Prevalence of major and minor electrocardiographic abnormalities in one million primary care Latinos

Silva, Maíra; Palhares, Daniel Moore Freitas; Ribeiro, Leonardo; Gomes, Paulo R.; Macfarlane, Peter W.; Ribeiro, Antônio Luiz Pinho; Marcolino, Milena Soriano

doi:10.1016/j.jelectrocard.2020.11.013

Cited by 12 publications

(15 citation statements)

References 32 publications

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“…In this study, minor abnormalities were more prevalent in men (30.9% vs 17.3%) which is in line with most existing studies [14] , [25] . Women had a higher prevalence of major abnormalities (3.2% vs 5.4%), which differs from most existing studies [14] , [15] , [16] , [17] , [25] .…”

Section: Discussioncontrasting

confidence: 88%

“…The third most frequent minor alteration was premature beats (atrial premature beats, 2.02% and ventricular premature beats, 1.26%) and were more frequent in women, but with no statistically significant difference (2.95% vs 3.27%, p = 0.497). These data are in line with a Dutch study that revealed similar data [34] e differ from the results of other studies [10] , [13] , [17] .…”

Section: Discussionsupporting

confidence: 70%

“…The second more frequent major ECG abnormalities was ventricular conduction defect (complete or intermittent intraventricular blocks) and were more frequent in women, but with no statistically significant difference (0.56% vs 1.06%; p = 0.208). A study carried out in Latinos and Polish found similar findings [17] , [38] , while studies in South Africans, middle-aged Africans, French and Americans found different results [10] , [13] , [18] , [39] . The ventricular conduction defect in this sample can be explained by the higher proportion of individuals with hypertension as this condition is known to be harmful for the ventricular conduction system [3] , [4] , [40] , [41] .…”

Section: Discussionmentioning

confidence: 85%

“…However, there is a scarcity of studies that associate electrocardiographic abnormalities to cardiovascular risk factors in African populations, especially in Sub-Saharan Africa, in contrast to several studies that have already established this relationship in Caucasian, Latin and African American populations [14] , [15] , [16] , [17] , [18] , and there is no information in the medical literature on the electrocardiographic abnormalities and their relationship with cardiovascular risk factors in Angolans [10] , [13] , [19] , [20] .…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of major and minor electrocardiographic abnormalities and their relationship with cardiovascular risk factors in Angolans

Gonçalves

Pedro²,

Silva

et al. 2022

IJC Heart & Vasculature

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Section: Discussioncontrasting

confidence: 88%

Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of major and minor electrocardiographic abnormalities and their relationship with cardiovascular risk factors in Angolans

Gonçalves

Pedro²,

Silva

et al. 2022

IJC Heart & Vasculature

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“…This State-wide Telehealth program has the technological infrastructure to facilitate the acquisition, cloud storage, and automatic recognition of ECG patterns and echocardiogram (ECHO) images 16 . The ECG reading center analyzes ECG using the Minnesota Code 17 - 19 .…”

Section: Methodsmentioning

confidence: 99%

Cohort profile update: the main and new findings from the SaMi-Trop Chagas cohort

Oliveira

Cardoso

Baldoni

et al. 2021

Rev. Inst. Med. trop. S. Paulo

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The SaMi-Trop project is a cohort study conducted in 21 municipalities of endemic areas of Chagas disease, including 1,959 patients with chronic Chagas cardiomyopathy. In this article we updated the results of the project, adding information from the second cohort visit. Trypanosoma cruzi- seropositive patients were enrolled from the primary care Telehealth service in Minas Gerais State, Brazil. The eligibility criterium for the second visit was the participation in the baseline evaluation. Of 1,959 participants at the baseline assessment, 1,585 (79.9%) returned after two years for the second evaluation. The mortality rate was 6.7%, but varied from 0.9% to 18.2% when it was stratified by certain clinical characteristics. A lower age-adjusted NT-Pro-BNP level (less than 300) and a prior benznidazole treatment were associated with lower mortality. There was an improvement in most quality of life domain scores. Participants have also reported fewer signs and symptoms and greater use of medication. The second follow-up visit will be complete in Oct 2021.

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Electrocardiogram properties and risk of covert brain infarction and other magnetic resonance imaging abnormalities in a stroke‐free population

et al. 2023

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Objectives: This study aimed to investigate the association between electrocardiogram (ECG) abnormalities and silent vascular brain injury as defined by cerebral magnetic resonance imaging (MRI) in a stroke-free community-based population.Methods: A total of 5888 participants were studied from the Cardiovascular Health Study (CHS), a prospective cohort of community-living older adults. Standard 12-lead ECGs measured prior to MRI scan were used. MRI scans were conducted at years 4-6 and 10-11. The primary outcome was presence of incident covert brain infarcts (CBIs) on the 2nd MRI examination, excluding previous CBIs and stroke occurrence. Secondary outcomes included white matter, ventricular, and sulcal atrophy on the 1st MRI.Logistic and multiple linear regression models were used to assess the relationship between ECG findings and silent vascular brain injury.Results: Left axis deviation before MRI scan was related to presence of incident CBIs (odds ratio [OR]: 1.45; 95% CI: 1.01-2.08, p = .047). A long QT interval was associated with severe white matter hyperintensity (OR: 1.36; 95% CI: 1.04-1.77, p = .024). Minor Q and QS waves with ST-T abnormalities were positively related to sulcal atrophy (β: 0.43, 95% CI: 0.06-0.81, p = .023). Conclusions:Our study found that ECG abnormalities were related to presence of CBIs, white matter hyperintensity, and sulcal atrophy on MRI in a stroke-free relderly population. Specifically, those with left axis deviation had an increased risk of presence of CBIs.

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Prevalence of major and minor electrocardiographic abnormalities in one million primary care Latinos

Cited by 12 publications

References 32 publications

Prevalence of major and minor electrocardiographic abnormalities and their relationship with cardiovascular risk factors in Angolans

Prevalence of major and minor electrocardiographic abnormalities and their relationship with cardiovascular risk factors in Angolans

Cohort profile update: the main and new findings from the SaMi-Trop Chagas cohort

Electrocardiogram properties and risk of covert brain infarction and other magnetic resonance imaging abnormalities in a stroke‐free population

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