Evaluation of the electrocardiogram RV5/V6 criteria in the diagnosis of left ventricular hypertrophy in marathon runners
Abstract To assess the value of electrocardiogram (ECG) RV5/V6 criteria for diagnosing left ventricular hypertrophy (LVH) in marathons. A total of 112 marathon runners who met the requirements for “Class A1” events certified by the Chinese Athletics Association in Changzhou City were selected, and t...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-07-01
|
| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14692 |
| _version_ | 1797645190211567616 |
|---|---|
| author | Pan Yang Zhixiang Ge Jinmei Gao Xia Liu Min Xu Haiyan Ke |
| author_facet | Pan Yang Zhixiang Ge Jinmei Gao Xia Liu Min Xu Haiyan Ke |
| author_sort | Pan Yang |
| collection | DOAJ |
| description | Abstract To assess the value of electrocardiogram (ECG) RV5/V6 criteria for diagnosing left ventricular hypertrophy (LVH) in marathons. A total of 112 marathon runners who met the requirements for “Class A1” events certified by the Chinese Athletics Association in Changzhou City were selected, and their general clinical information was collected. ECG examinations were performed using a Fukuda FX7402 Cardimax Comprehensive Electrocardiograph Automatic Analyser, whereas routine cardiac ultrasound examinations were performed using a Philips EPIQ 7C echocardiography system. Real‐time 3‐dimensional echocardiography (RT‐3DE) was performed to acquire 3‐dimensional images of the left ventricle and to calculate the left ventricular mass index (LVMI). According to the LVMI criteria of the American Society of Echocardiography for the diagnosis of LVH, the participants were divided into an LVMI normal group (n = 96) and an LVH group (n = 16). The correlation between the ECG RV5/V6 criteria and LVH in marathon runners was analysed using multiple linear regression stratified by sex and compared with the Cornell (SV3 + RaVL), modified Cornell (SD + RaVL), Sokolow–Lyon (SV1 + RV5/V6), Peguero–Lo Presti (SD + SV4), SV1, SV3, SV4, and SD criteria. In marathon runners, the ECG parameters SV3 + RaVL, SD + RaVL, SV1 + RV5/V6, SD + SV4, SV3, SD, and RV5/V6 were able to identify LVH (all p < .05). When stratified by sex, linear regression analysis revealed that a significantly higher number of ECG RV5/V6 criteria were evident in the LVH group than in the LVMI normal group (p < .05), both with no adjustment and after initial adjustment (including age and body mass index), as well as after full adjustment (including age, body mass index, interventricular septal thickness, left ventricular end‐diastolic diameter, left ventricular posterior wall thickness, and history of hypertension). Additionally, curve fitting showed that the ECG RV5/V6 values increased with increasing LVMI in marathon runners, exhibiting a nearly linear positive correlation. In conclusions, the ECG RV5/V6 criteria were correlated with LVH in marathon runners. |
| first_indexed | 2024-03-11T14:42:44Z |
| format | Article |
| id | doaj.art-cc36d64dfc394e358746622dabc2ff56 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:42:44Z |
| publishDate | 2023-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-cc36d64dfc394e358746622dabc2ff562023-10-30T13:26:37ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762023-07-0125763864610.1111/jch.14692Evaluation of the electrocardiogram RV5/V6 criteria in the diagnosis of left ventricular hypertrophy in marathon runnersPan Yang0Zhixiang Ge1Jinmei Gao2Xia Liu3Min Xu4Haiyan Ke5Department of Echocardiography of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital Chang Zhou City Jiangsu Province ChinaDepartment of Echocardiography of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital Chang Zhou City Jiangsu Province ChinaDepartment of Echocardiography of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital Chang Zhou City Jiangsu Province ChinaDepartment of Echocardiography of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital Chang Zhou City Jiangsu Province ChinaDepartment of Echocardiography of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital Chang Zhou City Jiangsu Province ChinaDepartment of Cardiovascular Division of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital Chang Zhou City Jiangsu