کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2944688 1577074 2014 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The QT Interval Is Associated With Incident Cardiovascular Events : The MESA Study
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
The QT Interval Is Associated With Incident Cardiovascular Events : The MESA Study
چکیده انگلیسی

BackgroundProlonged heart rate–corrected QT interval on electrocardiograms (ECGs) is associated with increased risk of myocardial infarction and cardiovascular disease (CVD)–related deaths in patients with prevalent coronary heart disease.ObjectivesThis study sought to examine the prognostic association between the baseline QT interval and incident cardiovascular events in individuals without prior known CVD.MethodsThe corrected baseline 12-lead ECG QT interval duration (QTcorr) was determined by adjustment for age, sex, race/ethnicity, and RR interval duration in 6,273 participants in MESA (Multi-Ethnic Study of Atherosclerosis). Cox proportional hazards models adjusting for demographic and clinical risk factors were used to examine the association of baseline QTcorr with incident cardiovascular events.ResultsThe mean age at enrollment was 61.7 ± 10 years, and 53.4% of participants were women. Cardiovascular events occurred in 291 participants over a mean follow-up of 8.0 ± 1.7 years. Each 10-ms increase in the baseline QTcorr was associated with incident heart failure (hazard ratio [HR]: 1.25; 95% CI: 1.14 to 1.37), CVD events (HR: 1.12; 95% CI: 1.05 to 1.20), and stroke (HR: 1.19; 95% CI: 1.07 to 1.32) after adjustment for CVD risk factors and potential confounders. There was no evidence of interaction with sex or ethnicity.ConclusionsThe QT interval was associated with incident cardiovascular events in middle-aged and older adults without prior CVD.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American College of Cardiology - Volume 64, Issue 20, 18–25 November 2014, Pages 2111–2119
نویسندگان
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