Do we need new electrocardiographic criteria for left ventricular hypertrophy? the case of the peguero lo presti criterion. a narrative review

Am J Hypertens. 2023 Dec 19:hpad117. doi: 10.1093/ajh/hpad117. Online ahead of print.ABSTRACTThe cardiovascular risk associated with LVH in the community and, particularly, in the hypertensive fraction of the general population, represents the rationale for its timely and accurate identification in order to implement adequate preventive strategies. Although electrocardiography (ECG) is the first-line and most economical method of diagnosing LVH its accuracy is largely suboptimal. Over the last seventy years, dozens of different ECG criteria, mostly based on measurements of QRS voltages, have been proposed. In this long journey, a few years ago Peguero et al. developed a novel ECG voltage criterion, currently recognized as Peguero-Lo Presti (PLP) suggesting that it has greater sensitivity than traditional ECG-LVH criteria. Considering that in the last five years numerous studies have investigated the diagnostic value of this new index, this review aimed to summarize the data published so far on this topic focusing both on the accuracy in identifying the presence of LVH compared to imaging techniques such as echocardiography (ECHO) and magnetic resonance imaging (MRI) and the value in predicting hard outcomes. The evidence in favor of the greater diagnostic accuracy of the PLP criterion in detecting LVH, phenotyped by ECHO or MRI, and in the stratification of hard outcomes compared to traditional ECG criteria does not appear to be sufficiently proven. Given that the diagnosis o...
Source: American Journal of Hypertension - Category: Cardiology Authors: Source Type: research