ECG as a screening tool: Difference between revisions
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A recent study among asymptomatic post-menopausal women found an adjusted hazard ratios for CHD events of 1.55 (95% CI, 1.14-2.11) for minor, 3.01 (95% CI, 2.03-4.46) for major ECG abnormalities.<cite>Denes</cite> This study used a well defined list of major and minor ECG abnormalities that can be used to get a feel for major and minor ECG abnormalities: | |||
Major ECG abnormalities<cite>Denes</cite><cite>novacode</cite>: | |||
# atrial fibrillation or atrial flutter | |||
# high-degree atrioventricular dissociation | |||
# left bundle-branch block | |||
# right bundle-branch block | |||
# indeterminate conduction delay | |||
# Q-wave MI | |||
# isolated ischemic abnormalities | |||
# left ventricular hypertrophy with ST-T abnormalities | |||
# supraventricular tachycardia | |||
# ventricular preexcitation | |||
# ventricular tachycardia | |||
Minor ECG abnormalities<cite>Denes</cite><cite>novacode</cite>: | |||
# first- and second-degree atrioventricular block | |||
# borderline prolonged ventricular excitation | |||
# prolonged ventricular repolarization | |||
# isolated minor Q and ST-T abnormalities | |||
# left ventricular hypertrophy without ST-T abnormalities | |||
# left atrial enlargement | |||
# frequent atrial or ventricular premature beats | |||
# fascicular blocks | |||
==References== | ==References== | ||
<biblio> | <biblio> | ||
#novacode pmid=9682893 | #novacode pmid=9682893 | ||
#Denes pmid=17341712 | |||
</biblio> | </biblio> |
Revision as of 21:16, 18 November 2011
A recent study among asymptomatic post-menopausal women found an adjusted hazard ratios for CHD events of 1.55 (95% CI, 1.14-2.11) for minor, 3.01 (95% CI, 2.03-4.46) for major ECG abnormalities.[1] This study used a well defined list of major and minor ECG abnormalities that can be used to get a feel for major and minor ECG abnormalities:
Major ECG abnormalities[1][2]:
- atrial fibrillation or atrial flutter
- high-degree atrioventricular dissociation
- left bundle-branch block
- right bundle-branch block
- indeterminate conduction delay
- Q-wave MI
- isolated ischemic abnormalities
- left ventricular hypertrophy with ST-T abnormalities
- supraventricular tachycardia
- ventricular preexcitation
- ventricular tachycardia
Minor ECG abnormalities[1][2]:
- first- and second-degree atrioventricular block
- borderline prolonged ventricular excitation
- prolonged ventricular repolarization
- isolated minor Q and ST-T abnormalities
- left ventricular hypertrophy without ST-T abnormalities
- left atrial enlargement
- frequent atrial or ventricular premature beats
- fascicular blocks
References
- Denes P, Larson JC, Lloyd-Jones DM, Prineas RJ, and Greenland P. Major and minor ECG abnormalities in asymptomatic women and risk of cardiovascular events and mortality. JAMA. 2007 Mar 7;297(9):978-85. DOI:10.1001/jama.297.9.978 |
- Rautaharju PM, Park LP, Chaitman BR, Rautaharju F, and Zhang ZM. The Novacode criteria for classification of ECG abnormalities and their clinically significant progression and regression. J Electrocardiol. 1998 Jul;31(3):157-87.