{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T18:40:31Z","timestamp":1783708831968,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T00:00:00Z","timestamp":1687910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To assess the value of electrocardiogram (ECG) RV5\/V6 criteria for diagnosing left ventricular hypertrophy (LVH) in marathons. A total of 112 marathon runners who met the requirements for \u201cClass A1\u201d events certified by the Chinese Athletics Association in Changzhou City were selected, and their general clinical information was collected. ECG examinations were performed using a Fukuda FX7402 Cardimax Comprehensive Electrocardiograph Automatic Analyser, whereas routine cardiac ultrasound examinations were performed using a Philips EPIQ 7C echocardiography system. Real\u2010time 3\u2010dimensional echocardiography (RT\u20103DE) was performed to acquire 3\u2010dimensional images of the left ventricle and to calculate the left ventricular mass index (LVMI). According to the LVMI criteria of the American Society of Echocardiography for the diagnosis of LVH, the participants were divided into an LVMI normal group (<jats:italic>n<\/jats:italic>\u00a0=\u00a096) and an LVH group (<jats:italic>n<\/jats:italic>\u00a0=\u00a016). The correlation between the ECG RV5\/V6 criteria and LVH in marathon runners was analysed using multiple linear regression stratified by sex and compared with the Cornell (SV3\u00a0+\u00a0RaVL), modified Cornell (SD\u00a0+\u00a0RaVL), Sokolow\u2013Lyon (SV1\u00a0+\u00a0RV5\/V6), Peguero\u2013Lo Presti (SD\u00a0+\u00a0SV4), SV1, SV3, SV4, and SD criteria. In marathon runners, the ECG parameters SV3\u00a0+\u00a0RaVL, SD\u00a0+\u00a0RaVL, SV1\u00a0+\u00a0RV5\/V6, SD\u00a0+\u00a0SV4, SV3, SD, and RV5\/V6 were able to identify LVH (all <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05). When stratified by sex, linear regression analysis revealed that a significantly higher number of ECG RV5\/V6 criteria were evident in the LVH group than in the LVMI normal group (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05), both with no adjustment and after initial adjustment (including age and body mass index), as well as after full adjustment (including age, body mass index, interventricular septal thickness, left ventricular end\u2010diastolic diameter, left ventricular posterior wall thickness, and history of hypertension). Additionally, curve fitting showed that the ECG RV5\/V6 values increased with increasing LVMI in marathon runners, exhibiting a nearly linear positive correlation. In conclusions, the ECG RV5\/V6 criteria were correlated with LVH in marathon runners.<\/jats:p>","DOI":"10.1111\/jch.14692","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T13:55:07Z","timestamp":1687960507000},"page":"638-646","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Evaluation of the electrocardiogram RV<sub>5<\/sub>\/V<sub>6<\/sub> criteria in the diagnosis of left ventricular hypertrophy in marathon runners"],"prefix":"10.1111","volume":"25","author":[{"given":"Pan","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Echocardiography of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital  Chang Zhou City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhixiang","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Echocardiography of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital  Chang Zhou City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinmei","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Echocardiography of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital  Chang Zhou City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Echocardiography of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital  Chang Zhou City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0576-497X","authenticated-orcid":false,"given":"Min","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Echocardiography of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital  Chang Zhou City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiyan","family":"Ke","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Division of The Third Affiliated Hospital of Soochow University, Chang Zhou NO.1 Hospital  Chang Zhou City Jiangsu Province 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