Annals of Noninvasive Electrocardiology最新文献

{"title":"Intermittent Short Atrioventricular Delay in a Dual Chamber Pacemaker During Acute Pulmonary Edema","authors":"Ravi Vazirani,&nbsp;Miriam García Cocera,&nbsp;David Calvo","doi":"10.1111/anec.70045","DOIUrl":"https://doi.org/10.1111/anec.70045","url":null,"abstract":"<p>We present the case of an 80-year-old female with acute pulmonary edema and a dual chamber pacemaker with intermittent short AV delays in the surface ECG after blocked premature atrial contractions (PACs). The behavior was consistent with the programmed Window of Atrial Rate Acceleration Detection (WARAD) and did not require further parameter modifications. As most cardiologists and emergency department physicians are not familiar with brand-specific algorithms, we believe that this case report will make these noncompetitive atrial pacing algorithms more accessible to non-cardiologists.</p>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"30 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/anec.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142851454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of P-Wave Variables in Enhancing Prediction of New-Onset Atrial Fibrillation in Patients With Acute Myocardial Infarction","authors":"Na Yang,&nbsp;Xiaoyan Li,&nbsp;Bo Wu,&nbsp;Longhao Dai,&nbsp;Shaobin Yang,&nbsp;Qinning Zhang,&nbsp;Shaobin Jia","doi":"10.1111/anec.70041","DOIUrl":"10.1111/anec.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>After acute myocardial infarction (AMI), it is common to observe new-onset atrial fibrillation (NOAF), which is often related to a negative prognosis. Some P-wave variables (P-wave duration [PWD], P-wave amplitude, and interatrial block [IAB]), reflecting the process of electrical and structural remodeling, could predict the risk of atrial fibrillation (AF). This study aimed to assess the predictive value of P-wave variables for post-AMI NOAF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrospectively analyzed 1581 AMI patients with no prior AF, using follow-up data from January 2023 to January 2024. P-wave variables were measured, and patients were grouped based on in-hospital NOAF occurrence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 164 (10.3%) of the 1581 patients had NOAF. The age (61.08 ± 12.02 vs. 67.91 ± 11.60, <i>p</i> &lt; 0.001), left atrial size (36.31 ± 3.94 vs. 39.12 ± 5.51, <i>p</i> &lt; 0.001), Brain Natriuretic Peptide (1588.45 ± 3346.18 vs. 3864.39 ± 6251.92, <i>p</i> &lt; 0.001), P-wave variables (PWD: 102.78 ± 12.56 vs. 117.88 ± 18.81, <i>p</i> &lt; 0.001; P-wave amplitude: 0.12 ± 0.04 vs. 0.13 ± 0.04, <i>p</i> = 0.041; interatrial block: 89.6% vs. 10.3%, <i>p</i> &lt; 0.001), congestive heart failure (4.7% vs. 23.2%, <i>p</i> &lt; 0.001), and Killip &gt; 1 (25.3% vs. 55.5%, <i>p</i> &lt; 0.001) showed significant differences between the non-AF and NOAF groups. P-wave variables were significantly associated with an increased risk of NOAF in multivariable regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The addition of P-wave variables to AF risk factors from literature and guidelines significantly improved NOAF risk discrimination. P-wave variables were strongly associated with NOAF after AMI. Adding these variables enhanced the predictive performance for post-AMI NOAF.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"30 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/anec.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Characteristics and Clinical Analysis of Lorenz Plot of Neonatal Atrial Tachycardia","authors":"Fei Zheng,&nbsp;Tingting Yu,&nbsp;Xin Wei,&nbsp;Jie Wen,&nbsp;Hualian Li","doi":"10.1111/anec.70022","DOIUrl":"10.1111/anec.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Lorenz plot (LP) analysis enhances the accuracy of arrhythmia diagnosis and serves as an attractive diagnostic tool for patients with arrhythmias. We explored the utility of the LP in the classification of various types of neonatal atrial tachycardia and evaluated the treatment effects and prognosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ninety-six newborns with atrial tachycardia had their dynamic electrocardiograms and clinical data collected between January 2018 and June 2023. They were divided into different atrial tachycardia groups based on the morphological characteristics of the LP. The clinical features of the patients in each group were also