Epidemiology of minor electrocardiographic anomalies predictive of the occurrence of ischemic cardiopathy

Briançon, S.; Gueguen, R.; Monneau, J.P.; Muller, L.; Blanchard, F.; Deschamps, J.P.

Archives des Maladies du Coeur et des Vaisseaux 79(12): 1732-1738

1986


ISSN/ISBN: 0003-9683
PMID: 3105484
Document Number: 270471
Common electrocardiographic manifestations (CEM) are predictors of ischemic heart disease (IHD). If precursors of the disease, their risk factors should be similar to those of IHD. This hypothesis has been assessed on results of multiphasic screening recorded in 1976 and 1981, in 1,347 45-65 year old men. Risk factors are social class (blue collar relative risk rr = 2.3), physical activity at work (sedentariness rr = 2.4), systolic blood pressure, no beer consumption and blood urea nitrogen with an exponential risk curve. Cholesterolemia, smoking, diabetes mellitus, overweight and uricemia are not predictors of CEM incidence within 5 years. These results support the idea that CEM are partially asymptomatic expression of IHD; they also have another significance. Subgroups should be individualized and analysis yielded on larger samples. Correlation analysis has been performed between IHD mortality and beer consumption on basis of French counties. A positive correlation (r = 62, p less than 0.01) is opposed to individual results.

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