Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging

Detalhes bibliográficos
Autor(a) principal: Moraes, Diego N.
Data de Publicação: 2018
Outros Autores: Nascimento, Bruno Ramos, Beaton, Andrea Z., Soliman, Elsayed Z., Costa, Maria Fernanda Lima, Reis, Rodrigo Citton Padilha dos, Ribeiro, Antonio Luiz Pinho
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.1016/j.amjcard.2017.10.020
Texto Completo: https://www.arca.fiocruz.br/handle/icict/26873
Resumo: 2020-01-01
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spelling Moraes, Diego N.Nascimento, Bruno RamosBeaton, Andrea Z.Soliman, Elsayed Z.Costa, Maria Fernanda LimaReis, Rodrigo Citton Padilha dosRibeiro, Antonio Luiz Pinho2018-06-13T16:31:20Z2018-06-13T16:31:20Z2018MORAES, Diego N et al. Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging. Am J Cardiol., v. 121, n. 3, p. 364-369, 2018.0002-9149https://www.arca.fiocruz.br/handle/icict/2687310.1016/j.amjcard.2017.10.020engElsevierIdososDoença de chagaselectrocardiogramaagingChagas DiseaseelectrocardiogramValue of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aginginfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-01-01Universidade Federal de Minas Gerais. Hospital das Clínicas. Serviço de Cardiologia e Cirurgia Cardiovascular e Centro de Telessaúde. Belo Horizonte, MG, Brazil.Universidade Federal de Minas Gerais. Hospital das Clínicas. Serviço de Cardiologia e Cirurgia Cardiovascular e Centro de Telessaúde. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Hospital das Clínicas. Serviço de Cardiologia e Cirurgia Cardiovascular e Centro de Telessaúde. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Clínica Médica. Belo Horizonte, MG, Brazil.Cardiology Department. Children's National Health System. Washington, District of Columbia.Department of Epidemiology & Prevention. Wake Forest School of Medicine. Winston-Salem, North Carolina.Fundação Oswaldo Cruz. Instituto de Pesquisas René Rachou. Belo Horizonte, MG, Brazil.Universidade Federal de Minas Gerais. Faculdade de Medicina. Programa de Pós-Graduação em Saúde Pública. Belo Horizonte, MG, Brazil.Universidade Federal de Minas Gerais. Hospital das Clínicas. Serviço de Cardiologia e Cirurgia Cardiovascular e Centro de Telessaúde. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Hospital das Clínicas. Serviço de Cardiologia e Cirurgia Cardiovascular e Centro de Telessaúde. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Clínica Médica. Belo Horizonte, MG, Brazil.We sought to investigate the prognostic value of the electrocardiogram (ECG) electrical axes (P wave, T wave and QRS) as predictors of mortality in the 14-year follow-up of the prospective cohort of all residents ≥60 years living in the southeastern Brazilian city of Bambuí, a population with high prevalence of Chagas disease (ChD). Baseline ECG axes were automatically measured with normal values defined as follows: P-wave axis 0° to 75°, QRS axis -30° to 90°, and T axis 15° to 75°. Participants underwent annual follow-up visits and death was verified using death certificates. Cox proportional hazards regression was used to assess the prognostic value of ECG axes for all-cause mortality, after adjustment for potential confounders. From 1,742 qualifying residents, 1,462 were enrolled, of whom 557 (38.1%) had ChD. Mortality rate was 51.9%. In multivariable adjusted models, abnormal P-wave axis was associated with a 48% (hazard ratio [HR] = 1.48 [95% confidence interval (CI) 1.16-1.88]) increased mortality risk in patients with ChD and 43% (HR = 1.43 [CI 1.13-1.81]) in patients without ChD. Abnormal QRS axis was associated with a 34% (HR = 1.34 [CI 1.04-1.73]) increased mortality risk in patients with ChD, but not in individuals without ChD. Similarly, in the ChD group, abnormal T-wave axis was associated with a 35% (HR = 1.35 [CI 1.07-1.71]) increased mortality, but not in patients without ChD. In conclusion, abnormal P-wave, QRS, and T-wave axes were associated with increased all-cause mortality in patients with ChD. Abnormal P-wave axis was associated with mortality also among those without ChD, being the strongest predictor among ECG variables.