TY - JOUR
T1 - Coronary artery calcification and ECG pattern of left ventricular hypertrophy or strain identify different healthy individuals at risk
AU - Diederichsen, Søren Zöga
AU - Gerke, Oke
AU - Olsen, Michael Hecht
AU - Lambrechtsen, Jess
AU - Sand, Niels Peter Rønnow
AU - Nørgaard, Bjarne Linde
AU - Mickley, Hans
AU - Diederichsen, Axel Cosmus Pyndt
PY - 2013/9/23
Y1 - 2013/9/23
N2 - Purpose: To improve risk stratification for development of ischaemic heart disease, several markers have been proposed. Both the presence of coronary artery calcification (CAC) and ECG pattern of left ventricular hypertrophy/strain have been shown to provide independent prognostic information. In this study, we investigated the association between established risk factors, ECG measurements and the presence of coronary artery calcification. Method: A random sample of healthy men and women aged 50 or 60 years were invited to the screening study. Established risk factors were measured. A noncontrast computed tomographic (CT) scan was performed to assess the CAC score. ECG analysis included left ventricular hypertrophy (LVH) using the Sokolow-Lyon criteria and the Cornell voltage x QRS duration product, and strain pattern based on ST segment depression and T-wave abnormalities. The association between the presence of CAC, clinical variables and ECG findings was evaluated by means of multivariate logistic regression. Results: Of 1825 invited individuals, 1226 accepted the screening. The prevalence of hypertension was 50%. Hypertensive patients frequently had LVH and/or strain when compared with nonhypertensive individuals (21 vs. 14%, P < 0.0001) as well as CAC (52 vs. 38%, P < 0.0001). In multiple logistic regressions analyses, there was no association between the ECG abnormalities and the presence of CAC. Conclusion: There appears to be no relationship between CAC and ECG-suspected LVH and/or strain. We propose that these markers identify different individuals at risk and together may have additive prognostic value.
AB - Purpose: To improve risk stratification for development of ischaemic heart disease, several markers have been proposed. Both the presence of coronary artery calcification (CAC) and ECG pattern of left ventricular hypertrophy/strain have been shown to provide independent prognostic information. In this study, we investigated the association between established risk factors, ECG measurements and the presence of coronary artery calcification. Method: A random sample of healthy men and women aged 50 or 60 years were invited to the screening study. Established risk factors were measured. A noncontrast computed tomographic (CT) scan was performed to assess the CAC score. ECG analysis included left ventricular hypertrophy (LVH) using the Sokolow-Lyon criteria and the Cornell voltage x QRS duration product, and strain pattern based on ST segment depression and T-wave abnormalities. The association between the presence of CAC, clinical variables and ECG findings was evaluated by means of multivariate logistic regression. Results: Of 1825 invited individuals, 1226 accepted the screening. The prevalence of hypertension was 50%. Hypertensive patients frequently had LVH and/or strain when compared with nonhypertensive individuals (21 vs. 14%, P < 0.0001) as well as CAC (52 vs. 38%, P < 0.0001). In multiple logistic regressions analyses, there was no association between the ECG abnormalities and the presence of CAC. Conclusion: There appears to be no relationship between CAC and ECG-suspected LVH and/or strain. We propose that these markers identify different individuals at risk and together may have additive prognostic value.
KW - Atherosclerosis
KW - Coronary artery calcification
KW - ECG
KW - Left ventricular hypertrophy
KW - Risk factors
UR - http://www.scopus.com/inward/record.url?scp=84884197013&partnerID=8YFLogxK
U2 - 10.1097/HJH.0b013e32835cb47e
DO - 10.1097/HJH.0b013e32835cb47e
M3 - Article
C2 - 23462709
AN - SCOPUS:84884197013
SN - 0263-6352
VL - 31
SP - 595
EP - 600
JO - Journal of Hypertension
JF - Journal of Hypertension
IS - 3
ER -