Electrocardiographic Predictors of Incident Congestive Heart Failure and All-Cause Mortality in Postmenopausal Women
- 31 January 2006
- journal article
- research article
- Published by Wolters Kluwer Health in Circulation
- Vol. 113 (4) , 481-489
- https://doi.org/10.1161/circulationaha.105.537415
Abstract
Background— Information is limited about ECG predictors of the risk of incident congestive heart failure (CHF), particularly in women without overt manifestations of cardiovascular disease (CVD). Methods and Results— We evaluated hazard ratios for incident CHF and all-cause mortality using Cox regression in 38 283 participants of the Women’s Health Initiative (WHI) during a 9-year follow-up. All risk models were adjusted for demographic and available clinical and therapeutic variables (multivariable-adjusted models). A backward selection procedure was used to identify dominant predictors among those that were significant as individual ECG predictors. Eleven ECG variables were significant predictors of incident CHF, with none of them having a significant interaction with baseline CVD status. From 6 dominant ECG predictors, wide QRS/T angle had a nearly 3-fold increased risk in multivariable-adjusted single ECG variable models. Two other repolarization variables, STV5 depression and high TV1 amplitude, and ...Keywords
This publication has 25 references indexed in Scilit:
- Electrocardiographic Abnormalities That Predict Coronary Heart Disease Events and Mortality in Postmenopausal WomenCirculation, 2006
- Linearly Scaled, Rate‐Invariant Normal Limits for QT Interval: Eight Decades of Incorrect Application of Power FunctionsJournal of Cardiovascular Electrophysiology, 2002
- Congestive heart failure despite normal left ventricular systolic function in a population-based sample: the Strong Heart Study∗∗The views expressed in this study are those of the authors and do not necessarily reflect those of the Indian Health Service.The American Journal of Cardiology, 2000
- Prognostic value of ECG findings for total, cardiovascular disease, and coronary heart disease death in men and womenHeart, 1998
- The novacode criteria for classification of ECG abnormalities and their clinically significant progression and regressionJournal of Electrocardiology, 1998
- Design of the Women’s Health Initiative Clinical Trial and Observational StudyControlled Clinical Trials, 1998
- A standardized procedure for locating and documenting ecg chest electrode positions: Consideration of the effect of breast tissue on ecg amplitudes in womenJournal of Electrocardiology, 1998
- Vectorcardiogram synthesized from a 12-lead ECG: Superiority of the inverse Dower matrixJournal of Electrocardiology, 1988
- Incidence and Prognosis of Unrecognized Myocardial InfarctionNew England Journal of Medicine, 1984
- Waveform vector analysis of orthogonal electrocardiograms: Quantification and data reductionJournal of Electrocardiology, 1973