Do different ECG scores have varying diagnostic accuracy for detecting left ventricular hypertrophy depending on the underlying etiology?
Patients with different hypertrophic conditions including hypertension (HTN), hypertrophic cardiomyopathy (HCM), and severe aortic stenosis (sAS)
Ten ECG scores (including voltage-only and multi-parametric scores)
Comparison among different ECG scores
Diagnostic accuracy for detecting left ventricular hypertrophysurrogate
The optimal ECG scoring method for detecting left ventricular hypertrophy depends on the underlying etiology, with voltage-only scores preferred in hypertension and multi-parametric scores in hypertrophic cardiomyopathy and severe aortic stenosis.
No single ECG criterion provided consistent diagnostic accuracy across different causes of LVH. Voltage-only ECG scores performed better in HTN patients while multi-parametric scores showed relatively better performance in HCM and sAS.
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Davide Antonio Mei
Kevin Serafini
Jacopo Francesco Imberti
European Journal of Internal Medicine
University of Modena and Reggio Emilia
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Mei et al. (Thu,) studied this question.
www.synapsesocial.com/papers/69a75e6ec6e9836116a2909e — DOI: https://doi.org/10.1016/j.ejim.2026.106725