Association Between Urinary Cadmium and QRS|T Angle Among Adults in the United States
| Autor: | Wesam Morad, Robert R. Delongchamp, Leanna Delhey, Susan Thapa, Mohammed F. Faramawi, Jing Jin, Saly Abouelenein |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Urinary system chemistry.chemical_element Urine 030204 cardiovascular system & hematology 010501 environmental sciences Logistic regression 01 natural sciences Electrocardiography 03 medical and health sciences QRS complex Sex Factors 0302 clinical medicine Internal medicine medicine Humans cardiovascular diseases 0105 earth and related environmental sciences Cadmium medicine.diagnostic_test business.industry Public Health Environmental and Occupational Health Heart Environmental Exposure Odds ratio Middle Aged Nutrition Surveys United States Confidence interval chemistry cardiovascular system Cardiology Female business circulatory and respiratory physiology |
| Zdroj: | Journal of Occupational & Environmental Medicine. 60:e412-e415 |
| ISSN: | 1076-2752 |
| DOI: | 10.1097/jom.0000000000001382 |
| Popis: | Objective Cadmium's effect on QRS|T angle has not been studied. An abnormal QRS|T angle deviation may increase the risk for ventricular dysrhythmias. Methods We calculated the orientation of spatial QRS|T angle using QRS and T amplitudes of leads V2, V5, V6, and AVF from the National Health and Nutritional Examination Survey III. Cadmium concentration was measured in urine. We fit weighted unadjusted and adjusted logistic regressions to calculate odds ratios and their corresponding 95% confidence intervals. Results A unit increase in the logarithm of urinary cadmium increased the odds of QRS|T angle deviation by 30% [1.30 (1.01 to 1.61)]. Conclusions Cadmium exposure was associated with an abnormal QRS|T angle in women but not in men. Women exposed to cadmium should be periodically evaluated to detect QRS|T angle deviation, which can predispose them to ventricular dysrhythmias. |
| Databáze: | OpenAIRE |
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