Table 3.

Ethnicity-specific diagnostic characteristics of traditional ECG criteria for detecting MRI-defined LVH

	Sensitivity				Specificity				ROC area
ECG Criteria	Cn.	Ch.	AA.	H.	Cn.	Ch.	AA.	H.	Cn.	Ch.	AA.	H.
Sokolow-Lyon	19.2	18.2	36.7*	19.6	95.0	92.9	86.8*	94.4	0.57	0.56	0.62	0.57
Romhilt-Estes ≥ 4	11.1	18.2	22.7†	9.8	97.1	97.7	95.6	98.0	0.54	0.58	0.59†	0.54
Romhilt-Estes ≥ 5	5.0	9.1	7.3	2.9	99.1	99.2	98.8	99.7	0.52	0.54	0.53	0.51
Cornell voltage	6.1	24.2*	18.7*	15.7†	98.6	95.3	96.6	96.7	0.52	0.59	0.58†	0.56
Perguia score	13.1	33.3†	31.3*	23.5	95.0	91.8	91.1	93.1	0.54	0.63	0.61*	0.58
Minnesota code 3.1	11.1	21.2	22.7†	12.7	96.7	95.8	92.1*	97.0	0.54	0.59	0.57	0.55
Framingham score	1.0	9.1†	11.3*	5.9	99.3	99.2	98.7	99.7	0.50	0.54	0.55*	0.53†
Lewis index	17.2	6.1	30.7†	23.5	90.9	95.3	82.8*	87.3	0.54	0.51	0.57	0.55
Adjusted Cornell voltage‡	6.1	24.2*	18.7*	15.7†	98.6	95.3	96.5	96.7	0.52	0.59	0.58†	0.56
LV strain pattern	4.0	12.1	14.7†	10.8	97.3	97.6	95.7	97.6	0.51	0.55	0.55†	0.54
Cornell duration product	11.1	18.2	14.7	17.6	97.6	96.6	96.8	97.7	0.54	0.57	0.56	0.58
Sokolow-Lyon duration product	8.1	12.1	18.7†	7.8	98.8	97.7	97.2	99.6	0.53	0.55	0.58†	0.54
Gubner and Ungerleider	11.1	3.0	16.7	15.7	96.0	97.6	90.3*	94.7	0.54	0.50	0.54	0.55

Cn., Caucasians; Ch., Chinese; AA., African Americans; H., Hispanics;

^*p≤ 0.005;

^†p< 0.05; p-values stand for pair-wise comparisons between other ethnic groups and Caucasians taken as the reference; highlighted values stand for significant differences with respect to Caucasians;

^‡Framingham-adjusted