Determining left ventricular hypertrophy in overweight-obese youth using electrocardiogram criteria

Document Type

Article

Abstract

Background and Purpose: There is an escalating prevalence of obesity in youth that increases the risk for cardiovascular alterations such as left ventricular hypertrophy (LVH). The purpose of this study is to identify the most effective electrical voltage measurement for determining LVH in youth who are overweight and obese. Methods: A retrospective chart review was conducted to determine sensitivity, specificity, and the receiver operator characteristic (ROC) curve of 4 popular electrical voltage measures. Results: Our findings indicated the sensitivity and specificity for Cornell product (50.0%; 96.2%), Cornell voltage (52.9%; 98.0%), Romhilt Estes (50.0%; 100.0%), and Sokolow-Lyon index (60.0%; 86.4%) consecutively. Conclusion: The Romhilt-Estes and Cornell voltage measures displayed the highest specificity and could prove to be beneficial as a screening method to rule out LVH in overweight and obese youth. © 2013 Springer Publishing Company.

Keywords

Echocardiogram, Electrocardiogram, Left ventricular hypertrophy, Obesity, Youth

Publication Date

1-1-2013

Publication Title

Journal of Nursing Measurement

ISSN

10613749

Volume

21

Issue

2

First Page

178

Last Page

187

Digital Object Identifier (DOI)

10.1891/1061-3749.21.2.178

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