Document Type
Original Article
Abstract
Objectives: The purpose of this investigation is to assess the relationship between electrocardiographic ST-T changes and coronary artery disease (CAD) and coronary lesions in individuals with increased LVMI.
Methods: This retrospective cohort study was conducted on one hundred and sixty patients with elevated LVMI (LVMI >115 g/m2 in males and 95 g/m2 in females), patients with hypertrophic cardiomyopathy (HOCM), patients with cardiac amyloidosis, individuals with aortic stenosis (AS) and individuals with athletic myocardial hypertrophy undergoing coronary angiography. Participants were splitted into two groups. Group I: 80 individuals with increased LVMI and positive strain pattern. Group II: 80 individuals with increased LVMI and no strain pattern.
Results: ST-T changes were significant predictors of significant/non-significant coronary angiography lesion T-wave inversion was the highest predictor (AUC: 0.726, p
Conclusions: Electrocardiographic ST-T changes (T-wave inversion, down slopping depression, and to a lesser degree horizontal depression) can be used as significant predictors for significant/non-significant CAD angiographic lesions in patients with increased LVMI.
Keywords
Coronary Artery, Increased Left Ventricular Mass Index, Strain pattern
Subject Area
Cardiovascular
How to Cite This Article
El-Dessouky, Mohammed Helmy; Allam, Ahmed Mohamed; Abdelgalil, Yasser; and ElGamal, Mohamed Saad
(2023)
"ST-T Changes as a Predictor of Coronary Artery Diseases in Patients with Increased Left Ventricular Mass Index,"
Al-Azhar International Medical Journal: Vol. 4:
Iss.
12, Article 12.
DOI: https://doi.org/10.58675/2682-339X.2184
