| Accuracy of chest radiography plus electrocardiogram in diagnosis of hypertrophy in hypertension. | |
| | |
MedLine Citation:
|
PMID: 22858617 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Chest radiography and electrocardiogram have been criticized due to their low sensitivity for Left Ventricular Hypertrophy diagnosis compared to echocardiogram. This one, however, is not available in primary health care centers to all hypertensive population. OBJECTIVE: To evaluate whether the association chest radiography-electrocardiogram provides the accuracy to justify its use in left ventricular hypertrophy detection in hypertensive patients, as well as the usefulness of the cardiothoracic ratio and oblique radiographs in relation to frontal and lateral views in evaluating dimensions of left cardiac chambers. METHODS: This was a prospective study including 177 consecutive hypertensive patients through chest radiography, electrocardiogram and echocardiography. Accuracy test was used to compare these methods using echocardiography as gold standard. RESULTS: The cardiothoracic ratio showed 17% sensitivity for detection of left ventricular hypertrophy, only indicating cardiac alterations at an advanced stage. Frontal plus lateral views showed sensitivity of 52%, which rose to 54% when chest radiography was associated with electrocardiogram. The oblique views did not significantly improve chest radiography accuracy. Chest radiography presented high specificity and elevated sensitivity for detection of aortal enlargement. Interestingly, this alteration was present in half of the hypertensive patients with left ventricular hypertrophy. CONCLUSION: We conclude that the association chest radiography-electrocardiogram is useful for the screening of hypertensive patients for the diagnosis of left ventricular hypertrophy, especially if echocardiogram is unavailable. (Arq Bras Cardiol. 2012; [online].ahead print, PP.0-0). |
| | |
Authors:
|
Sergio Marrone Ribeiro; José Morceli; Renato Souza Gonçalves; Roberto Jorge da Silva Franco; Francisco Habermann; Domingos Alves Meira; Beatriz Bojikian Matsubara |
Related Documents
:
|
12878557 - Intermittent tepid blood cardioplegia improves clinical outcome. 11271287 - Successful cardiac presrevation for 12 hours using nondepolarizing cold cardioplegia. a... 22578897 - Unplanned reinterventions are associated with postoperative mortality in neonates with ... 10903017 - Esmolol cardioplegia in unstable coronary revascularisation patients. a randomised clin... 20470437 - Echocardiographic diagnosis, management and monitoring of pulmonary embolism with right... 8237807 - Effects of histamine type 2-receptor antagonists cimetidine and famotidine on left vent... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-8-02 |
Journal Detail:
|
Title: Arquivos brasileiros de cardiologia Volume: - ISSN: 1678-4170 ISO Abbreviation: Arq. Bras. Cardiol. Publication Date: 2012 Aug |
Date Detail:
|
Created Date: 2012-8-3 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0421031 Medline TA: Arq Bras Cardiol Country: - |
Other Details:
|
Languages: ENG; POR Pagination: - Citation Subset: - |
Affiliation:
|
Departamento de Doenças Tropicais e Diagnóstico por Imagem, Faculdade de Medicina de Botucatu, UNESP - Universidade Estadual Paulista. |
Vernacular Title:
|
Acurácia da radiografia de tórax associada a eletrocardiograma no diagnóstico de hipertrofia em hipertensos. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: An Evidence-Based Systematic Review of Amplitude Compression in Hearing Aids for School-Age Children...
Next Document: eNOS correlates with mitochondrial biogenesis in hearts of congenital heart disease with cyanosis.