2026-04-13T19:37:26Zhttps://recercat.cat/oai/requestoai:recercat.cat:10256/167372024-05-22T11:20:24Zcom_2072_452966com_2072_2054col_2072_452968
RECERCAT
author
Gómez Fernández, Paula
2024-05-22T11:20:24Z
2024-05-22T11:20:24Z
2018-11
http://hdl.handle.net/10256/16737
BACKGROUND: Electrocardiogram is an easy tool to determinate left ventricular
hypertrophy, but classical criteria have a low sensitivity. A new ECG criteria, Peguero-Lo
Presti has demonstrated in patients with Hypertensive Heart Disease (HHD) that it is more
sensible.
Hypertrophic Cardiomyopathy (HCM) is characterized by an heterogenous clinical and
phenotypic expression that it is responsible of the mayor number of deaths in young people
due to its arrhythmogenic capacity and sudden cardiac death. Moreover, more of patients
are asymptomatic in early phases of the disease which makes very necessary to determinate
a very sensible marker of this disease to make an early diagnosis and avoid these fatal
consequences.
HYPOTHESES: Peguero-Lo Presti criteria is more sensible to detect HCM than Sokolow-
Lyon voltage index. Moreover, due to the different hypertrophic pattern in HHD (concentric
and symmetrical hypertrophy) and HCM (asymmetrical septal hypertrophy), Peguero-Lo
Presti criteria could have a different expression reflected on the 12-lead ECG.
OBJECTIVES: The main of this study is to determinate the sensitivity of Peguero-Lo Presti
criteria in patients with HCM and evaluate the role of this criteria in the differential diagnosis
between HHD and HCM.
METHODS: A prospective analytic and observational case-control study will be designed.
The case-group will be formed by 185 patients with HCM and the control-group will be formed
by 185 patients with HHD. This study will be developed at Josep Trueta Hospital in Girona
for the Cardiology Department for 2 years
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess
Electrocardiografia
Electrocardiography
Cor -- Malalties -- Diagnòstic
Heart -- Diseases -- Diagnosis
Mort sobtada
Sudden death
Role of Peguero Lo-Presti criteria in the differential diagnosis between hypertrophic cardiomyopathy and hypertensive heart disease
info:eu-repo/semantics/bachelorThesis