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[Relationship between corrected QT interval and cardiovascular risk factors in young healthy adults: the Kangwha
Song Vogue Ahn1, Hyeon Chang Kim, Nam Wook Hur
1Department of Preventive Medicine, Yonsei University College of Medicine.
Insights
In young adults, the heart rate-corrected QT (QTc) interval is linked to cardiovascular risk. This study found QTc interval is associated with waist-hip ratio in men and systolic blood pressure in women.
Area of Science:
- Cardiology
- Preventive Medicine
- Public Health
Background:
- Prolonged heart rate-corrected QT (QTc) interval is linked to cardiovascular risks.
- Limited research exists on QTc interval and cardiovascular risk factors in young, healthy populations.
- Understanding these associations in youth is crucial for early cardiovascular disease prevention.
Purpose of the Study:
- To investigate the relationship between the QTc interval and cardiovascular risk factors in young, healthy adults.
- To identify specific risk factors associated with QTc interval prolongation in this demographic.
- To provide insights for early cardiovascular risk assessment in young individuals.
Main Methods:
- Utilized data from the Kangwha study, a long-term follow-up of cardiovascular risk factors.
- Measured QTc interval using electrocardiograms in 127 men and 149 women aged 25 years.
- Assessed cardiovascular risk factors including anthropometrics, blood pressure, blood chemistry, and health behaviors.
Main Results:
- Women exhibited a significantly longer mean QTc interval (419±17ms) compared to men (405±17ms).
- A positive correlation was observed between QTc interval and waist-hip ratio in men (p=0.030).
- In women, the QTc interval positively correlated with systolic blood pressure (p=0.017).
- Multiple regression analysis confirmed independent associations: QTc with waist-hip ratio in men (p=0.012) and QTc with systolic blood pressure in women (p=0.020).
Conclusions:
- The QTc interval is independently associated with the waist-hip ratio in young, healthy Korean men.
- The QTc interval is independently associated with systolic blood pressure in young, healthy Korean women.
- These findings highlight sex-specific cardiovascular risk factor associations with QTc interval in young adults.
Objectives:
Prolongation of the heart rate-corrected QT (QTc) interval has been reported to be associated with cardiovascular morbidity and mortality. However, few studies have examined the relationship between the QTc interval and cardiovascular risk factors in young healthy people. The aim of this study was to examine the associations between the QTc interval and cardiovascular risk factors in young healthy adults.
Methods:
This study was performed as part of the Kangwha study, which started in 1986, and is an on-going follow-up study on blood pressure and related cardiovascular risk factors. In follow-up examinations during 2005, cardiovascular risk factors, including anthropometrics, blood pressure, blood chemistry and carotid ultrasonography, were measured, and questionnaires on health behaviors completed by 127 men and 149 women aged 25 years. The QTc interval was measured on the resting 12-lead electrocardiogram using an automatic analysis program.
Results:
The mean QTc interval was significantly longer in women (419+/-17ms) than in men (405+/-17ms) (p<0.001). A significant positive correlation was found between the QTc interval and waist-hip ratio (p=0.030) in men. Women showed a positive correlation between the QTc interval and systolic blood pressure (p=0.017). On a multiple regression analysis, the QTc interval was positively associated with the waist-hip ratio in men (p=0.012) and with the systolic blood pressure (p=0.020) in women.
Conclusions:
In young healthy Korean adults, the QTc interval was independently associated with the waist-hip ratio in men and with the systolic blood pressure in women.
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