The Accuracy of the Electrocardiogram in Identifying Chronic Heart Failure due to Left Ventricular Systolic Dysfunction

There is a common assumption that a normal electrocardiography rules out chronic heart failure due to left ventricular systolic dysfunction (LVSD). In this research work, an assessment of the value of electrocardiography in identifying patients with chronic heart failure due to LVSD was investigate...

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Main Authors: Hanan G. K Altalhi, Asgad A Abdalgbar
Format: Article
Language:English
Published: Omar Al-Mukhtar University 2013-06-01
Series:مجلة المختار للعلوم
Subjects:
Online Access:https://omu.edu.ly/journals/index.php/mjsc/article/view/143
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author Hanan G. K Altalhi
Asgad A Abdalgbar
author_facet Hanan G. K Altalhi
Asgad A Abdalgbar
author_sort Hanan G. K Altalhi
collection DOAJ
description There is a common assumption that a normal electrocardiography rules out chronic heart failure due to left ventricular systolic dysfunction (LVSD). In this research work, an assessment of the value of electrocardiography in identifying patients with chronic heart failure due to LVSD was investigated. Patients admitted to Al-Bayda central hospital with suspicion of heart failure for clinical assessment and electrocardiography, echocardiography; the accuracy of each screening tests were calculated for left ventricular systolic dysfunction and heart failure. A total of 120 patients' aged between 36-100 years was assessed; 22 patients had impaired left ventricular systolic function, among them 21 patients had major electrocardiography abnormalities (Left bundle branch block, pathological Q wave, Left ventricular hypertrophy, poor R wave prog-ression, Ischemic ST-T changes, Left anterior fascicular block, IV conduction defect). Out of 98 patients with normal left ventricular systolic function, 38 had major electrocardiography abnormalities. In conclusion, the study showed that left ventricular systolic dysfunction is un likely to be present if the electrocardiography is normal (or shows only minor abnormalities); conversely, there is usually a major electrocardiographic abnormality in the presence of left ventricular systolic dysfunction.
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spelling doaj.art-cee651f288fc42918cfd419e578a65ef2023-07-19T12:06:10ZengOmar Al-Mukhtar Universityمجلة المختار للعلوم2617-21782617-21862013-06-0128110.54172/mjsc.v28i1.143The Accuracy of the Electrocardiogram in Identifying Chronic Heart Failure due to Left Ventricular Systolic DysfunctionHanan G. K Altalhi0Asgad A Abdalgbar1Department of Internal medicine, Faculty of Medicine, Omar Al Mukhtar University, LibyaDepartment of Internal medicine, Faculty of Medicine, Omar Al Mukhtar University, Libya There is a common assumption that a normal electrocardiography rules out chronic heart failure due to left ventricular systolic dysfunction (LVSD). In this research work, an assessment of the value of electrocardiography in identifying patients with chronic heart failure due to LVSD was investigated. Patients admitted to Al-Bayda central hospital with suspicion of heart failure for clinical assessment and electrocardiography, echocardiography; the accuracy of each screening tests were calculated for left ventricular systolic dysfunction and heart failure. A total of 120 patients' aged between 36-100 years was assessed; 22 patients had impaired left ventricular systolic function, among them 21 patients had major electrocardiography abnormalities (Left bundle branch block, pathological Q wave, Left ventricular hypertrophy, poor R wave prog-ression, Ischemic ST-T changes, Left anterior fascicular block, IV conduction defect). Out of 98 patients with normal left ventricular systolic function, 38 had major electrocardiography abnormalities. In conclusion, the study showed that left ventricular systolic dysfunction is un likely to be present if the electrocardiography is normal (or shows only minor abnormalities); conversely, there is usually a major electrocardiographic abnormality in the presence of left ventricular systolic dysfunction. https://omu.edu.ly/journals/index.php/mjsc/article/view/143Electrocardiography (ECG)Echocardiography (ECHO)Left ventricular systolic dysfunction (LVSD)
spellingShingle Hanan G. K Altalhi
Asgad A Abdalgbar
The Accuracy of the Electrocardiogram in Identifying Chronic Heart Failure due to Left Ventricular Systolic Dysfunction
مجلة المختار للعلوم
Electrocardiography (ECG)
Echocardiography (ECHO)
Left ventricular systolic dysfunction (LVSD)
title The Accuracy of the Electrocardiogram in Identifying Chronic Heart Failure due to Left Ventricular Systolic Dysfunction
title_full The Accuracy of the Electrocardiogram in Identifying Chronic Heart Failure due to Left Ventricular Systolic Dysfunction
title_fullStr The Accuracy of the Electrocardiogram in Identifying Chronic Heart Failure due to Left Ventricular Systolic Dysfunction
title_full_unstemmed The Accuracy of the Electrocardiogram in Identifying Chronic Heart Failure due to Left Ventricular Systolic Dysfunction
title_short The Accuracy of the Electrocardiogram in Identifying Chronic Heart Failure due to Left Ventricular Systolic Dysfunction
title_sort accuracy of the electrocardiogram in identifying chronic heart failure due to left ventricular systolic dysfunction
topic Electrocardiography (ECG)
Echocardiography (ECHO)
Left ventricular systolic dysfunction (LVSD)
url https://omu.edu.ly/journals/index.php/mjsc/article/view/143
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AT asgadaabdalgbar theaccuracyoftheelectrocardiograminidentifyingchronicheartfailureduetoleftventricularsystolicdysfunction
AT hanangkaltalhi accuracyoftheelectrocardiograminidentifyingchronicheartfailureduetoleftventricularsystolicdysfunction
AT asgadaabdalgbar accuracyoftheelectrocardiograminidentifyingchronicheartfailureduetoleftventricularsystolicdysfunction