Peguero–Lo Presti ECG for Detecting Concentric LVH in Hypertensive Patients: A Study in Padang, Indonesia

Saputra Prawida; Akmal Aditya; Wahyudra; Arina Widya Murni; Armen Ahmad; Eifel Faheri; Dwitya Elvira; Eka Kurniawan

doi:10.22475/jca.v1i1.33

Authors

Saputra Prawida Department of Internal Medicine, Faculty of Medicine, University of Andalas, West Sumatera, Indonesia
Akmal Aditya Department of Internal Medicine, Division of Cardiovascular, Faculty of Medicine, University of Andalas/M. Djamil General Hospital Padang, West Sumatera, Indonesia
Wahyudra Department of Internal Medicine, Division of Cardiovascular, Faculty of Medicine, University of Andalas/M. Djamil General Hospital Padang, West Sumatera, Indonesia
Arina Widya Murni Department of Internal Medicine, Division of Psychosomatic and Palliative Medic, Faculty of Medicine, University of Andalas/M. Djamil General Hospital Padang, West Sumatera, Indonesia
Armen Ahmad Department of Internal Medicine, Division of Tropical Infectious Diseases, Faculty of Medicine, University of Andalas/M. Djamil General Hospital Padang, West Sumatera, Indonesia
Eifel Faheri Department of Internal Medicine, Division of Hematology and Medical Oncology, Faculty of Medicine, University of Andalas/M. Djamil General Hospital Padang, West Sumatera, Indonesia
Dwitya Elvira Department of Internal Medicine, Division of Allergy Immunology, Faculty of Medicine, University of Andalas/M. Djamil General Hospital Padang, West Sumatera, Indonesia
Eka Kurniawan Department of Internal Medicine, Division of Rheumatology, Faculty of Medicine, University of Andalas/M. Djamil General Hospital Padang, West Sumatera, Indonesia

DOI:

https://doi.org/10.22475/jca.v1i1.33

Keywords:

Hypertension, Concentric LVH, Adolescents, Peguero–Lo Presti, Echocardiography

Abstract

Background: Concentric left ventricular hypertrophy (LVH) is a common complication of hypertension and is associated with increased cardiovascular morbidity and mortality. Although echocardiography remains the gold standard for diagnosing LVH, electrocardiography (ECG) provides a more accessible and cost-effective alternative. This study aimed to evaluate the diagnostic accuracy of the Peguero–Lo Presti (PLP) ECG criteria for detecting concentric LVH in hypertensive patients. Methods: A cross-sectional diagnostic study was conducted among 90 hypertensive patients admitted to a tertiary hospital in Padang, Indonesia, from July to December 2025. All participants underwent standard 12-lead ECG and echocardiographic examinations. Diagnostic performance of the PLP criteria was assessed using sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and overall accuracy. Results: Concentric LVH was identified in 65.60% of patients based on echocardiography. The PLP ECG criteria demonstrated a sensitivity of 79.66%, specificity of 90.32%, PPV of 94.00%, NPV of 70.00%, and diagnostic accuracy of 83.33%. Most participants were female, older than 65 years, and overweight. Conclusion: The Peguero–Lo Presti ECG criteria showed good diagnostic performance and may serve as a practical screening tool for early detection of concentric LVH in hypertensive patients, particularly in resource-limited settings.

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