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

Abstract

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].Chinese journal of Epidemiology,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

Received:December 10, 2012

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

KeyWord: 主要心电图异常明尼苏达编码横断面研究

English Key Word: major abnormal electrocardiogram Minnesota code Cross．sectional study

FundProject:国家自然科学基金(81160172)

Author Name	Affiliation	E-mail
LIU Yu	Medical Department of SWhou University, Suzhou 215000, China
HOU Xuhong	Department of Endocrine and Metabolism, hanghai Sixth People’s Hospitaf
HU Weiguo	Department of Endocrine and Metabolism, hanghai Sixth People’s Hospitaf
LU Huijuan	Department of Endocrine and Metabolism, hanghai Sixth People’s Hospitaf
MA xiaojing	Department of Endocrine and Metabolism, hanghai Sixth People’s Hospitaf
JIA Weiping	Department of Endocrine and Metabolism, hanghai Sixth People’s Hospitaf	wpjia@sjtu，edu．Cn

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Abstract:

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。

English Abstract:

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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