ArticleJournal of electrocardiology
Electrocardiographic QRS-T angle and the risk of incident silent myocardial infarction in the Atherosclerosis Risk in Communities study.
Article in Journal of electrocardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 60 citations in OpenAlex.
- Predictive value of frontal QRS-T angle for no-reflow phenomenon in patients with acute coronary syndrome.BMC cardiovascular disorders · 2026Article
- The Relationship Between Collateral Circulation and Electrocardiographic Frontal QRS-T Angle in Patients with Coronary Artery Chronic Total Occlusion.Journal of clinical medicine · 2025Article
- A Novel Electrocardiographic Index to Predict the Severity of Coronary Calcification.Anatolian journal of cardiology · 2025Article
- Association between the triglyceride-glucose index and silent myocardial infarction in the general population.Scientific reports · 2025Article
- A Novel Electrocardiographic Marker to Predict the Development of Preeclampsia: Frontal QRS-T Angle-A Prospective Pilot Study.Medicina (Kaunas, Lithuania) · 2024Article
- The Relationship between Frontal QRS-T Angle and Vitamin D Deficiency.Medicina (Kaunas, Lithuania) · 2024Article
- Empagliflozin and Dapagliflozin Therapies Favorably Alter QRS-T Angle and Cardiac Repolarization Parameters in Patients with Heart Failure.The Journal of innovations in cardiac rhythm management · 2024Article
- The diagnostic utility of the basal and post-exercise QRS-T angle in patients with stable coronary artery disease.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023Observational
- Frontal Plane QRS-T Angle as a Marker of Cardiac Iron Overload in Patients with Beta Thalassemia Major.Acta Cardiologica Sinica · 2023Article
- Relationship Between Atrial Fibrillation Recurrence and Frontal QRS-T Angle After Effective Cardioversion.Cureus · 2023Article
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- Improved evaluation of left ventricular hypertrophy using the spatial QRS-T angle by electrocardiography.Scientific reports · 2022Observational
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- Relationship between frontal QRS-T duration and the severity of coronary artery disease in who were non-diabetic and had stable angina pectoris.Anatolian journal of cardiology · 2021Article
- Electrocardiogram machine learning for detection of cardiovascular disease in African Americans: the Jackson Heart Study.European heart journal. Digital health · 2021Article
- Primary prevention of myocardial infarction: aspirin is not as useful as it seems.Annals of translational medicine · 2020Article
- Elective lung resection increases spatial QRS-T angle and QTc interval.Cardiology journal · 2020Article
- Automatic identification of a stable QRST complex for non-invasive evaluation of human cardiac electrophysiology.PloS one · 2020Article
- The role of baseline and post-procedural frontal plane QRS-T angles for cardiac risk assessment in patients with acute STEMI.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2018Article
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5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundSilent myocardial infarction (SMI) accounts for about half of the total number of MIs, and is associated with poor prognosis as is clinically documented MI (CMI). The electrocardiographic (ECG) spatial QRS/T angle has been a strong predictor of cardiovascular outcomes. Whether spatial QRS/T angle also is predictive of SMI, and the easy-to-obtain frontal QRS/T angle will show similar association are currently unknown.
methodsWe examined the association between the spatial and frontal QRS/T angles, separately, with incident SMI among 9498 participants (mean age 54years, 57% women, and 20% African-American), who were free of cardiovascular disease at baseline (visit 1, 1987-1989) from the Atherosclerosis Risk in Communities (ARIC) study. Incident SMI was defined as MI occurring after the baseline until visit 4 (1996-1998) without CMI. The frontal plane QRS/T angle was defined as the absolute difference between QRS axis and T axis. Values greater than the sex-specific 95th percentiles of the QRS/T angles were considered wide (abnormal).
resultsA total of 317 (3.3%) incident SMIs occurred during a 9-year median follow-up. In a model adjusted for demographics, cardiovascular risk factors and potential confounders, both abnormal frontal (HR 2.28, 95% CI 1.58-3.29) and spatial (HR 2.10, 95% CI 1.44-3.06) QRS/T angles were associated with an over 2-fold increased risk of incident SMI. Similar patterns of associations were observed when the results were stratified by sex.
conclusionsBoth frontal and spatial QRS/T angles are predicative of SMI suggesting a potential use for these markers in identifying individuals at risk.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.