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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EThis poster highlight discusses data that showed the value of using echocardiography in individuals who are suspected of having left ventricular hypertropy.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003ECardiology Clinical Trials\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EHypertensive Disease\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003ECardiac Imaging Techniques\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EImaging Modalities\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003EThe performance of the Cornell or Sokolow-Lyon voltage criteria, which were established in the developed world from populations of vastly different ethnic backgrounds, has not been evaluated for the detection of left ventricular hypertrophy (LVH) in Trinidadians. In the first study of its kind to be conducted in Trinidad, the estimated prevalence of LVH appears to be relatively high if ECG is the single investigation that is performed. However, it approaches a value that is similar to that in the literature when echocardiography (ECHO) is performed. Romel Bacchus, MD, University of West Indies, Mt. Hope, Trinidad, presented poster data that showed the value of using ECHO in individuals who are suspected of having LVH.\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003ELVH is an independent predictor of cardiovascular morbidity and mortality and can occur in normotensive individuals or those without any recognized underlying pathology. Healthy participants (n=209) with normal blood pressure (\u0026lt;140\/90 mm Hg), no previous history of type 2 diabetes or hypertension, or no existing LVH that is confirmed by ECHO were enrolled in a cross-sectional study. The study participants (mostly women in their mid-30s) consisted of Southeast Asians, Africans, and those of mixed descent.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EUsing ECG and the Sokolow-Lyon criteria, 10.5% of normotensives were diagnosed with LVH, while ECG and the Cornel criteria detected 5.3%. Using the American Society of Echocardiography criteria and World Health Organization criteria, ECHO confirmed the diagnosis of LVH in 2.9% and 1.5% of normotensive individuals, respectively, in both ECG groups. Pearson\u0027s correlation coeffficient indicated that the Cornel criteria were a more accurate measurement of LVH compared with the Sokolow-Lyon criteria.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003EAlthough limited by its small sample size, this study suggests that ECHO should be used for all patients who are suspected of having LVH. The low pretest probability of LVH in this cohort, largely comprising women in their mid-30s, may have impacted test performance. Larger studies that involve a broader group of patients are recommended.\u003C\/p\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2011 MD Conference Express\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv class=\u0022section ref-list\u0022 id=\u0022ref-list-1\u0022\u003E\u003Ch2 class=\u0022\u0022\u003EFurther Reading\u003C\/h2\u003E\u003Col class=\u0022cit-list ref-use-labels\u0022\u003E\u003Cli\u003E\u003Cspan class=\u0022ref-label ref-label-empty\u0022\u003E\u003C\/span\u003E\n            \u003Cdiv class=\u0022cit ref-cit ref-journal no-rev-xref\u0022 id=\u0022cit-11.9.24-b.1\u0022\u003E\u003Cdiv class=\u0022cit-metadata\u0022\u003E\u003Col class=\u0022cit-auth-list\u0022\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-auth\u0022\u003E\u003Cspan class=\u0022cit-name-surname\u0022\u003EBacchus\u003C\/span\u003E  \u003Cspan class=\u0022cit-name-given-names\u0022\u003ER\u003C\/span\u003E\u003C\/span\u003E, \u003C\/li\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-etal\u0022\u003Eet al\u003C\/span\u003E\u003C\/li\u003E\u003C\/ol\u003E\u003Ccite\u003E. \u003Cabbr class=\u0022cit-jnl-abbrev\u0022\u003EVasc Health Risk Manag\u003C\/abbr\u003E \n               \u003Cspan class=\u0022cit-pub-date\u0022\u003E2011\u003C\/span\u003E; \u003Cspan class=\u0022cit-vol\u0022\u003E7\u003C\/span\u003E: \u003Cspan class=\u0022cit-fpage\u0022\u003E327\u003C\/span\u003E\u2013\u003Cspan class=\u0022cit-lpage\u0022\u003E332\u003C\/span\u003E.\u003C\/cite\u003E\u003C\/div\u003E\u003Cdiv class=\u0022cit-extra\u0022\u003E\u003Ca href=\u0022{openurl}?query=rft.stitle%253DVasc%2BHealth%2BRisk%2BManag%26rft.aulast%253DBacchus%26rft.auinit1%253DR.%26rft.volume%253D7%26rft.spage%253D327%26rft.epage%253D332%26rft.atitle%253DThe%2Boccurrence%2Bof%2Bleft%2Bventricular%2Bhypertrophy%2Bin%2Bnormotensive%2Bindividuals%2Bin%2Ba%2Bcommunity%2Bsetting%2Bin%2BNorth-East%2BTrinidad.%26rft_id%253Dinfo%253Apmid%252F21796251%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url\u0022\u003E\u003Cspan\u003EOpenUrl\u003C\/span\u003E\u003C\/a\u003E\u003Ca href=\u0022\/lookup\/external-ref?access_num=21796251\u0026amp;link_type=MED\u0026amp;atom=%2Fspmdc%2F11%2F9%2F24.2.atom\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-medline\u0022\u003E\u003Cspan\u003EMedline\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\n         \u003C\/li\u003E\u003C\/ol\u003E\u003C\/div\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/11\/9\/24.2.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzmzxe\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}