Beijing Anzhen Hospital, Capital Medical University, National Clinical Research Center for Cardiovascular Diseases, Beijing, China.
Beijing Center for Disease Prevention and Control, Beijing, China.
J Int Med Res. 2022 Aug;50(8):3000605221119666. doi: 10.1177/03000605221119666.
We aimed to determine the prevalence of and the factors associated with intraventricular conduction disturbance in the Chinese population.
Electrocardiographic data from 42,031 people were retrospectively analysed. The weighted prevalences of left bundle branch block (LBBB), right bundle branch block (RBBB), bifascicular block and nonspecific intraventricular conduction delay (NS-IVCD) were calculated. The independently associated factors were determined using logistic regression analysis.
The weighted prevalence for Chinese people older than 45 years was 0.17% for LBBB, 2.16% for RBBB and 0.44% for NS-IVCD. The weighted prevalence for RBBB combined with left anterior fascicular block was 0.17%, and 0.05% for RBBB combined with left posterior fascicular block. There were significant differences in the weighted prevalences of RBBB and NS-IVCD between men and women. The weighted prevalence of LBBB and RBBB increased markedly with increasing age. Age and diabetes were independent factors associated with LBBB, compared with age and sex for RBBB and sex and coronary artery disease for NS-IVCD.
This study provided reliable data for the weighted prevalence of and factors associated with LBBB, RBBB and NS-IVCD in Chinese adults.
我们旨在确定中国人群中心室内传导障碍的患病率及其相关因素。
回顾性分析了 42031 人的心电图数据。计算了左束支传导阻滞(LBBB)、右束支传导阻滞(RBBB)、双分支阻滞和非特异性室内传导延迟(NS-IVCD)的加权患病率。使用逻辑回归分析确定独立相关因素。
45 岁以上中国人的 LBBB、RBBB 和 NS-IVCD 的加权患病率分别为 0.17%、2.16%和 0.44%。RBBB 合并左前分支阻滞的加权患病率为 0.17%,RBBB 合并左后分支阻滞的加权患病率为 0.05%。男性和女性之间 RBBB 和 NS-IVCD 的加权患病率存在显著差异。LBBB 和 RBBB 的加权患病率随年龄增长显著增加。与 RBBB 相比,年龄和糖尿病是与 LBBB 相关的独立因素,而 RBBB 是与年龄和性别相关,NS-IVCD 是与性别和冠状动脉疾病相关。
本研究为中国成年人 LBBB、RBBB 和 NS-IVCD 的加权患病率及其相关因素提供了可靠数据。