Low voltage on the electrocardiogram is a marker of disease severity and a risk factor for adverse outcomes in patients with heart failure due to systolic dysfunction

American Heart Journal

Volumn 152, Issue 2, 2006, Pages 355-361

  Kamath, Sandeep A ^a,c   Meo Neto, Januario de P ^b   Canham, Russell M ^c   Uddin, Fatema ^a   Toto, Kathleen H ^d   Nelson, Lauren L ^d   Kaiser, Patricia A ^e   de Lemos, James A ^a,c   Drazner, Mark H ^a,c  

^a UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

^b UNIVERSITY OF SÃO PAULO   (Brazil)

^c UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

^d PARKLAND HEALTH AND HOSPITAL SYSTEM   (United States)

^e St Paul University Hospital   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CONTROLLED STUDY; DISEASE SEVERITY; ELECTRIC POTENTIAL; ELECTROCARDIOGRAM; FEMALE; FOLLOW UP; HEART FAILURE; HEART LEFT VENTRICLE EJECTION FRACTION; HEART TRANSPLANTATION; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE ANALYSIS; PREVALENCE; PRIORITY JOURNAL; PROGNOSIS; QRS COMPLEX; RISK ASSESSMENT; RISK FACTOR; SYSTOLE;

ADULT; ELECTROCARDIOGRAPHY; FEMALE; HEART FAILURE, CONGESTIVE; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PROGNOSIS; RETROSPECTIVE STUDIES; RISK FACTORS; SEVERITY OF ILLNESS INDEX; SYSTOLE; VENTRICULAR DYSFUNCTION, LEFT;

EID: 33746266603     PISSN: 00028703     EISSN: 10976744     Source Type: Journal    
DOI: 10.1016/j.ahj.2005.12.021     Document Type: Article

References (18)

1. Baldasseroni S., Gentile A., Gorini M., et al. Intraventricular conduction defects in patients with congestive heart failure: left but not right bundle branch block is an independent predictor of prognosis. A report from the Italian Network on Congestive Heart Failure (IN-CHF database). Ital Heart J 4 (2003) 607-613
2. Xiao H.B., Roy C., Fujimoto S., et al. Natural history of abnormal conduction and its relation to prognosis in patients with dilated cardiomyopathy. Int J Cardiol 53 (1996) 163-170
3. Kannel W.B. Prevalence and natural history of electrocardiographic left ventricular hypertrophy. Am J Med 75 (1983) 4-11
4. Kearney M.T., Nolan J., Lee A.J., et al. A prognostic index to predict long-term mortality in patients with mild to moderate chronic heart failure stabilised on angiotensin converting enzyme inhibitors. Eur J Heart Fail 5 (2003) 489-497
5. Ishikawa K., Berson A.S., and Pipberger H.V. Electrocardiographic changes due to cardiac enlargement. Am Heart J 81 (1971) 635-643
6. Madias J.E., Agarwal H., Win M., et al. Effect of weight loss in congestive heart failure from idiopathic dilated cardiomyopathy on electrocardiographic QRS voltage. Am J Cardiol 89 (2002) 86-88
7. Estep J.D., Mehta S.K., Uddin F., et al. β-Blocker therapy in patients with heart failure in the urban setting: moving beyond clinical trials. Am Heart J 148 (2004) 958-963
8. Mehta S.K., Toto K.H., Nelson L.L., et al. Therapy of heart failure in African Americans: lessons from an urban public hospital. Congest Heart Fail 10 (2004) 40-43
9. Rose G.A., and Blackburn H. Cardiovascular survey methods: Minnesota code (monograph 56) (1968), World Health Organization, Geneva
10. Goldberger A.L. Clinical electrocardiography: a simplified approach. 6th ed. (1999), Mosby, Boston
11. Fox K.M., Tomlinson I.W., Meek D.R., et al. Low voltage electrocardiogram after acute myocardial infarction. Br Heart J 37 (1975) 748-751
12. Rotmensch H.H., Meytes I., Terdiman R., et al. Incidence and significance of the low-voltage electrocardiogram in acute myocardial infarction. Chest 71 (1977) 708-711
13. Chia B.L., Lim Y.T., Tan H.C., et al. Left bundle branch block and increased transverse:frontal plane QRS voltage ratio in severe left ventricular dysfunction. Int J Cardiol 65 (1998) 65-69
14. Quinones M.A., Greenberg B.H., Kopelen H.A., et al. Echocardiographic predictors of clinical outcome in patients with left ventricular dysfunction enrolled in the SOLVD registry and trials: significance of left ventricular hypertrophy. Studies of Left Ventricular Dysfunction. J Am Coll Cardiol 35 (2000) 1237-1244
15. Zimetbaum P.J., Buxton A.E., Batsford W., et al. Electrocardiographic predictors of arrhythmic death and total mortality in the Multicenter Unsustained Tachycardia Trial. Circulation 110 (2004) 766-769
16. Kahn S., Frishman W.H., Weissman S., et al. Left ventricular hypertrophy on electrocardiogram: prognostic implications from a 10-year cohort study of older subjects: a report from the Bronx Longitudinal Aging Study. J Am Geriatr Soc 44 (1996) 524-529
17. Horwich T.B., Fonarow G.C., Hamilton M.A., et al. The relationship between obesity and mortality in patients with heart failure. J Am Coll Cardiol 38 (2001) 789-795
18. Brody D.A. A theoretical analysis of intracavitary blood mass influence on the heart-lead relationship. Circ Res 4 (1956) 731-738