T-wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram.

T-wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

T-wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram. Abstract Text:

BACKGROUND: ST depression and T-wave amplitude abnormalities are known to be independent predictors of cardiovascular (CV) death, but a direct comparison between them has not been described. METHODS: Analyses were performed on the first electrocardiogram (ECG) digitally recorded on 46,950 consecutive patients at the Palo Alto Veterans Affairs Medical Center since 1987. Females and patients with electrocardiograms exhibiting bundle branch block, left ventricular hypertrophy, electronic pacing, diagnostic Q waves, or Wolff-Parkinson-White syndrome were excluded, leaving 31,074 male patients for analysis (mean age 55 +/- 14). There were 1878 (6.0%) cardiovascular deaths (mean follow-up of 6 +/- 4 years). Electrocardiograms were classified using Minnesota code according to the degree of ST depression and T-wave abnormality, and the nine possible combinations of ST segment and T-wave abnormalities were recoded for analysis. RESULTS: The combination of major abnormalities in ST segments and T-waves carried the greatest hazard [3.2 (CI 2.7-3.8)]. Minor ST depression combined with more severe T-wave abnormalities carried a hazard of 3.1 (CI 2.5-3.7), whereas minor T-wave abnormalities combined with more severe ST depression carried a hazard of only 1.9 (CI 1.6-2.3). CONCLUSION: While both ST segment depression and abnormal T-wave amplitude are clinically important, T-wave abnormalities appear to be greater predictors of cardiovascular mortality.

T-wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram. Publishing Authors By Initials

For similar predictive value of tests research abstracts see: predictive value of tests research

PUBMED ID PMID:

MEDLINE DATE:

T-wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Annals of noninvasive electrocardiology : the offi

VOLUME: 10

Page Numbers: 146-51

Journal Abbreviation: Ann Noninvasive Electrocardiol

ISSN: 1082-720X

DAY: 10

MONTH: Apr

YEAR: 2005

T-wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9607443

T-wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram. Keywords Mesh Terms:

KEYWORDS: Predictive Value of Tests

MESH TERMS: physiopathology

Chemical & Substance for Abstract: T-wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for T-wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram.

AFFILIATION: Division of Cardiovascular Medicine, Stanford University Medical Center, Stanford, CA, USA.

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Ann Noninvasive Electrocardiol

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

T-wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram Related Publications

• Age-adjusted modification of the Duke Treadmill Score nomogram.
• Awareness and behavior about Pap smear testing in family medicine practice.
• Beliefs about health, smoking, and future smoking cessation among South Korean men hospitalized for cardiovascular disease.
• Compliance with antihypertensive medication in Chinese immigrants: cultural specific issues and theoretical application.
• Exercise-induced ventricular arrhythmias and cardiovascular death.
• Gender differences in Chinese immigrants: predictors for antihypertensive medication adherence.
• Hypertension control, predictors for medication adherence and gender differences in older Chinese immigrants.
• Impact of cardiac disease on couples' relationships.
• Influence of mitochondria origin on fruit quality in a citrus cybrid.
• Jordanian nursing students' knowledge of osteoporosis.
• Prediction of Cardiovascular Death using a Novel Heart Rate Recovery Parameter.
• Prognostic significance of systolic blood pressure increases in men during exercise stress testing.
• Prognostic value of double product reserve.
• Self-care behaviors in indigent patients with heart failure.
• Smoking behavior in men hospitalized with cardiovascular disease in Korea: A cross-sectional descriptive study.
• T-wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram.
• The Women's Initiative for Nonsmoking (WINS) XI: Age-Related Differences in Smoking Cessation Responses Among Women With Cardiovascular Disease.
• The blood pressure response to dynamic exercise testing: a systematic review.
• The prognostic value of T wave amplitude in lead aVR in males.
• Ventricular arrhythmias during clinical treadmill testing and prognosis.
• What percent luminal stenosis should be used to define angiographic coronary artery disease for noninvasive test evaluation?