Evidence map›Paper›PMID 38218755›Full record

ArticleBMC cardiovascular disorders2024

Association of T-wave electrocardiogram changes and type 2 diabetes: a cross-sectional sub-analysis of the MASHAD cohort population using the Minnesota coding system.

Sara Soflaei Saffar, Eisa Nazar, Toktam Sahranavard, Farzad Fayedeh, AmirAli Moodi Ghalibaf, Mahmoud Ebrahimi, Hedieh Alimi, Bahram Shahri, Azadeh Izadi-Moud, Gordon A Ferns and 6 more

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Predictive Value of ECG Ischemic Pattern Changes for the 10-Year Occurrence of Ischemic Heart Disease.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 2 countries.

Sara Soflaei Saffar *International UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.
Eisa Nazar *Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Toktam Sahranavard *International UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.
Farzad FayedehStudent Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
AmirAli Moodi GhalibafStudent Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
Mahmoud EbrahimiVascular and Endovascular Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Hedieh AlimiVascular and Endovascular Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Bahram ShahriDepartment of Cardiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Azadeh Izadi-MoudDepartment of Cardiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Gordon A FernsBrighton and Sussex Medical School, Division of Medical Education, Brighton, UK.
Alireza GhodsiInternational UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.
Saeed MehrabiDepartment of Cardiology, Faculty of Medicine, Gonabad University of Medical Sciences, Mashhad, Iran.
Milad TarhimiDepartment of Cardiology, Faculty of Medicine, Gonabad University of Medical Sciences, Mashhad, Iran.
Habibollah EsmailyDepartment of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohsen MoohebatiVascular and Endovascular Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. MouhebatiM@mums.ac.ir.
Majid Ghayour-MobarhanInternational UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran. GhayourM@mums.ac.ir.
Mashhad University of Medical Sciences · IRBirjand University of Medical Sciences · IRGonabad University of Medical Sciences · IRBrighton and Sussex Medical School · GBMazandaran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 2 Diabetes Mellitus (T2DM) has become a major health concern with an increasing prevalence and is now one of the leading attributable causes of death globally. T2DM and cardiovascular disease are strongly associated and T2DM is an important independent risk factor for ischemic heart disease. T-wave abnormalities (TWA) on electrocardiogram (ECG) can indicate several pathologies including ischemia. In this study, we aimed to investigate the association between T2DM and T-wave changes using the Minnesota coding system.

methodsA cross-sectional study was conducted on the MASHAD cohort study population. All participants of the cohort population were enrolled in the study. 12-lead ECG and Minnesota coding system (codes 5-1 to 5-4) were utilized for T-wave observation and interpretation. Regression models were used for the final evaluation with a level of significance being considered at p < 0.05.

resultsA total of 9035 participants aged 35-65 years old were included in the study, of whom 1273 were diabetic. The prevalence of code 5-2, 5-3, major and minor TWA were significantly higher in diabetics (p < 0.05). However, following adjustment for age, gender, and hypertension, the presence of TWAs was not significantly associated with T2DM (p > 0.05). Hypertension, age, and body mass index were significantly associated with T2DM (p < 0.05).

conclusionsAlthough some T-wave abnormalities were more frequent in diabetics, they were not statistically associated with the presence of T2DM in our study.

Indexed as

Diabetes Mellitus, Type 2HypertensionAdultAgedCross-Sectional StudiesElectrocardiographyHumansMiddle AgedMinnesotaRisk FactorsElectrocardiogramT-waveType 2 diabetes mellitus

Identifiers

PMID38218755
PMCPMC10788011
OpenAlexW4390837287

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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.