ࡱ> (*)q` 0 bjbjqPqP 7::#$8  $FHHHHHH$} h llFF +hF0 \^  4llX$$$$$$$$$ CLINICAL ASSESSMENT OF LEFT VENTRICULAR HYPERTROPHY AND STRAIN IN PATIENTS WITH ANGINA M.T. Chou, C.Y. Chiang, C.C. Cheng, Z.C. Chen, T.Y. Huang Chi-Mei Medical Center, Tainan, Taiwan Electrocardiographic(ECG) left ventricular hypertrophy and strain(LVH-S) is an ominous prognostic factor in patients(pts) with hypertension. Some factors, especially myocardial ischemia can explain this increased risk. Due to pre-existing ST-T change, it preclude diagnostic specificity of exercise ECG test. The clinical data of 84 pts with LVH-S and angina symptom who received catheterization study were included for analysis. 45 pts had thalium scintigraphy study with perfusion defect. 55 pts with significant CAD. Risk factors were compared with insignificant CAD pts. These include age, sex, cholesterol, triglyceride, uric acid, history of hypertension, diabetes and smoking. Only female ratio(23.4% vs 46.9%, P<0.05) and DM history(46.3% vs 7.8%, p<0.01) showed significant difference. 20 of 45(44%) pts with positive thalium scan study had insignificant CAD. In conclusion, in pts with LVH-S and angina, history of diabetes positively and female sex negatively predict significant CAD. Thalium scan study had high false positive rate for this group of pts.     1081, poster, cat 34 WXYZ[adefgqrst}~    ÿÿÿÿhMAh6|jh6|UhPB*phh!B*phhPhPhP5>*\hPh!5>*\h! h!5\*X    $1$7$8$H$a$ 1$7$8$H$gdP1$7$8$H$  50P:pP/ =!"#$% @@@ NormalCJ_H aJmH sH tH DAD Default Paragraph FontRiR  Table Normal4 l4a (k(No List 4@4 MAHeader  !4 @4 MAFooter  !X 000000I0I0I0I0@0I0 """""%   t{| -1tz 33333   MAC/{D56|P!@a @@UnknownGz Times New Roman5Symbol3& z Arial"h),F:,F6,F00$xx2?!2WCLINICAL ASSESSMENT OF LEFT VENTRICULAR HYPERTROPHY AND STRAIN IN PATIENTS WITH ANGINA RamitargetOh+'0 (4D T`    XCLINICAL ASSESSMENT OF LEFT VENTRICULAR HYPERTROPHY AND STRAIN IN PATIENTS WITH ANGINA RamiNormaltarget4Microsoft Office Word@xA@th@h@h0՜.+,0H hp  ( Atartica XCLINICAL ASSESSMENT OF LEFT VENTRICULAR HYPERTROPHY AND STRAIN IN PATIENTS WITH ANGINA Title  !"%Root Entry F@Ah'1Table WordDocument7SummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89qRoot Entry FЮ-@1Table WordDocument7SummaryInformation( ,+e4 $, DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q՜.+,D՜.+,H hp  ( Atartica XCLINICAL ASSESSMENT OF LEFT VENTRICULAR HYPERTROPHY AND STRAIN IN PATIENTS WITH ANGINA Titl