Existem diversos critérios eletrocardiográficos para avaliação de Sobrecarga Ventricular Esquerda, variando em relação a sensibilidade e especificidade. Um dos mais utilizados é o Critério de Cornell que apresenta uma boa acurácia, porém baixa sensibilidade (20 a 40%).
Em 2017 um grupo de pesquisadores publicou no JAAC (Journal of the American College of Cardiology) uma coorte de validação de um novo critério: Peguero – Lo Presti. O critério consiste na realização da soma da onda S mais profunda (SD) com a onda S de V4 (SV4) e será positivo para Sobrecarga Ventricular Esquerda nos Homens se ≥ 2,8 mV e nas Mulheres ≥ 2,3mV.
Esse estudo concluiu que quando comparado a outros critérios, o Peguero – Lo Presti apresenta uma sensibilidade maior, podendo ser utilizado na avaliação de Sobrecarga Ventricular Esquerda (SVE).
Referência:
Peguero JG, Lo Presti S, et AL. Electrocardiographic Criteria for the Diagnosis of Left Ventricular Hypertrophy. JACC. 2017;69 (13):1694-–703.
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