Registry report of the prevalence of ECG abnormalities and their relation to patient characteristics in an asymptomatic population

QJM : Monthly Journal of the Association of Physicians
A IoannouConstantinos G Missouris

Abstract

Cardiovascular disease is the leading cause of morbidity and mortality in developed countries. Many patients do not experience symptoms before a first major cardiovascular event. Resting electrocardiogram (ECG) may help identify asymptomatic individuals with a high risk of cardiovascular disease. We sought to determine the prevalence of ECG abnormalities in an apparently symptom-free adult population within a prospective registry. The registry consisted of 4739 consecutive apparently healthy individuals [age 62.8 ± 6.2 (SD) years; 54% female], referred by their General Practitioners between 2009 and 2013. Patient demographics, and clinical data were obtained, alongside blood tests and a resting ECG. ECG abnormalities were present in 1509 (31.8%) subjects and were commoner with increasing age (F = 0.161, p = 0.01), systolic (F = 0.134, p = 0.01) and diastolic (F = 0.44, p = 0.01) blood pressure and waist circumference (F = 0.53, p = 0.01). Left ventricular hypertrophy (LVH) was the most common abnormality (n = 281) and was positively associated with systolic (F = 0.12, p = 0.01) and diastolic blood pressure (F = 0.99, p = 0.01) and male gender (X2 = 60.5, p < 0.01). All ECG abnormalities (except for LVH) were associated with an ...Continue Reading

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Citations

Apr 6, 2019·QJM : Monthly Journal of the Association of Physicians·Seamas C Donnelly
Apr 9, 2020·Current Pharmaceutical Design·Bunny SaberwalNikolaos Papageorgiou
Nov 1, 2020·The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology·Lennart DimbergPer Enqvist

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