Province ChinaAbstract To assess the value of electrocardiogram (ECG) RV5/V6 criteria for diagnosing left ventricular hypertrophy (LVH) in marathons. A total of 112 marathon runners who met the requirements for “Class A1” events certified by the Chinese Athletics Association in Changzhou City were selected, and their general clinical information was collected. ECG examinations were performed using a Fukuda FX7402 Cardimax Comprehensive Electrocardiograph Automatic Analyser, whereas routine cardiac ultrasound examinations were performed using a Philips EPIQ 7C echocardiography system. Real‐time 3‐dimensional echocardiography (RT‐3DE) was performed to acquire 3‐dimensional images of the left ventricle and to calculate the left ventricular mass index (LVMI). According to the LVMI criteria of the American Society of Echocardiography for the diagnosis of LVH, the participants were divided into an LVMI normal group (n = 96) and an LVH group (n = 16). The correlation between the ECG RV5/V6 criteria and LVH in marathon runners was analysed using multiple linear regression stratified by sex and compared with the Cornell (SV3 + RaVL), modified Cornell (SD + RaVL), Sokolow–Lyon (SV1 + RV5/V6), Peguero–Lo Presti (SD + SV4), SV1, SV3, SV4, and SD criteria. In marathon runners, the ECG parameters SV3 + RaVL, SD + RaVL, SV1 + RV5/V6, SD + SV4, SV3, SD, and RV5/V6 were able to identify LVH (all p < .05). When stratified by sex, linear regression analysis revealed that a significantly higher number of ECG RV5/V6 criteria were evident in the LVH group than in the LVMI normal group (p < .05), both with no adjustment and after initial adjustment (including age and body mass index), as well as after full adjustment (including age, body mass index, interventricular septal thickness, left ventricular end‐diastolic diameter, left ventricular posterior wall thickness, and history of hypertension). Additionally, curve fitting showed that the ECG RV5/V6 values increased with increasing LVMI in marathon runners, exhibiting a nearly linear positive correlation. In conclusions, the ECG RV5/V6 criteria were correlated with LVH in marathon runners.https://doi.org/10.1111/jch.14692electrocardiogramleft ventricular hypertrophymarathon runnersRV5/V6 criteria |
| spellingShingle | Pan Yang Zhixiang Ge Jinmei Gao Xia Liu Min Xu Haiyan Ke Evaluation of the electrocardiogram RV5/V6 criteria in the diagnosis of left ventricular hypertrophy in marathon runners The Journal of Clinical Hypertension electrocardiogram left ventricular hypertrophy marathon runners RV5/V6 criteria |
| title | Evaluation of the electrocardiogram RV5/V6 criteria in the diagnosis of left ventricular hypertrophy in marathon runners |
| title_full | Evaluation of the electrocardiogram RV5/V6 criteria in the diagnosis of left ventricular hypertrophy in marathon runners |
| title_fullStr | Evaluation of the electrocardiogram RV5/V6 criteria in the diagnosis of left ventricular hypertrophy in marathon runners |
| title_full_unstemmed | Evaluation of the electrocardiogram RV5/V6 criteria in the diagnosis of left ventricular hypertrophy in marathon runners |
| title_short | Evaluation of the electrocardiogram RV5/V6 criteria in the diagnosis of left ventricular hypertrophy in marathon runners |
| title_sort | evaluation of the electrocardiogram rv5 v6 criteria in the diagnosis of left ventricular hypertrophy in marathon runners |
| topic | electrocardiogram left ventricular hypertrophy marathon runners RV5/V6 criteria |
| url | https://doi.org/10.1111/jch.14692 |
| work_keys_str_mv | AT panyang evaluationoftheelectrocardiogramrv5v6criteriainthediagnosisofleftventricularhypertrophyinmarathonrunners AT zhixiangge evaluationoftheelectrocardiogramrv5v6criteriainthediagnosisofleftventricularhypertrophyinmarathonrunners AT jinmeigao evaluationoftheelectrocardiogramrv5v6criteriainthediagnosisofleftventricularhypertrophyinmarathonrunners AT xialiu evaluationoftheelectrocardiogramrv5v6criteriainthediagnosisofleftventricularhypertrophyinmarathonrunners AT minxu evaluationoftheelectrocardiogramrv5v6criteriainthediagnosisofleftventricularhypertrophyinmarathonrunners AT haiyanke evaluationoftheelectrocardiogramrv5v6criteriainthediagnosisofleftventricularhypertrophyinmarathonrunners |