Association of silent myocardial infarction on electrocardiogram and coronary artery calcium: The Multi‐Ethnic Study of Atherosclerosis

Autor: Richard Kazibwe, Matthew J. Singleton, Charles A. German, Elsayed Z. Soliman, Gregory L. Burke, Joseph Yeboah
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Annals of Noninvasive Electrocardiology, Vol 28, Iss 5, Pp n/a-n/a (2023)
Druh dokumentu: article
ISSN: 1542-474X
1082-720X
DOI: 10.1111/anec.13081
Popis: Abstract Background Silent myocardial infarction (SMI) on electrocardiogram (ECG) is associated with atherosclerotic cardiovascular disease, but the relationship between SMI on ECG and coronary artery calcium (CAC) remains poorly understood. Objective Characterize the relationship between SMI on ECG and CAC. Methods Eligible participants from the Multi‐Ethnic Study of Atherosclerosis study had ECG and CAC scoring at study enrollment (2000–2002). SMI was defined as ECG evidence of myocardial infarction in the absence of a history of clinical cardiovascular disease. CAC was modeled both continuously and categorically. The cross‐sectional relationships between SMI on ECG and CAC were assessed using logistic regression and linear regression. Results Among 6705 eligible participants, 178 (2.7%) had baseline SMI. Compared to participants without SMI, those with SMI had higher CAC (median [IQR]: 61.2 [0–261.7] vs. 0 [0–81.5]; p
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