Coronary Artery Calcification and ECG Pattern of Left Ventricular Hypertrophy or Strain Identify Different Healthy Individuals at Risk.
Coronary artery calcification and ECG pattern of left ventricular hypertrophy or strain identify different healthy individuals at risk.
J Hypertens. 2013 Mar; 31(3): 595-600
Diederichsen SZ, Gerke O, Olsen MH, Lambrechtsen J, Sand NP, Nørgaard BL, Mickley H, Diederichsen AC
PURPOSE:: To improve risk stratification for development of ischaemic heart disease, several markers have been proposed. Both the presence of coronary artery calcification (CAC) and ECG pattern of left ventricular hypertrophy/strain have been shown to provide independent prognostic information. In this study, we investigated the association between established risk factors, ECG measurements and the presence of coronary artery calcification. METHOD:: A random sample of healthy men and women aged 50 or 60 years were invited to the screening study. Established risk factors were measured. A noncontrast computed tomographic (CT) scan was performed to assess the CAC score. ECG analysis included left ventricular hypertrophy (LVH) using the Sokolow-Lyon criteria and the Cornell voltage?×?QRS duration product, and strain pattern based on ST segment depression and T-wave abnormalities. The association between the presence of CAC, clinical variables and ECG findings was evaluated by means of multivariate logistic regression. RESULTS:: Of 1825 invited individuals, 1226 accepted the screening. The prevalence of hypertension was 50%. Hypertensive patients frequently had LVH and/or strain when compared with nonhypertensive individuals (21 vs. 14%, P?HubMed – depression
Risk assessment of depression by questionnaire for patients with heart failure.
Int J Cardiol. 2013 Feb 22;
Kawada T