Amb motiu del tancament d'estiu, la validació de documents es reprendrà a partir del 28 d'agost de 2026. Disculpeu les molèsties.
Con motivo del cierre de verano, la validación de documentos se reanudará a partir del 28 de agosto de 2026. Disculpad las molestias
Due to the summer closure, document validation will resume starting August 28, 2026. We apologize for any inconvenience.

Files

658824.pdf (509.41 KB)

Document type

Article

Version

Published version

Publication date

2015-03-18

Publication license

cc-by (c) Vinyoles, Ernest et al., 2015
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/104037

Prognostic value of non-specific ST-T changes and left ventricular hypertrohpy electrocardiographic criteria in hypertensive patients: 16-year follow-up results from the MINACOR cohort

Journal Title

Authors

Director/Tutor

Journal ISSN

Volume Title

Related resource

https://doi.org/10.1186/s12872-015-0012-6

Abstract

Background: Non-specific electrocardiographic ST-T wave changes and voltage criteria for left ventricular hypertrophy (LVH) have been associated with cardiovascular morbidity and mortality. The aim of the cohort study was to evaluate the prognostic value of non-specific ST-T changes and LVH electrocardiographic criteria on cardiovascular events and mortality in hypertensive patients. Methods: A cohort study of 352 non-diabetic hypertensive patients, without associated cardiovascular disease, randomly selected from 1,780 hypertensive patients atte nded in a primary care center. An electrocardiogram was performed at the baseline visit (classified according to the Minnesota Code). Cardiovascular events and death from any cause during the follow-up period were evaluate d. A multivariate analysis adjusted for gender, age and cardiovascular risk factors was performed. Results: Data of 273 patients were analyzed: 58.2% women, age 44.1 (7.9) years, 27.8% smokers, blood pressure at baseline 142.7 (15.3)/89.3 (9.6) mmHg. During the 197. 5 (59.24) month follow-up, 62 patients (22.7%) had a cardiovascular event. On multivariate analysis, age, systolic blood pressure, incidence of diabetes, smoking and electrocardiographic LVH criteria (HR 2.66 [CI 95% 1.39 - 5.10]), were significantly a ssociated with cardiovascular events, but the presence of non-specific ST-T abnormali ties (HR 0.97 [CI 95% 0.49 -1. 90]) was not significantly associated with cardiovascular morbidity and mortality. Conclusions: Hypertensive patients with LVH electrocardiographic criteria have significantly higher cardiovascular mortality and morbidity, but non-specific electrocardiographic ST-T changes are not associated with cardiovascular morbidity and mortality. Keywords: Electrocardiogram, Cardiovascular events, Hypertension, Left ventricular hypertrophy, Major and minor electrocardiographic abnormalities, Repolarization electrocardiographic abnormalities

Subject

Electrocardiografia, Hipertensió, Malalties cardiovasculars

Subject (English)

Electrocardiography, Hypertension, Cardiovascular diseases

Citation

Collections

Articles publicats en revistes (Medicina)

Citation

VINYOLES, Ernest, et al. Prognostic value of non-specific ST-T changes and left ventricular hypertrohpy electrocardiographic criteria in hypertensive patients: 16-year follow-up results from the MINACOR cohort. BMC Cardiovascular Disorders. 2015. Vol. 15, num. 1, pags. 24. ISSN 1471-2261. [consulted: 12 of August of 2026]. Available at: https://hdl.handle.net/2445/104037

Export metadata

JSON - METS

Share record