{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:17:45Z","timestamp":1753877865837,"version":"3.41.2"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T00:00:00Z","timestamp":1614038400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003787","name":"Natural Science Foundation of Hebei Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003787","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81700281"],"award-info":[{"award-number":["81700281"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Backgroud<\/jats:title><jats:p>Present electrocardiogram (ECG) criteria for diagnosing left ventricular hypertrophy (LVH) usually have low sensitivity, while the newly proposed SD\u00a0+\u00a0SV4 criterion, namely the deepest S\u2010wave amplitude in any lead (SD) plus SV4 amplitude, has been reported to have higher sensitivity and accuracy compared with other existing criteria. We aimed to further evaluate the diagnostic value of the SD\u00a0+\u00a0SV4 criterion in reference to the gold standard cardiac magnetic resonance imaging (CMR) in LVH diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study enrolled 138 patients who received CMR examination\u201460 patients with reduced ejection fraction (EF) and 78 patients with preserved EF. The left ventricular mass index (LVMI) measured by CMR was used as the gold standard for diagnosing LVH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>The diagnostic value of the SD\u00a0+\u00a0SV4 criterion was compared with other 4 commonly used criteria. By CMR, 29 out of 138 people (21%) were diagnosed with LVH in reference to CMR. The SD\u00a0+\u00a0SV4 criterion had markedly higher sensitivity in diagnosing LVH compared with other criteria, but no higher specificity. There was no significant difference in area under receiver operating characteristic (ROC) curve among these criteria. The SD\u00a0+\u00a0SV4 criterion was not markedly consistent with CMR in diagnosing LVH. Compared to the other criteria, the SD\u00a0+\u00a0SV4 criterion had the highest sensitivity in patients with reduced ejection fraction; however, the area under the curve (AUC) of the SD\u00a0+\u00a0SV4 criterion in patients with reduced EF was significantly lower than in patients with preserved EF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The newly proposed SD\u00a0+\u00a0SV4 criterion did not have a better diagnostic value compared with other existing criteria, and the statistical power of the SD\u00a0+\u00a0SV4 criterion was influenced by EF.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.12832","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T10:45:34Z","timestamp":1614077134000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["SD\u00a0+\u00a0SV4 diagnosis of left ventricular hypertrophy, a revaluation of ECG criterion by cardiac magnetic resonance imaging"],"prefix":"10.1111","volume":"26","author":[{"given":"Demin","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Cadiology Second hospital of Hebei Medical University Shijiazhuang Hebei 050000 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanqi","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Cadiology Second hospital of Hebei Medical University Shijiazhuang Hebei 050000 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bailin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Radiology Second hospital of Hebei Medical University Shijiazhuang Hebei 050000 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Di","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Endocrine Air Force General Hospital PLA Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guoqiang","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Cadiology Second hospital of Hebei Medical University Shijiazhuang Hebei 050000 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dina","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Cardiac surgery Tianjin Medical University General Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1214-4146","authenticated-orcid":false,"given":"Wei","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Cadiology Second hospital of Hebei Medical University Shijiazhuang Hebei 050000 China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,23]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"S34","article-title":"Left ventricular hypertrophy and heart failure in women","volume":"20","author":"Agabiti\u2010Rosei E.","year":"2002","journal-title":"Journal of Hypertension. 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