Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2010-9-6
pubmed:abstractText
Uncertainty remains regarding the value of heart-rate-corrected QT interval (QTc) prolongation on electrocardiogram for predicting cardiovascular disease (CVD), particularly among Asian populations. The objective of the present analysis was to analyze the association of QTc prolongation with the development of CVD in a general Japanese population. During the follow-up period, 303 CVD events were observed. Among men, the age-adjusted incidence rates of CVD rose with prolonged QTc levels: 10.9, 12.1, 14.1 and 37.8 per 1000 person-years for subgroups defined by QTc levels of <400, 400-419, 420-439 and > or =440 ms, respectively (P=0.0007 for trend). The risk of CVD in the highest group was 3.09-fold (95% confidence interval, 1.82-5.25) higher than that in the lowest group even after controlling for other confounding factors: age, hypertension, heart rate, electrocardiogram abnormalities, diabetes, impaired glucose tolerance, impaired fasting glycemia, body mass index, total and high-density lipoprotein cholesterols, alcohol intake, smoking habit and regular exercise. Similar associations were observed for the outcomes of stroke and coronary heart disease. Among women, in contrast, no clear associations were found between QTc levels and the risk of CVD events. In conclusion, prolonged QTc levels were associated with the development of CVD among general Japanese men. Measurement of QTc intervals is likely to provide additional information for the detection of individuals at high risk of future CVD events.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1348-4214
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
916-21
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:20535120-Aged, pubmed-meshheading:20535120-Aged, 80 and over, pubmed-meshheading:20535120-Alcohol Drinking, pubmed-meshheading:20535120-Asian Continental Ancestry Group, pubmed-meshheading:20535120-Body Mass Index, pubmed-meshheading:20535120-Cholesterol, HDL, pubmed-meshheading:20535120-Coronary Disease, pubmed-meshheading:20535120-Diabetes Mellitus, pubmed-meshheading:20535120-Exercise, pubmed-meshheading:20535120-Female, pubmed-meshheading:20535120-Follow-Up Studies, pubmed-meshheading:20535120-Glucose Intolerance, pubmed-meshheading:20535120-Heart Rate, pubmed-meshheading:20535120-Humans, pubmed-meshheading:20535120-Hypertension, pubmed-meshheading:20535120-Incidence, pubmed-meshheading:20535120-Jervell-Lange Nielsen Syndrome, pubmed-meshheading:20535120-Long QT Syndrome, pubmed-meshheading:20535120-Male, pubmed-meshheading:20535120-Middle Aged, pubmed-meshheading:20535120-Prospective Studies, pubmed-meshheading:20535120-Risk, pubmed-meshheading:20535120-Sex Factors, pubmed-meshheading:20535120-Smoking, pubmed-meshheading:20535120-Stroke
pubmed:year
2010
pubmed:articleTitle
QT interval prolongation and the risks of stroke and coronary heart disease in a general Japanese population: the Hisayama study.
pubmed:affiliation
Department of Environmental Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't