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Titolo:
ISCHEMIC EPISODES IN 24-H AMBULATORY ELECTROCARDIOGRAMS OF ELDERLY PERSONS - THE CARDIOVASCULAR HEALTH STUDY
Autore:
RAUTAHARJU PM; MANOLIO TA; FURBERG CD; SISCOVICK D; NEWMAN AB; BORHANI NO; GARDIN JM;
Indirizzi:
BOWMAN GRAY SCH MED,DEPT PUBL HLTH SCI,PIEDMONT PLAZA 2,SUITE 505,200W 1ST ST WINSTON SALEM NC 27104 NHLBI BETHESDA MD 20892 UNIV WASHINGTON,DEPT MED SEATTLE WA 00000 UNIV WASHINGTON,DEPT EPIDEMIOL SEATTLE WA 98195 UNIV PITTSBURGH,GRAD SCH PUBL HLTH,DEPT EPIDEMIOL PITTSBURGH PA 00000 UNIV WASHINGTON,CHS,CTR COORDINATING SEATTLE WA 98195 UNIV CALIF IRVINE,DEPT MED IRVINE CA 92717
Titolo Testata:
International journal of cardiology
fascicolo: 2, volume: 51, anno: 1995,
pagine: 165 - 175
SICI:
0167-5273(1995)51:2<165:IEI2AE>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; LEFT-VENTRICULAR HYPERTROPHY; CORONARY-ARTERY DISEASE; SUDDEN CARDIAC DEATH; CIRCADIAN VARIATION; HEART-RATE; DAILY LIFE; ECG; PREVALENCE; POPULATION;
Keywords:
HOLTER ECG; ST-T ABNORMALITIES; ISCHEMIA; CIRCADIAN VARIATION; DIGITALIS; OBESITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
33
Recensione:
Indirizzi per estratti:
Citazione:
P.M. Rautaharju et al., "ISCHEMIC EPISODES IN 24-H AMBULATORY ELECTROCARDIOGRAMS OF ELDERLY PERSONS - THE CARDIOVASCULAR HEALTH STUDY", International journal of cardiology, 51(2), 1995, pp. 165-175

Abstract

We examined correlates of ischemic episodes in 24-h ambulatory electrocardiograms (ECG) in a sample of 1511 men and women 65 years old and older. Ischemic episodes had a high prevalence period during early afternoon and also during morning hours after awakening, and the overall prevalence was 13% in men and 9% in women (P < 0.001 for gender difference). The prevalence was 9.6% in participants with no history of myocardial infarction and no major or minor resting ECG abnormalities. In multivariate analysis by logistic regression, being on digitalis medication was associated with over a three-fold risk of ischemic episodes,with an odds ratio (95% confidence limits) of 3.21 (1.80 to 5.74). Left ventricular hypertrophy by ECG and atrial fibrillation had almost athree-fold excess risk of ischemic episodes, with odds ratios 2.81 (1.37 to 5.74) and 2.63 (1.17 to 5.91), respectively. Isolated ST-T abnormalities had almost a two-fold excess of ischemic episodes, with an odds ratio of 1.89 (1.01 to 3.54). Being overweight was associated witha 33% reduced likelihood of ischemic episodes after adjustment for other factors, with an odds ratio of 0.67 (0.46 to 0.98). It is concluded that the prevalence of silent ischemic episodes is high in older menand women.

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Documento generato il 29/11/20 alle ore 16:03:36