上海市成年社区人群主要心电图异常的特点及其影响因素

刘宇; 侯旭宏; 胡伟国; 陆惠娟; 马晓静; 贾伟平

文章摘要

刘宇,侯旭宏,胡伟国,陆惠娟,马晓静,贾伟平.上海市成年社区人群主要心电图异常的特点及其影响因素[J].中华流行病学杂志,2013,34(5):451-456

上海市成年社区人群主要心电图异常的特点及其影响因素

Epidemiological characteristics of major abnormal electrocardiogram in adults from Shanghai

收稿日期:2012-12-10 出版日期:2014-09-17

DOI：10.3760/cma.j.issn.0254-6450.2014.02.009

中文关键词: 主要心电图异常明尼苏达编码横断面研究

英文关键词: major abnormal electrocardiogram Minnesota code Cross．sectional study

基金项目:国家自然科学基金(81160172)

作者	单位	E-mail
刘宇	苏州大学医学部, 215000
侯旭宏	上海市第六人民医院
胡伟国	上海市第六人民医院
陆惠娟	上海市第六人民医院
马晓静	上海市第六人民医院
贾伟平	上海市第六人民医院	wpjia@sjtu，edu．Cn

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中文摘要:

目的评估上海市成年社区人群主要心电图异常(MA—ECG)患病率及其特点，并分析其主要影响因素。方法利用2007--2008年上海市20～74岁成人糖尿病及代谢综合征患病率横断面调查资料。调查内容包括人口学资料、相关病史、家族病史、体格和实验室检查。调查对象检查静息12导联心电图，采用明尼苏达标准编码，并依据PoolingProject方案分为MA．ECG和非MA—ECG。结果共5364(男性2003、女性3361)人纳入分析。(1)总人群MA．ECG标化患病率为7．3％，其中男性为7．0％，女性为7．7％。无论男女，年龄别MA．ECG患病率均随年龄增长而显著增加。男性青年、中年和老年人群的MA—ECG标化患病率依次为2．3％、7．7％和17．3％；女性青年、中年和老年人群的MA．ECG标化患病率依次为3．3％、8．8％和16．4％(趋势分析P值均<0．01)。(2)男性中MA．ECG常见类型为心律失常(28．8％)、束支传导阻滞(26．5％)和ST段压低(20．0％)；女性分别为sT段压低(44．6％)、心律失常(23．O％)和复合MA—ECG(11．8％)。(3)多因素调整的logistic回归分析表明，除年龄增加外，冠心病为男性MA—ECG的独立危险因素(OR=2．33～2．39)；女性中绝经(OR=1．72～1．85)、高血压(OR=1．33～1．34)分别为MA—ECG的独立危险因素。结论上海市成年社区人群MA—ECG患病率较高，心律失常和ST段压低是最常见类型，年龄增加、冠心病、女性绝经和高血压是MA．ECG的主要影响因素。

英文摘要:

Objective To understand the prevalence, characteristics and risk factors of major abnormal electrocardiogram (MA-ECG) in adults living in Shanghai.Methods The cross- sectional dataset of prevalence survey on diabetes and metabolic syndrome in adults, aged 20-74 years, from Shanghai, in 2007-2008，was analyzed. Demographic information, personal and, family histories of diseases were collected. Physical examination and laboratory tests were done. Subjects underwent examination on resting 12-leads electrocardiogram (ECG)，ECG records were coded according to the Minnesota criteria and classified as MA-ECG or non-MA-ECG. Results A total number of 5364 subjects (2003 men, 3361 women) were finally included in this analysis.(1)The standardized prevalence of MA-ECG was 7.3% (7.0% in men, 7.7% in women). In both genders, the age-specific prevalence of MA-ECG significantly increased with age (P_trend<0.01).The age-specific prevalence of MA-ECG in youths, middle aged and the elderly were 2.3%,7.7%, and 17.3% in men, and 3.3%,8.8% and 16.4% in women, respectively (both P_{trendConclusion MA-ECG was prevalent in the middle aged and the elderly, with, arrhythmia and ST segment depression the most frequent forms of MA-ECG. Age, CHD and hypertension were the main risk factors of MA-ECG in the adults from Shanghai.}

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