Heart failure & cardiomyopathies

Should ECG criteria for Low QRS voltage (LQRSV) be specific for Sex?

Am Heart JPublished Cross-sectional study

Authors' conclusion

LQRSV is more common among female athletes than male athletes using established criteria.

Study context

Population
Young athletes (14–35 years) undergoing mass ECG screening at multiple US sites, 2014–20218,679 analysed
Participants
10,728 athletes
Exposure
Male vs female athletes
Outcome
Prevalence of LQRSV by established criteria, stratified by sex
Methodological detailsmulticentre, mass ECG screening, standardized protocol, Complete follow-up for outcomes and test results not available by design
  • Multicentre
  • Mass ECG screening
  • Standardized protocol
  • Complete follow-up for outcomes and test results not available by design

Main finding

As reported in the abstract

LQRSV (Sokolow-Lyon Index)

P < 0.001

LQRSV prevalence by traditional limb lead or precordial lead criteria significantly lower in males than females
P < 0.001

Observational data: associations, not effects.

Further findings

Applying first percentile for LQRS amplitude criteria provided possible values for screening young athletes for LQRSV

Original publication

Should ECG criteria for Low QRS voltage (LQRSV) be specific for Sex? Am Heart J. Published 9 February 2024. doi:10.1016/j.ahj.2024.02.002

Composed by AI from the published abstract and checked against it. How Briefs are made →

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