A Nineteen-Year Cohort Study on the Relationship of Electrocardiographic Findings to All Cause Mortality Among Subjects in The National Survey on Circulatory Disorders, NIPPON DATA80
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概要
- 論文の詳細を見る
BACKGROUND: Electrocardiogram (ECG) is one of the most popular tools for daily clinics and health checkup, and has been used for the National Survey on Circulatory Disorders to assess the health status in Japanese people. The meaningfulness to predict mortality from all causes among people with ECG abnormality is to be clarified using national samples.METHODS: ECG findings recorded among 9,638 subjects for National Survey on Circulatory Disorders 1980 in Japan, were classified using the Minnesota Codes (mc). Their relationships to all cause mortality over 19 years were examined using Cox proportional hazard models adjusting for sex, age, systolic blood pressure, blood glucose, and smoking habits.RESULTS: Subjects with abnormal Q-QS findings showed significantly high hazard ratios ( 3.71(mc1-1) and 1.57 (mc1-3)) for mortality to the subjects who were free from any major ECG findings. Hazard ratios were 1.37 (mc2-1) to 4.16 (mc2-5) for axis deviation, and 1.34 (mc3-1) to 1.35 (mc3-3) for left high R waves. Those were 1.63 (mc4-3) to 2.59 (mc4-1) for ST depression, and 1.54 (mc5-3) to 2.33 (mc5-1) for T abnormality. The lower the second number of the Minnesota Codes was, the higher hazard ratio was observed in the Q-QS, ST, T codes. The hazard ratios of junction-type ST depression (mc4-4), and low T waves (mc5-4, 5-5) were not significant.CONCLUSIONS: ECG findings defined by the Minnesota Codes were useful to predict the risk for mortality from all causes even after adjusting for the other major risk factors, and the results supported a usefulness of the ECG for health check-ups.J Epidemiol 2005;15:125-134.
- 日本疫学会の論文
- 2005-07-01
著者
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UESHIMA Hirotsugu
Shiga University of Medical Science
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Horibe Hiroshi
名古屋大学総合保健体育科学センター
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Okayama Akira
National Cardiovascular Center
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Horibe Hiroshi
Department Of Food And Nutrition Sugiyama Jogakuen University School Of Life Studies
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HORIBE Hiroshi
Aichi Medical University
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KASAGI Fumiyoshi
Radiation Effects Research Foundation, Hiroshima
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KAGAYA Mieko
Sugiyama Jogakuen University
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MATSUTANI Yasuko
Sugiyama Jogakuen University
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Kagaya Mieko
Department Of Food And Nutrition Sugiyama Jogakuen University School Of Life Studies
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Matsutani Yasuko
Department Of Food And Nutrition Sugiyama Jogakuen University School Of Life Studies
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Kasagi Fumiyoshi
Radiat. Effects Res. Found.
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Kasagi Fumiyoshi
Radiation Effects Research Foundation Hiroshima
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