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《Chinese Journal of Hypertension》 1993-01
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Diagnosis of Hypertensive Left Ventricular Hypertrophy (Analysis of 5437 Cases′ Echocardiograms)

Zhang Weizhong,Qiu Huili, Fan Mingchang, Gong Lansheng (Shanghai Institute of Hypertension,Shanghai Second Medical University,Shanghai)  
Echocardiograms of 5437 patientswith hypertension examined consecutively in our institute during 1985~1990 were retrospectively analysed,using left ventricular mass index(LVMI) as the parameter of left ventricular hypertrophy(LVH).It was found that the prevalence of LVH was 31.6% in all hypertensives with the cut offs for LVMI125 g/m 2 in male,120 g/m 2 in female with no significant difference in the prevalence of LVH between male and female.The proportions for the degree of LVH were 66.3%,21.7% and 12.0% for mild,moderate and severe LVH respectively;for the type of LVH,asymmetric septum hypertrophy(ASH) accounted for 28.1%,concentric hypertrophy(CH),34.0% and dilating hypertrophy,(DH) 37.9%.The true positive rates of LVH were as high as 86.7%,but false positive rates reached 41.0% if using interventricular septum thickness(IVST) and posterior wall thickness(PWT) as the parameter of LVH,compared with LVMI.
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