Document Detail

Hypertrophy at ECG and its regression during treatment survey (HEART survey). Rationale, design and baseline characteristics of patients.
MedLine Citation:
PMID:  14558300     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Left ventricular hypertrophy (LVH) detected at electrocardiography (ECG) is a predictor of an increased cardiovascular risk in essential hypertension. However, uncertainty remains concerning the reproducibility of ECG LVH and the prognostic relevance of its regression over time in hypertension. The aim of this study was to determine the prognostic value of baseline ECG LVH and its serial changes in a large cohort of hypertensive patients. METHODS: The Hypertrophy at ECG and its Regression during Treatment Survey (HEART Survey) is a prospective observational study conducted in 66 Italian centers. Inclusion criteria are essential hypertension with ECG LVH defined by the Perugia score (Cornell voltage criteria and/or a typical left ventricular "strain" pattern and/or a Romhilt-Estes score > or = 5 points) in subjects aged 45-84 years. The treatment of hypertension and other risk factors accords with current guidelines and is individually tailored. ECG is recorded twice at entry and periodically repeated over a 4-year follow-up period. Expert readers (unaware of the clinical findings) classify ECG. The incidence of major cardiovascular events in relation to baseline ECG and its changes over time are assessed, together with the reproducibility in the two baseline recordings. Overall, 708 patients aged 64 +/- 9 years have been enrolled in centers from northern (27%), central (32%) and southern (41%) Italy. Their baseline characteristics are presented. Follow-up is ongoing. CONCLUSIONS: The HEART Survey will examine the prognostic value of baseline ECG LVH and of its regression over time in a wide population of hypertensive patients.
Paolo Verdecchia; Peter Sleight; Fausto Avanzini; Giovanni de Simone; Sergio Pede; Francesco Perticone; Giuseppe Schillaci; Diego Vanuzzo; Fabio Angeli; Gian Paolo Reboldi; Aldo P Maggioni
Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Italian heart journal : official journal of the Italian Federation of Cardiology     Volume:  4     ISSN:  1129-471X     ISO Abbreviation:  Ital Heart J     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-10-15     Completed Date:  2004-02-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100909716     Medline TA:  Ital Heart J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  479-83     Citation Subset:  IM    
ANMCO Research Center, Florence, Italy.
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MeSH Terms
Aged, 80 and over
Follow-Up Studies
Hypertrophy, Left Ventricular / diagnosis*,  surgery*
Intraoperative Care
Intraoperative Complications / diagnosis*,  surgery*
Italy / epidemiology
Middle Aged
Multivariate Analysis
Predictive Value of Tests
Prospective Studies
Research Design*
Statistics as Topic
Treatment Outcome

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