Description

Norman and Levy developed equations for adjusting a patient's Cornell voltage. This improves the accuracy for diagnosing left ventricular hypertrophy. The authors are from the National Heart, Lung, and Blood Institute at NIH and the Framingham Heart Study.


 

Parameters:

(1) Cornell voltage in mV

(2) age in years

(3) body mass index (BMI) in kilograms per square meters

(4) gender

 

adjusted Cornell voltage in mV for males =

= ((Cornell voltage in mV) + (0.0174 * (age)) + (0.1914 * (BMI)) - 4) / 2 =

= (0.5 * (Cornell voltage)) + (0.0087 * (age)) + (0.0957 * (BMI)) - 2

 

adjusted Cornell voltage in mV for females =

= ((Cornell voltage in mV) + (0.0387 * (age)) + (0.2122 * (BMI)) - 4.9) / 3 =

= (0.333 * (Cornell voltage)) + (0.0129 * (age)) + (0.07073 * (BMI)) - 1.633

 

Performance (Table 6, Norman and Levy):

• An adjusted voltage of 1.78 mV was 50% sensitive for detecting left ventricular hypertrophy.

• An adjusted voltage of 1.53 mV was 85% specific for detecting left ventricular hypertrophy. An adjusted voltage of 1.830 was 95% specific.

 


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