JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2017, Vol. 55 ›› Issue (6): 77-81.doi: 10.6040/j.issn.1671-7554.0.2017.381

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The influencing factors of ischemic ECG abnormalities in a large health check-up population

LI Jiangbing1, SONG Xinhong2, LIN Haiyan2, ZHANG Dongzhi2, LI Xiangyi3,4, XU Yibo3,4, WANG Li5, XUE Fuzhong3,4   

  1. 1. Department of Cardiology, Shandong Provincial Hospital Affiliated Shandong University, Jinan 250021, Shandong, China;
    2. Health Management Center, Shandong Provincial Hospital, Shandong University, Jinan 250021, Shandong, China;
    3. Department of Biostatistics, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    4. Cheeloo Research Center for Biomedical Big Data, Shandong University, Jinan 250012, Shandong, China;
    5. Department of Cardiology, Shandong Electric Power Central Hospital, Jinan 250012, Shandong, China
  • Received:2017-05-03 Online:2017-06-10 Published:2017-06-10

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Abstract: Objective To explore the influencing factors of ischemic electrocardiogram(ECG)abnormalities and the predictive value of non-ischemic ECG among the health check-up population. Methods Individuals who had taken at least 2 health check-ups during 2004 and 2014 were selected from the Shandong Multi-center Longitudinal Cohort for Health Management. Those who suffered coronary heart disease and presented with ischemic ECG were excluded. The baseline information of subjects who showed ischemic ECG during the follow-up was compared with who showed no ischemic ECG. The risk factors of ischemic ECG were screened and the Cox regression analysis model was established. Results The cohort included 45 546 subjects. During the follow-up of 1-7 years(mean 3.24 years), 7 656 individuals presented with ischemic ECG abnormalities. The incidence density was 77.57/1 000 person-year. The main influencing factors of ischemic ECG included old age, female, high systolic pressure and diastolic pressure, high fasting blood glucose(FBG), high white blood cell count, and non-ischemic abnormal high amplitude R waves(MC-3). Conclusion This study investigated the risk factors leading to ischemic ECG abnormalities and provided scientific information for the intervention of heart diseases.

Key words: Cohort study, Health check-up population, Big data of health check-up, Ischemic ECG, Influencing factors

CLC Number: 

  • R587.1
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