Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Home Print this page Email this page
Users Online:: 1402
ORIGINAL ARTICLE
Year : 2000  |  Volume : 3  |  Issue : 2  |  Page : 74-77

Diagnosis of congestive heart failure (chf): Any role for electrocardiograph (ecg):


Department of Medicine, University of Ilorin, PM.B. 1515, Ilorin, Nigeria

Correspondence Address:
O G Opadijo
Department of Medicine, University of Ilorin, PM.B. 1515, Ilorin
Nigeria
Login to access the Email id


Rights and Permissions

Background and Objective: Electrocardiogram (ECG) is an old cardiologic tool used in the diagnosis of and screening of patients with suspected cardiac lesion. Its usefulness in the diagnosis of cardiac arrythmias.-is second to none. However, its application in the screening and management of patients with congestive cardiac failure (CCF) has been a subject of controversy. This study was therefore carried out with the aim of looking at the sensitivitv · and specificity of 12-lead electrocardiogram with the view to recommend it as a .first line screening tool in the of patients with heart failure. Subject and Method : Two hundred and seven patients referred from peripheral ho.\pitals to our unit hy the general practitioners (GP) for cardiologyevaluation were examil1ed clinically fqr features of heart failure. Every patient had ECG tracing recorded and chest radiograph done. Those with clinical and radiologic evidence of heart failure had echocardiogram done on them. Results: Eighty-seven (42.0%) has echocardiographical proven CCF with 82 (94.3%) of these having very significant ECG abnormalities and none with normal ECG Of the 120 patients without CCF, 108 (90.0%) and very significant f ECG abnormalities with 3(2.5%) minor and 9(7.5% ) normal ECG. Thus ECG showed 94.3% sensitivity but 10% specificitv. Conclusion: Even though ECG showed a poor ,specificity, a normal ECG, from this study, rules out CCF Hence there is a place for ECG as a first line screening tool in CCF


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed259    
    Printed5    
    Emailed0    
    PDF Downloaded60    
    Comments [Add]    

Recommend this journal