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Electrocardiographic Findings in Brazilian Adults without Heart Disease: ELSA-Brasil

Overview of attention for article published in Arquivos Brasileiros de Cardiologia, October 2017
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Title
Electrocardiographic Findings in Brazilian Adults without Heart Disease: ELSA-Brasil
Published in
Arquivos Brasileiros de Cardiologia, October 2017
DOI 10.5935/abc.20170146
Pubmed ID
Authors

Marcelo Martins Pinto, Luisa C. C. Brant, José Luiz Padilha-da-Silva, Murilo Foppa, Paulo A. Lotufo, José Geraldo Mill, Paulo R. Vasconcelo-Silva, Maria da Conceição C. Almeida, Sandhi Maria Barreto, Antônio Luiz Pinho Ribeiro

Abstract

The electrocardiogram (ECG) is widely used in population-based studies. However, there are few studies on electrocardiographic findings in Latin America and in Brazil. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) comprised 15,105 participants (35-74 years) from six Brazilian capitals. To describe electrocardiographic findings in Brazilian adults without heart disease, stratified by sex, age and race/skin color. Cross-sectional study with baseline data of 11,094 adults (44.5% men) without heart disease from ELSA-Brasil. The ECGs were recorded with the Burdick Atria 6100 machine and stored at the Pyramis System. ECG analysis was automatically performed using the Glasgow University software. A descriptive analysis of heart rate (HR), P, QRS and T waves' duration, PR and QT intervals, and P, R and T axes was performed. After stratification by sex, race/color and age, the groups were compared by the Wilcoxon and Kruskal-Wallis test at a significance level of 5%. Linear regression models were used to evaluate the behavior of electrocardiographic parameters over age. Major electrocardiographic abnormalities defined by the Minnesota code were manually revised. Medians values of the electrocardiographic parameters were different between men and women: HR 63 vs. 66 bpm, PR 164 vs.158 ms, QT corrected 410 vs. 421 ms, QRS duration 92 vs. 86 ms, P-wave duration 112 vs. 108 ms, P-wave axis 54 vs. 57 degrees, R-wave axis 35 vs. 39 degrees, T-wave axis 39 vs. 45 degrees (p < 0.001 for all). The 2nd and the 98th percentiles of each variable were also obtained, and graphs were constructed to illustrate the behavior of the electrocardiographic findings over age of participants stratified by sex and race/skin color. The values for the electrocardiographic measurements herein described can be used as reference for Brazilian adults free of heart disease, stratified by sex. Our results suggest that self-reported race/skin color have no significant influence on electrocardiographic parameters.

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Mendeley readers

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The data shown below were compiled from readership statistics for 35 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 35 100%

Demographic breakdown

Readers by professional status Count As %
Student > Doctoral Student 6 17%
Researcher 5 14%
Student > Ph. D. Student 4 11%
Professor 3 9%
Student > Bachelor 3 9%
Other 6 17%
Unknown 8 23%
Readers by discipline Count As %
Medicine and Dentistry 14 40%
Pharmacology, Toxicology and Pharmaceutical Science 2 6%
Engineering 2 6%
Nursing and Health Professions 1 3%
Psychology 1 3%
Other 3 9%
Unknown 12 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 October 2017.
All research outputs
#20,663,600
of 25,382,440 outputs
Outputs from Arquivos Brasileiros de Cardiologia
#820
of 1,210 outputs
Outputs of similar age
#257,539
of 331,926 outputs
Outputs of similar age from Arquivos Brasileiros de Cardiologia
#13
of 16 outputs
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So far Altmetric has tracked 1,210 research outputs from this source. They receive a mean Attention Score of 4.0. This one is in the 17th percentile – i.e., 17% of its peers scored the same or lower than it.
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We're also able to compare this research output to 16 others from the same source and published within six weeks on either side of this one. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.