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pmid: 18986407
Background: Left ventricular mass (LVM) is an independent risk factor for cardiovascular outcome. We aimed to define normal reference values of LVM/body surface area (BSA) in a multiethnic Southeast Asian population across ages, and define demographic parameters that predict LVM/BSA. Methods: 198 subjects (44% men, mean age 40 ± 14 years, 82% Chinese, 13% Malay and 5% Indian) with no cardiovascular comorbidity and had normal echo images for age were included in the analysis. Echo LVM was calculated as: 1.04 ×[(left ventricular internal diameter at end‐diastole {LVIDd}+ interventricular septal thickness at end‐diastole {IVSd}+ left ventricular posterior wall thickness at end‐diastole {LVPWd})3− LVIDd3× 0.8]+ 0.61, indexed by BSA (LVM/BSA)* and expressed as g/m2. Results: BSA and blood pressure (BP) were comparable between dichotomous age groups < or ≥ 50 years within the same gender. Women aged ≥ 50 years had larger IVSD, LVPWd, LVM and LVM/BSA compared to younger cohort. (p < 0.01 for all variables). The 95th percentile of LVM in men and women were 189 g and 148 g respectively; corresponding values for LVM/BSA were 106 and 96 g/m2. These values are consistently smaller than published values from the West. Age (r = 0.27, P < 0.001), gender (r =−0.30, P < 0.001), and systolic BP (r = 0.25, P = 0.003) were significant univariate predictors of LVM/BSA. Conclusion: We therefore propose a different cutoff value for the diagnosis of LV hypertrophy among Southeast Asians.
Adult, Male, Incidence, Reproducibility of Results, Middle Aged, Risk Assessment, Sensitivity and Specificity, Age Distribution, Echocardiography, Reference Values, Humans, Female, Hypertrophy, Left Ventricular, Sex Distribution, Asia, Southeastern
Adult, Male, Incidence, Reproducibility of Results, Middle Aged, Risk Assessment, Sensitivity and Specificity, Age Distribution, Echocardiography, Reference Values, Humans, Female, Hypertrophy, Left Ventricular, Sex Distribution, Asia, Southeastern
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 17 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |