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在一般成年人群中基本心电图值和异常的年龄和性别差异;德黑兰队列研究
Pooria Ahmadi1,2, Arian Afzalian1,2, Arash Jalali1,2
1Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
电心电图 (ECG) 异常在男性中更为常见,并且随着年龄的增长而增加. 这项研究分析了7630名成年人的心电图数据,发现男性和老年人中重大和轻微异常的患病率更高.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 现有的文献提出了关于基线心电图 (ECG) 参数和异常的年龄和性别特异性差异的相互矛盾的数据.
- 了解这些变异对于准确的心血管风险评估至关重要.
研究的目的:
- 研究和比较基线心电图参数的年龄和性别特异性差异,以及主要和轻微心电图异常的患病率.
- 分析年龄,性别和患有重大心电图异常的可能性之间的关联.
主要方法:
- 来自德黑兰队列研究 (2016年3月至2019年3月) 的7630名成年人 (≥35岁) 的基线心电图参数和异常的分析.
- 性别和四个不同的年龄组之间的心电图数据的比较,遵循美国心脏协会对心律失常的定义.
- 根据年龄分层的男性和女性之间的主要心电图异常的几率比率的计算.
主要成果:
- 女性的平均心率 (HR) 较高,而男性的平均QRS持续时间,P波持续时间和RR间隔较高.
- 主要的心电图异常在男性 (3.1%) 比女性 (2.7%) 更为普遍,尽管在统计学上并不显著.
- 轻微的心电图异常在男性 (36.4%) 与女性 (17%) 相比明显更为普遍.
- 大型心电图异常的患病率在65岁以上的人群中显著增加.
结论:
- 主要和轻微的心电图异常表明男性受试者的患病率更高.
- 经历主要心电图异常的可能性随着年龄的增长而增加.
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