A Study of Co-Relation Between ECG and X-Ray in Left Atrial Enlargement
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 3
Abstract
Introduction: Left atrial enlargement is an important pathological change in many form of heart diseases. In this context, this study was undertaken with the aim to find the positive predictive index of x-ray and ecg and to find out the better modality for the diagnosis of left atrial enlargement. Material and Method: A prospective study of 18 months was undertaken from November 2013 to august 2015 in the department of General Medicine, in Rohilkhand Medical College And Hospital, Bareilly, U.P. 200 suspected cardiac patients were evaluated and those who were not having left atrial enlargement were excluded from the study thus, 70 patients of 15 years or above with left atrial enlargement were studied using X-ray and ECG. Results: This study was carried out on 70 selected patients who underwent echocardiography and had left atrial enlargement. In the present study, age of the patients ranged from 15 years to 90 years (mean age of 49.7 ± 17.64 years). In this study, maximum patients were of 41-50 years (n=19) and minimum patients were in age group 15 – 20 years (n=4). In this present study, ECG positively predicted left atrial enlargement in 32 (45.71%) patients whereas X-Ray predicted positively in only 19 (27.14%) patients. There is significant difference between ECG and X-Ray prediction of Left Atrial Enlargement, with ECG having better positive predictive value. Conclusion: ECG had better positive predictive index than X-Ray. In rural region where echocardiography is not available ECG can be used to predict left atrial enlargement.
Authors and Affiliations
Nikhil Saxena, Seema Seth, Darshan Mehra, Malini Kulshreshtha, K. K. Dwivedi
Keywords
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