Prevalence and risk factors of atrioventricular block among 15 million Chinese health examination participants in 2018: a nation-wide cross-sectional study
| العنوان: | Prevalence and risk factors of atrioventricular block among 15 million Chinese health examination participants in 2018: a nation-wide cross-sectional study |
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| المؤلفون: | Bo Wang, Siliang Liu, Xiaohan Fan, Jun Lv, Shijun Li, Ruiqi Shan, Yi Ning, Jing Wu, Yuan Ma, Liming Li |
| المصدر: | BMC Cardiovascular Disorders, Vol 21, Iss 1, Pp 1-9 (2021) BMC Cardiovascular Disorders |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, China, Time Factors, Adolescent, Databases, Factual, Cross-sectional study, Epidemiology, Prevalence, 030204 cardiovascular system & hematology, Lower risk, Risk Assessment, Severity of Illness Index, 03 medical and health sciences, Electrocardiography, Young Adult, 0302 clinical medicine, Sex Factors, Metabolic Diseases, medicine, Humans, Diseases of the circulatory (Cardiovascular) system, 030212 general & internal medicine, Risk factor, business.industry, Research, Age Factors, Middle Aged, medicine.disease, Confidence interval, Cross-Sectional Studies, Heart Disease Risk Factors, RC666-701, Female, Cardiology and Cardiovascular Medicine, business, Atrioventricular block, Body mass index, Demography |
| الوصف: | BackgroundNationwide data on the prevalence of atrioventricular (AV) block are currently unavailable in China. Thus, we aimed to assess the prevalence and risk factors of AV block among Chinese health examination adults.MethodsA total of 15,181,402 participants aged ≥ 18 years (mean age 41.5 ± 13.4 years, 53.2% men) who underwent an electrocardiogram as a part of routine health examination in 2018 were analyzed. AV block was diagnosed by physicians using 12-lead electrocardiogram. Overall and stratified prevalence (by age, sex, and city size) of all, first-, second- and third-degree AV block were calculated. Multivariable logistic regression analyses were performed to explore risk factors associated with AV block.ResultsAV block was observed in 88,842 participants, including 86,153 with first-degree, 2249 with second-degree and 440 with third-degree AV block. The age- and sex-standardized prevalence rate [95% confidence interval (CI)] of all, first-, second- and third-degree AV block were 7.06‰ (7.01–7.11), 6.84‰ (6.79–6.89), 0.18‰ (0.17–0.18) and 0.04‰ (0.03–0.04) respectively. After multivariable adjustment, the risk of AV block was positively associated with older age, being male, lower heart rate, higher body mass index, hypertension, diabetes and low high-density lipoprotein cholesterol. High total cholesterol was associated with a lower risk of AV block.ConclusionFirst-degree AV block is relatively common while severe AV block is rare in health examination adults. Besides, AV block was highly prevalent among the elderly. The risk of AV block was associated with older age, being male and metabolic factors. |
| اللغة: | English |
| تدمد: | 1471-2261 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b8b37bf8cc54f198bb86fe644883655b https://doaj.org/article/f3f37b07c2d046cb89a1eac7cfd0d1cf |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....b8b37bf8cc54f198bb86fe644883655b |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14712261 |
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