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Table 3 Clinical utility of the ECG criteria

From: Usefulness of ECG criteria to rule out left ventricular hypertrophy in older individuals with true left bundle branch block: an observational study

ECG criteria

Sensitivity (%)

(95% CI)

Specificity (%)

(95% CI)

PPV (%)

(95% CI)

LR+

(95% CI)

NPV (%)

(95% CI)

LR−

(95% CI)

Peguero-Lo Presti

96.0 (88.6–100)

9.1 (0–22.7)

68.8 (57.2–79.0)

1.05 (0.93–1.24)

50.0 (0–100)

0.48 (0–1.86)

Cornell voltage

87.0 (76.0–96.1)

27.3 (8.0–47.4)

71.4 (59.3–83.7)

1.2 (0.92–1.67)

50.0 (22.2–78.6)

0.48 (0.1–1.46)

Cornell VDP

100 (NA)

9.1 (0–22.2)

69.7 (58.2–80.0)

1.10 (1.00–1.28)

100 (NA)

0 (NA)

SV2 + SV3

39.1 (26.1–53.8)

59.1 (36.9–79.2)

66.7 (50.0–84.4)

0.96 (0.50–2.15)

31.7 (17.5–46.5)

1.03 (0.70–1.70)

R aVL

26.1 (13.3–38.7)

81.8 (63.2–95.7)

75.0 (50.0–93.8)

0.96 (0.50–2.15)

34.6 (21.6–48.2)

0.90 (0.69–1.19)

R aVL VDP

67.4 (53.2–80.0)

54.6 (33.3–76.2)

75.6 (61.1–88.4)

1.48 (0.92–2.69)

44.4 (26.1–65.2)

0.60 (0.31–1.08)

Sokolow-Lyon

26.1 (13.7–41.3)

81.8 (63.0–95.7)

75.0 (50.1–94.7)

1.43 (0.53–6.13)

34.6 (22.2–47.9)

0.90 (0.70–1.23)

Sokolow-Lyon VDP

60.9 (46.5–73.5)

50.0 (29.2–71.4)

71.8 (56.4–85.4)

1.22 (0.73–2.18)

37.9 (20.7–54.6)

0.78 (0.46–1.40)

Gubner-Ungerleider

82.6 (70.6–93.2)

18.2 (63.2–95.7)

67.9 (55.8–79.3

1.01 (0.79–1.32)

33.3 (6.7–62.5)

0.96 (0.32–4.24)

Dalfó

95.7 (88.9–100)

0 (NA)

66.7 (55.9–78.5)

0.96 (0.89–1.00)

NA

NA

  1. Diagnostic performance of all the ECG criteria in patients with left bundle branch block, using the echocardiogram based left ventricular hypertrophy as the gold-standard
  2. CI = Confidence Interval; LR+ = positive likelihood ration; LR− = negative likelihood ratio; NA = non applicable; NPV = Negative Predictive Value; PPV = Positive Predictive Value; R aVL = R wave in lead aVL; SV2 + SV3 = sum of the S wave in V2 plus V3; VDP = voltage-duration product