '5-year CV risk >15%' (89% versus 15%).
A diagnosis of LVH on ECG among the adult individuals of an opportunistic cohort from general practice was associated with a 6-fold greater prevalence of a 'high CV risk condition'.
左心室肥厚（LVH）是男女共有的独立心血管（CV）危险因素。我们研究了在全科医生诊治的40至69岁个体中，心电图（ECG）诊断出的LVH是否与“高心血管风险状况”相关。
我们研究了4250名个体，其中5.4%患有LVH。计算了横断面频率以及年龄和性别调整后的统计学差异。
除吸烟外，所有研究变量在“LVH”个体中均显著差于“非LVH”个体。“LVH”个体的平均“5年心血管风险”显著高于“非LVH”个体（27.0%对8.6%），且“5年心血管风险>15%”的患病率显著更高（89%对15%）。
在全科医疗机会性队列的成年个体中，心电图诊断出LVH与“高心血管风险状况”的患病率高6倍相关。