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83082https://www.arca.fiocruz.br/bitstream/icict/26873/1/license.txt9193a7c197bc67acd023525e72a03240MD51ORIGINALValue of the Electrocardiographic .pdfValue of the Electrocardiographic .pdfapplication/pdf369965https://www.arca.fiocruz.br/bitstream/icict/26873/2/Value%20of%20the%20Electrocardiographic%20.pdf2bc70d8704ddb5b08bdc9a0b7c24fa55MD52TEXTValue of the Electrocardiographic .pdf.txtValue of the Electrocardiographic .pdf.txtExtracted texttext/plain30338https://www.arca.fiocruz.br/bitstream/icict/26873/3/Value%20of%20the%20Electrocardiographic%20.pdf.txt2a92da975f01cdfeeb7843eb4b945e6aMD53icict/268732021-03-24 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dc.title.pt_BR.fl_str_mv Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging
title Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging
spellingShingle Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging
Moraes, Diego N.
Idosos
Doença de chagas
electrocardiograma
aging
Chagas Disease
electrocardiogram
title_short Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging
title_full Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging
title_fullStr Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging
title_full_unstemmed Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging
title_sort Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging
author Moraes, Diego N.
author_facet Moraes, Diego N.
Nascimento, Bruno Ramos
Beaton, Andrea Z.
Soliman, Elsayed Z.
Costa, Maria Fernanda Lima
Reis, Rodrigo Citton Padilha dos
Ribeiro, Antonio Luiz Pinho
author_role author
author2 Nascimento, Bruno Ramos
Beaton, Andrea Z.
Soliman, Elsayed Z.
Costa, Maria Fernanda Lima
Reis, Rodrigo Citton Padilha dos
Ribeiro, Antonio Luiz Pinho
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Moraes, Diego N.
Nascimento, Bruno Ramos
Beaton, Andrea Z.
Soliman, Elsayed Z.
Costa, Maria Fernanda Lima
Reis, Rodrigo Citton Padilha dos
Ribeiro, Antonio Luiz Pinho
dc.subject.other.pt_BR.fl_str_mv Idosos
Doença de chagas
electrocardiograma
topic Idosos
Doença de chagas
electrocardiograma
aging
Chagas Disease
electrocardiogram
dc.subject.en.pt_BR.fl_str_mv aging
Chagas Disease
electrocardiogram
description 2020-01-01
publishDate 2018
dc.date.accessioned.fl_str_mv 2018-06-13T16:31:20Z
dc.date.available.fl_str_mv 2018-06-13T16:31:20Z
dc.date.issued.fl_str_mv 2018
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv MORAES, Diego N et al. Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging. Am J Cardiol., v. 121, n. 3, p. 364-369, 2018.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/26873
dc.identifier.issn.pt_BR.fl_str_mv 0002-9149
dc.identifier.doi.none.fl_str_mv 10.1016/j.amjcard.2017.10.020
identifier_str_mv MORAES, Diego N et al. Value of the Electrocardiographic (P Wave, T Wave, QRS) Axis as a Predictor of Mortality in 14 Years in a Population With a High Prevalence of Chagas Disease from the Bambuí Cohort Study of Aging. Am J Cardiol., v. 121, n. 3, p. 364-369, 2018.
0002-9149
10.1016/j.amjcard.2017.10.020
url https://www.arca.fiocruz.br/handle/icict/26873
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/26873/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/26873/2/Value%20of%20the%20Electrocardiographic%20.pdf
https://www.arca.fiocruz.br/bitstream/icict/26873/3/Value%20of%20the%20Electrocardiographic%20.pdf.txt
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