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Bundle branch block and nonspecific intraventricular conduction delay prevalence using Chinese nationwide survey data
Qing Qiao1, Jing Lin1, Ning Chen1
1Beijing Anzhen Hospital, Capital Medical University, National Clinical Research Center for Cardiovascular Diseases, Beijing, China.
Insights
This study found the prevalence of intraventricular conduction disturbances like left bundle branch block (LBBB) and right bundle branch block (RBBB) in Chinese adults over 45. Age and diabetes were linked to LBBB, while RBBB was associated with age and sex.
Area of Science:
- Cardiology
- Epidemiology
- Public Health
Background:
- Intraventricular conduction disturbances are common cardiovascular issues.
- Understanding their prevalence and associated factors in diverse populations is crucial for public health strategies.
Purpose of the Study:
- To determine the prevalence of left bundle branch block (LBBB), right bundle branch block (RBBB), and nonspecific intraventricular conduction delay (NS-IVCD) in the Chinese population.
- To identify factors independently associated with these conduction disturbances.
Main Methods:
- Retrospective analysis of electrocardiographic data from 42,031 individuals.
- Calculation of weighted prevalences for LBBB, RBBB, bifascicular block, and NS-IVCD.
- Logistic regression analysis to determine independently associated factors.
Main Results:
- Weighted prevalence in Chinese adults >45 years: LBBB 0.17%, RBBB 2.16%, NS-IVCD 0.44%.
- Prevalence of LBBB and RBBB increased with age; RBBB and NS-IVCD showed significant sex-based differences.
- Independent factors: Age and diabetes for LBBB; age and sex for RBBB; sex and coronary artery disease for NS-IVCD.
Conclusions:
- This study provides robust data on the prevalence of LBBB, RBBB, and NS-IVCD in Chinese adults.
- Identified key demographic and clinical factors associated with these conduction abnormalities, aiding targeted interventions.
Objective:
We aimed to determine the prevalence of and the factors associated with intraventricular conduction disturbance in the Chinese population.
Methods:
Electrocardiographic data from 42,031 people were retrospectively analysed. The weighted prevalences of left bundle branch block (LBBB), right bundle branch block (RBBB), bifascicular block and nonspecific intraventricular conduction delay (NS-IVCD) were calculated. The independently associated factors were determined using logistic regression analysis.
Results:
The weighted prevalence for Chinese people older than 45 years was 0.17% for LBBB, 2.16% for RBBB and 0.44% for NS-IVCD. The weighted prevalence for RBBB combined with left anterior fascicular block was 0.17%, and 0.05% for RBBB combined with left posterior fascicular block. There were significant differences in the weighted prevalences of RBBB and NS-IVCD between men and women. The weighted prevalence of LBBB and RBBB increased markedly with increasing age. Age and diabetes were independent factors associated with LBBB, compared with age and sex for RBBB and sex and coronary artery disease for NS-IVCD.
Conclusions:
This study provided reliable data for the weighted prevalence of and factors associated with LBBB, RBBB and NS-IVCD in Chinese adults.
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