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Su FY, Li YH, Lin YP, et al. A comparison of Cornell and Sokolow-Lyon electrocardiographic criteria for left ventricular hypertrophy in a military male population in Taiwan: the Cardiorespiratory fitness and HospItalization Events in armed Forces study. Cardiovasc Diagn Ther. 2017;7(3):244-251doi: 10.21037/cdt.2017.01.16.
Su, F. Y., Li, Y. H., Lin, Y. P., Lee, C. J., Wang, C. H., Meng, F. C., Yu, Y. S., Lin, F., Wu, H. T., & Lin, G. M. (2017). A comparison of Cornell and Sokolow-Lyon electrocardiographic criteria for left ventricular hypertrophy in a military male population in Taiwan: the Cardiorespiratory fitness and HospItalization Events in armed Forces study. Cardiovascular diagnosis and therapy, 7(3), 244-251. https://doi.org/10.21037/cdt.2017.01.16
Su, Fang-Ying, et al. "A comparison of Cornell and Sokolow-Lyon electrocardiographic criteria for left ventricular hypertrophy in a military male population in Taiwan: the Cardiorespiratory fitness and HospItalization Events in armed Forces study." Cardiovascular diagnosis and therapy vol. 7,3 (2017): 244-251. doi: https://doi.org/10.21037/cdt.2017.01.16
Su FY, Li YH, Lin YP, Lee CJ, Wang CH, Meng FC, Yu YS, Lin F, Wu HT, Lin GM. A comparison of Cornell and Sokolow-Lyon electrocardiographic criteria for left ventricular hypertrophy in a military male population in Taiwan: the Cardiorespiratory fitness and HospItalization Events in armed Forces study. Cardiovasc Diagn Ther. 2017 Jun;7(3):244-251. doi: 10.21037/cdt.2017.01.16. PMID: 28567350; PMCID: PMC5440264.
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Cardiovasc Diagn Ther. 2017 Jun;7(3):244-251. doi: 10.21037/cdt.2017.01.16.

A comparison of Cornell and Sokolow-Lyon electrocardiographic criteria for left ventricular hypertrophy in a military male population in Taiwan: the Cardiorespiratory fitness and HospItalization Events in armed Forces study.

Cardiovascular diagnosis and therapy

Fang-Ying Su, Yi-Hwei Li, Yen-Po Lin, Chung-Jen Lee, Chih-Hung Wang, Fan-Chun Meng, Yun-Shun Yu, Felicia Lin, Hsien-Tsai Wu, Gen-Min Lin

Affiliations

  1. Department of Public Health, Tzu Chi University, Hualien, Taiwan.
  2. Department of Emergency Medicine, Tzu Chi General Hospital, Taipei branch, New Taipei City, Taiwan.
  3. Department of Nursing, Tzu Chi College of Technology, Hualien, Taiwan.
  4. Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
  5. Department of Electrical Engineering, National Dong Hwa University, Hualien, Taiwan.
  6. Department of Medicine, Hualien-Armed Forces General Hospital, Hualien, Taiwan.

PMID: 28567350 PMCID: PMC5440264 DOI: 10.21037/cdt.2017.01.16

Abstract

BACKGROUND: The Cornell and Sokolow-Lyon electrocardiography (ECG) criteria have been widely used for diagnosing left ventricular hypertrophy (LVH) in patients with hypertension. However, the correlations of these ECG criteria with LVH were rarely compared in military members who received rigorous training, particularly of the Asian male population.

METHODS: We compared the Cornell voltage and product criteria with the Sokolow-Lyon criteria for the echocardiographic LVH in 539 military male members, ages 18-50 years and free of hypertension in the Cardiorespiratory fitness and HospItalization Events in armed Forces (CHIEF) study in Taiwan. Pearson's correlation coefficient was used to determine the association of each ECG criterion with the index of left ventricular mass (LVM, g)/height (m)

RESULTS: The correlations of the Cornell voltage and product criteria (r=0.24 and 0.26 respectively, both P<0.0001) were stronger than that of the Sokolow-Lyon criteria (r=0.049 and 0.095, and P=0.26 and 0.03 respectively) with the LVM index. Similarly the performances of the Cornell voltage and product criteria for the echocardiographic LVH [area under curve (AUC): 0.66 and 0.68, both P<0.0001] were superior to that of the Sokolow-Lyon criteria (AUC: 0.54 and 0.53, both P>0.1) in the area under the ROC curve analysis.

CONCLUSIONS: The Cornell ECG criteria for the echocardiographic LVH had better performance than the Sokolow-Lyon criteria in a young military male cohort in Taiwan.

Keywords: Cornell criteria; Sokolow-Lyon criteria; echocardiography; electrocardiography (ECG); left ventricular hypertrophy (LVH)

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

References

  1. Hypertension. 2004 Aug;44(2):175-9 - PubMed
  2. Am J Hypertens. 1999 May;12 (5):437-42 - PubMed
  3. Circulation. 2003 Aug 12;108(6):684-90 - PubMed
  4. J Hypertens. 2010 Sep;28(9):1959-67 - PubMed
  5. J Am Coll Cardiol. 1984 Jan;3(1):82-7 - PubMed
  6. World J Cardiol. 2016 Aug 26;8(8):464-71 - PubMed
  7. Am J Cardiol. 1986 Feb 15;57(6):450-8 - PubMed
  8. J Am Soc Echocardiogr. 2005 Dec;18(12 ):1440-63 - PubMed
  9. Circulation. 2015 Feb 24;131(8):721-9 - PubMed
  10. Circulation. 1978 Dec;58(6):1072-83 - PubMed
  11. Hellenic J Cardiol. 2010 Sep-Oct;51(5):391-401 - PubMed
  12. Br J Sports Med. 1999 Oct;33(5):319-24 - PubMed
  13. Korean Circ J. 2012 Sep;42(9):606-13 - PubMed
  14. Am J Hypertens. 2005 Feb;18(2 Pt 1):191-6 - PubMed
  15. J Am Coll Cardiol. 2008 Dec 16;52(25):2148-55 - PubMed
  16. Am J Cardiol. 1994 Oct 15;74(8):802-6 - PubMed
  17. Am J Cardiol. 2012 Aug 1;110(3):440-4 - PubMed
  18. Am Heart J. 2005 Jan;149(1):181-6 - PubMed
  19. Circulation. 2011 Dec 6;124(23):2483-90 - PubMed
  20. Circulation. 1977 Apr;55(4):613-8 - PubMed
  21. J Am Coll Cardiol. 2015 Feb 10;65(5):411-9 - PubMed
  22. Am Heart J. 1949 Feb;37(2):161-86 - PubMed
  23. J Am Coll Cardiol. 1995 Feb;25(2):417-23 - PubMed
  24. Am J Hypertens. 2002 Aug;15(8):663-71 - PubMed
  25. J Am Coll Cardiol. 2014 May 20;63(19):2007-13 - PubMed
  26. JAMA. 1999 Oct 27;282(16):1547-53 - PubMed

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