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额头QRS轴的值用于长时间PR间隔的个体的风险分层
Xiaodi Cao1, Zhe Wang1, Zhang Fang1
1Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
长时间PR间隔和QRS轴为37°或更低的人面临更高的死亡风险. 这一发现有助于对没有心血管疾病的个体进行风险分层.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 电心电图是指心电图.
背景情况:
- 在没有先前存在心血管疾病的个体中,PR延长的预后意义仍在争论中.
- 需要在这个人群中使用额外的心电图参数来改善风险分层.
研究的目的:
- 调查PR延长和QRS轴在预测死亡率中的联合预后价值.
- 为了确定特定的心电图谱模式是否可以识别一般人群中的高风险个体.
主要方法:
- 来自第三次全国健康和营养检查调查的数据分析.
- 利用考克斯的比例危险模型和卡普兰-梅尔方法进行生存分析.
主要成果:
- 包括6188名参与者 (平均年龄58.1岁,55%是女性).
- 在7.6%的参与者中观察到PR延长,其中61.2%的QRS轴≤37°.
- 在多变量调整模型中,同时延长PR间隔和QRS轴≤37°与最高的死亡风险相关 (HR:1.20;95%CI:1.04-1.39).
结论:
- QRS轴是PR延长患者风险分层的关键因素.
- PR延长和QRS轴≤37°的组合确定了一个具有显著更高死亡风险的子组.
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