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Heritability of ECG Biomarkers in the Netherlands Twin Registry Measured from Holter ECGs

Overview of attention for article published in Frontiers in Physiology, April 2016
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  • Above-average Attention Score compared to outputs of the same age (51st percentile)
  • Above-average Attention Score compared to outputs of the same age and source (64th percentile)

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Title
Heritability of ECG Biomarkers in the Netherlands Twin Registry Measured from Holter ECGs
Published in
Frontiers in Physiology, April 2016
DOI 10.3389/fphys.2016.00154
Pubmed ID
Authors

Emily C. Hodkinson, Melanie Neijts, Arash Sadrieh, Mohammad S. Imtiaz, Mathias Baumert, Rajesh N. Subbiah, Christopher S. Hayward, Dorret Boomsma, Gonneke Willemsen, Jamie I. Vandenberg, Adam P. Hill, Eco De Geus

Abstract

The resting ECG is the most commonly used tool to assess cardiac electrophysiology. Previous studies have estimated heritability of ECG parameters based on these snapshots of the cardiac electrical activity. In this study we set out to determine whether analysis of heart rate specific data from Holter ECGs allows more complete assessment of the heritability of ECG parameters. Holter ECGs were recorded from 221 twin pairs and analyzed using a multi-parameter beat binning approach. Heart rate dependent estimates of heritability for QRS duration, QT interval, Tpeak-Tend and Theight were calculated using structural equation modeling. QRS duration is largely determined by environmental factors whereas repolarization is primarily genetically determined. Heritability estimates of both QT interval and Theight were significantly higher when measured from Holter compared to resting ECGs and the heritability estimate of each was heart rate dependent. Analysis of the genetic contribution to correlation between repolarization parameters demonstrated that covariance of individual ECG parameters at different heart rates overlap but at each specific heart rate there was relatively little overlap in the genetic determinants of the different repolarization parameters. Here we present the first study of heritability of repolarization parameters measured from Holter ECGs. Our data demonstrate that higher heritability can be estimated from the Holter than the resting ECG and reveals rate dependence in the genetic-environmental determinants of the ECG that has not previously been tractable. Future applications include deeper dissection of the ECG of participants with inherited cardiac electrical disease.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 12 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 12 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 3 25%
Student > Master 2 17%
Student > Bachelor 1 8%
Professor 1 8%
Student > Doctoral Student 1 8%
Other 3 25%
Unknown 1 8%
Readers by discipline Count As %
Medicine and Dentistry 3 25%
Computer Science 2 17%
Psychology 2 17%
Engineering 2 17%
Neuroscience 1 8%
Other 1 8%
Unknown 1 8%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. 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 02 May 2016.
All research outputs
#13,392,095
of 22,867,327 outputs
Outputs from Frontiers in Physiology
#4,558
of 13,656 outputs
Outputs of similar age
#145,166
of 299,065 outputs
Outputs of similar age from Frontiers in Physiology
#45
of 131 outputs
Altmetric has tracked 22,867,327 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 13,656 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.6. This one has gotten more attention than average, scoring higher than 65% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 299,065 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.
We're also able to compare this research output to 131 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 64% of its contemporaries.