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T波心电图变化与2型糖尿病的关联:使用明尼苏达州编码系统对MASHAD队列群体进行横截面子分析
Sara Soflaei Saffar1, Eisa Nazar2,3, Toktam Sahranavard1
1International UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.
2型糖尿病 (T2DM) 与心脏问题有关. 虽然T波异常在糖尿病患者中更常见,但在调整其他因素后,该研究发现没有显著的关联.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 2型糖尿病 (T2DM) 是一个全球性的健康问题,也是导致死亡的主要原因.
- T2DM是心血管疾病的独立风险因素,特别是缺血性心脏病.
- 电心电图 (ECG) 上的T波异常 (TWA) 可以表示心脏病理,如缺血症.
研究的目的:
- 调查T2DM与T波变化之间的关联.
- 为了利用明尼苏达州的编码系统来解释T波与T2DM相关的解释.
主要方法:
- 一个MASHAD队列人群的横截面研究.
- 12导电图和明尼苏达州编码系统 (代码5-1-4) 用于T波分析.
- 用于统计评估的回归模型,具有p < 0.05.05的显著性水平.
主要成果:
- 包括9035名35-65岁的参与者 (1273名糖尿病患者).
- 糖尿病患者的特定TWA代码 (5-2, 5-3,主要,次要) 的患病率更高 (p < 0.05).
- 调整后的分析显示,TWA和T2DM之间没有显著的关联 (p > 0.05). 高血压,年龄和BMI与T2DM有关.
结论:
- 一些T波异常在T2DM患者中更为频繁.
- 然而,这些T波异常在调整混因素后,在统计学上与T2DM的存在无关.
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