一项基于人群的心电图异常患病率研究:马什哈德卒中和心脏动脉粥样硬化性疾病队列研究结果

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Noninvasive Electrocardiology Pub Date : 2023-09-03 DOI:10.1111/anec.13086
Sara Saffar Soflaei MD, PhD, Mahmoud Ebrahimi MD, Hamid Reza Rahimi MD, PhD, AmirAli Moodi Ghalibaf MD, Maryam Jafari MD, Hedieh Alimi MD, Nasrin Talkhi MSc, Bahram Shahri MD, Alireza Heidari-Bakavoli MD, Fatemeh Malakouti, Mahla Velayati, Reza Assaran-Darban PhD, Malihehsadat Abedsaeidi MSc, Farnoosh Azarian MSc, MohammadReza Latifi MSc, Mohammad Reza Mohammad Taghizadeh Sarabi MSc, Gordon A. Ferns MD, PhD, Habibollah Esmaily PhD, Mohsen Moohebati MD, Majid Ghayour-Mobarhan MD, PhD
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引用次数: 0

摘要

背景十二导联心电图(ECG)是临床和流行病学背景下对疑似心血管疾病患者进行诊断检查的一种常见且廉价的工具。本研究旨在评估马什哈德人群的心电图异常。方法将心电图作为MASHAD队列研究(第一阶段)的一部分,按照明尼苏达州编码标准进行编码。数据采用SPSS进行分析。结果共收集心电图9035张,其中男性3615张(40.0%),女性5420张(60.0%)。心电图异常中以心前Q波、主t波、下Q波、窦性心动过缓、左心轴偏曲最为常见。心前、下Q波、下QS型、轻重ST异常、轻重T异常、Wolff-Parkinson-White和Brugada型、窦性心动过缓、窦性心动过速、左轴偏移、ST抬高、高T波频率在两性间存在显著差异。此外,心前导联和aVL导联的Q波频率、心前导联和下导联的QS型、主要t波和次要t波异常、Wolff-Parkinson-White、心房颤动、窦性心动过缓、左轴偏曲、ST段抬高在不同年龄组间存在显著差异。男女之间的心率、p波持续时间和QRS持续时间的比较表明存在显著差异。结论心电异常的发生率在男女之间存在差异,在不同年龄组之间也存在差异。
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A large population-based study on the prevalence of electrocardiographic abnormalities: A result of Mashhad stroke and heart atherosclerotic disorder cohort study

Background

Twelve-lead electrocardiogram (ECG) is a common and inexpensive tool for the diagnostic workup of patients with suspected cardiovascular disease, both in clinical and epidemiological settings. The present study was designed to evaluate ECG abnormalities in Mashhad population.

Methods

ECGs were taken as part of MASHAD cohort study (phase1) and were coded according to the Minnesota coding criteria. Data were analyzed using SPSS.

Results

Total 9035 ECGs were available for final analysis including 3615 (40.0%) male and 5420 (60.0%) female. Among ECG abnormalities precordial Q wave, major T-wave abnormalities, inferior Q wave, sinus bradycardia, and left axis deviation were the most prevalent abnormalities. The frequency of precordial and inferior Q wave, inferior QS pattern, major and minor ST abnormalities, major and minor T abnormalities, Wolff-Parkinson-White and Brugada pattern, sinus bradycardia, sinus tachycardia, left axis deviation, ST elevation, and tall T wave were significantly different between two genders. Moreover, the frequency of Q wave in precordial and aVL leads, QS pattern in precordial and inferior leads, major and minor T-wave abnormalities, Wolff-Parkinson-White, atrial fibrillation, sinus bradycardia, left axis deviation, and ST elevation were significantly different in different age groups. A comparison of the heart rate, P-wave duration, and QRS duration between men and women indicated that there was a significant difference.

Conclusions

Our finding indicated that the prevalence ECG abnormalities are different between men and women and also it varied in different age groups.

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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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