Table 2.
Studies evaluating the association of electrocardiographic LVH with clinical outcomes in chronic renal disease
References | Population | Sample size | Follow-up | Results | Comments |
---|---|---|---|---|---|
Covic et al. [12] | Prevalent HD and PD | 418 | 67 months ( mean) | LVH by Novacode predictive of cardiovascular mortality (HR = 3.04, 95% CI 1.11–8.28; P < 0.05) | 11 other methods not predictive |
Kim et al. [13] | Incident HD | 317 | 27.4 months (mean) | LVH by Sokolow–Lyon voltage duration product (HR = 3.43, 95% CI 1.32–892; P = 0.011) and Cornell voltage duration product (HR = 3.07, 95% CI 1.16–8.11; P = 0.024) predictive of cardiovascular mortality | 50% discordance between ECG and echocardiographic diagnosis of LVH |
Cice et al. [15] | Prevalent HD | 407 | 46 months (mean) | LVH with strain predictive of cardiovascular deaths (P < 0.05) and sudden deaths (P < 0.01) | Univariate analysis |
Krane et al. [14] | HD with diabetes | 1253 | 48 months (mean) | LVH with Sokolow–Lyon criteria was predictive of sudden death (HR = 1.60, 95% CI 1.05–2.44; P = 0.027) | A trend towards higher risk for cardiovascular endpoints was detected |
Agarwal and Light [16] | CKD, excluding ESRD | 387 | 90 months (median) | LVH with Sokolow–Lyon criteria prognostic for all-cause mortality (HR = 2.84, 95% CI 1.50–5.37; P < 0.001) | Multivariate analysis including adjustment for blood pressure |