Questionable validity of left ventricular hypertrophy cutoff values in morbidly and super-morbidly obese patients

Justyna Domienik- Karłowicz , Zuzanna Rymarczyk , Wojciech Lisik , Katarzyna Kurnicka , Michał Ciurzyński , Maksymilian Bielecki , Maciej Kosieradzki , Piotr Pruszczyk


Background: Current diagnostic ECG criteria of left ventricular hypertrophy in obese patients are still lacking. Objective: To assess the current ECG diagnostic criteria of LVH, and to validate our previously proposed criteria in a group of patients with morbid obesity. Methods: A group of consecutive 429 obese patients (MOP) with BMI of at least 35 kg/m2 (mean age 38.6 ± 8.9 years, BMI 48.7 ± 9.0 kg/m2 ; 323 females, 106 males) were included. Results: The diagnosis of LVH in MOPs was confirmed only by RaVL of 7.5 mm, Cornell index of 12.5 mm; Cornell index × QRS duration of 1,125 mm × ms and Romhilt–Estes score of 1. None of the criteria proposed to date is appropriate in super‐morbidly obese patients. Conclusions: Our study confirmed that none of the currently used voltage‐based ECG criteria is appropriate for diagnosing LVH in morbidly obese patients. Further studies are required
Author Justyna Domienik- Karłowicz
Justyna Domienik- Karłowicz,,
, Zuzanna Rymarczyk
Zuzanna Rymarczyk,,
, Wojciech Lisik
Wojciech Lisik,,
, Katarzyna Kurnicka
Katarzyna Kurnicka,,
, Michał Ciurzyński
Michał Ciurzyński,,
, Maksymilian Bielecki (Wydział Psychologii)
Maksymilian Bielecki,,
- Wydział Psychologii
, Maciej Kosieradzki
Maciej Kosieradzki,,
, Piotr Pruszczyk
Piotr Pruszczyk,,
Journal seriesAnnals of Noninvasive Electrocardiology, ISSN 1082-720X, e-ISSN 1542-474X, (A 20 pkt)
Issue year2018
Publication size in sheets0.5
Keywords in EnglishNoninvasive techniques ‐ ECHO < Clinical, Noninvasive techniques ‐ electrocardiography < Clinica
ASJC Classification2737 Physiology (medical); 2705 Cardiology and Cardiovascular Medicine; 2700 General Medicine
Languageen angielski
Domienik-Kar-owicz_et_al-2018-Annals_of_Noninvasive_Electrocardiology.pdf 370.92 KB
Additional file
Oświadczenie.pdf 94.97 KB
Score (nominal)20
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2017 = 0.886; WoS Impact Factor: 2017 = 1.562 (2) - 2017=1.511 (5)
Citation count*
Share Share

Get link to the record

* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.
Are you sure?