Electrocardiographic versus echocardiographic left ventricular hypertrophy and sudden cardiac arrest in the community

Kumar Narayanan, Kyndaron Reinier, Carmen Teodorescu, Audrey Uy-Evanado, Harpriya Chugh, Karen Gunson, Jonathan Jui, Sumeet S. Chugh

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Background Left ventricular hypertrophy (LVH) is associated with increased risk of sudden cardiac arrest (SCA). Whether LVH diagnosed by 12-lead ECG vs echocardiogram conveys identical or distinct risk information has not been previously evaluated. Objective The purpose of this study was to compare the association between ECG vs echocardiographic LVH and SCA in the community. Methods In a large, prospective population-based study (The Oregon Sudden Unexpected Death Study; population approximately 1 million), cases of SCA were compared to controls recruited from the same geographical area. The association between LVH and SCA was evaluated, specifically comparing LVH diagnosed by ECG vs echocardiogram. Results Cases (n = 132, age 66.9 ± 13.5 years, 58.3% male) compared to controls (n = 211; age 66.2 ± 12 years, 59.2% male) were more likely to have both ECG LVH (12.1% vs 5.7%, P =.03) and echocardiographic LVH (35.0% vs 15.5%, P

Original languageEnglish (US)
Pages (from-to)1040-1046
Number of pages7
JournalHeart Rhythm
Volume11
Issue number6
DOIs
Publication statusPublished - 2014

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Keywords

  • Arrhythmia
  • Electrophysiology
  • Sudden cardiac arrest

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)
  • Medicine(all)

Cite this

Narayanan, K., Reinier, K., Teodorescu, C., Uy-Evanado, A., Chugh, H., Gunson, K., ... Chugh, S. S. (2014). Electrocardiographic versus echocardiographic left ventricular hypertrophy and sudden cardiac arrest in the community. Heart Rhythm, 11(6), 1040-1046. https://doi.org/10.1016/j.hrthm.2014.03.023