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Family Practice Vol. 21, No. 1, 63-65
© Oxford University Press 2004, all rights reserved.

Article

A diagnosis of left ventricular hypertrophy on ECG is associated with a high cardiovascular risk: findings from a 40- to 69-year-old cohort in general practice

AV Ciardulloa,, L Azzolinib, M Bevinib, T Cadiolib, MM Daghioa, P Guidettia, M Lorenzettia, P Malavasia, A Morellinia and C Carapezzia,c

a Local Health Plan, Azienda USL, b GPs on the behalf of ‘GPs' CV Risk Group’ and c Internal Medicine Hospital Department, Modena, Italy

Correspondence to Anna Vittoria Ciardullo, MD, MSc, Local Health Plan for Cardiovascular Disease, Azienda USL di Modena, Viale Muratori 201, 41100, Modena, Italy; E-mail: a.ciardullo{at}ausl.mo.it

Objective. Left ventricular hypertrophy (LVH) is an independent cardiovascular (CV) risk factor in both sexes. We studied if a diagnosis of LVH on electrocardiogram (ECG) was associated with a ‘high CV risk condition’ among 40- to 69-year-old individuals cared for by GPs.

Methods. We studied 4250 individuals, 5.4% of whom had LVH. Cross-sectional frequencies, and age- and gender-adjusted statistical differences have been calculated.

Results. All the study variables were significantly worse for ‘LVH’ than ‘non-LVH’ individuals (except smoking). The ‘LVH’ had both a mean ‘5-year CV risk’ significantly greater than ‘non-LVH’ individuals (27.0% versus 8.6%), and a significantly higher prevalence of a ‘5-year CV risk >15%’ (89% versus 15%).

Conclusions. A diagnosis of LVH on ECG among the adult individuals of an opportunistic cohort from general practice was associated with a 6-fold greater prevalence of a ‘high CV risk condition’.

Keywords. Cardiovascular disease, family practice, left ventricular hypertrophy, opportunistic cohort, risk factors.


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