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.
Article Type
Original Article
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