analyzed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Neonates were divided into multifocal (30%, 31.25%), parasystole (19%, 19.79%), and atrial premature beat-induced atrial tachycardia (47%, 48.96%) groups. It was demonstrated that the prevalence of cardiac structural abnormalities, viral infections, myocardial injury, and heart failure was significantly increased in the multifocal atrial tachycardia group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The analysis of distinct LP patterns allowed for the identification and classification of neonatal atrial tachycardia, which could improve the diagnostic efficiency of neonatal atrial tachycardia and assist clinical physicians in making better management strategies based on the type of atrial tachycardia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"30 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142790943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Clinical Significance of Early Repolarization in Athletes: A Systematic Review","authors":"Khaled Elenizi","doi":"10.1111/anec.70032","DOIUrl":"10.1111/anec.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Early repolarization (ER) is an electrocardiographic pattern characterized by J-point and ST-segment elevation, frequently observed in athletes. Initially deemed benign, recent studies suggest a possible association between ER and increased risks of cardiac arrhythmias and sudden cardiac death, necessitating a thorough examination of its clinical implications in athletes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive literature review was conducted using MEDLINE (via PubMed) and EMBASE databases, focusing on articles related to ER in athletes. Search terms included “early repolarization,” and relevant studies were selected based on their focus on athletic populations. A total of 22 articles were included for detailed analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The review encompassed 22 studies with a combined total of 44,326 athletes, revealing an overall mean ER prevalence of 31.6 ± 17.6 (<i>p</i> &lt; 0.001). Most common location in the inferolateral region at 32.28%. The prevalence varied significantly across studies, ranging from 7% to 89%, influenced by factors such as age, gender distribution, and athletic discipline. Male athletes exhibited a higher incidence of ER compared with females, and endurance athletes showed a greater prevalence than strength athletes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>ER is notably prevalent among athletes, especially males and those engaged in endurance sports. Current studies do not establish a direct association between ER and increased mortality in athletes. Further research is essential to refine risk stratification criteria and develop appropriate management strategies to ensure athlete safety while maintaining optimal performance levels.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"30 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142790940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transient Left Bundle Branch Block Induced Acute Heart Failure as a Consequence of Ramus Intermedius Occlusion","authors":"Mehmet Eren,&nbsp;Yalcin Velibey","doi":"10.1111/anec.70038","DOIUrl":"10.1111/anec.70038","url":null,"abstract":"<p>We present a case of acute decompensated heart failure due to transient left bundle branch block (LBBB) as a consequence of a ramus intermedius (RI) occlusion. A 63-year-old woman was admitted with acute onset of typical chest pain and pulmonary edema, a newly diagnosed LBBB and left ventricular (LV) systolic dysfunction. A coronary angiogram demonstrated critical stenosis at the osteal segment of RI. After successful coronary revascularization, LBBB was completely resolved, with an improvement in LV systolic function and symptoms. In terms of anatomical blood supply of the left bundle branch, transient LBBB as a consequence of an RI occlusion is unusual.</p>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"30 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142790945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Computerized QT and QTc Measurements From Bedside ICU Monitors Are Similar to Those Derived From a Standard 12-Lead ECG","authors":"Arthur Murray,&nbsp;Karolina Ho,&nbsp;Thomas J. Hoffmann,&nbsp;Gopika K. Ganesh,&nbsp;Shelvin Prasad,&nbsp;Sarah Berger,&nbsp;Cass Sandoval,&nbsp;Amy Larsen,&nbsp;Hildy Schell-Chaple,&nbsp;Michele M. Pelter","doi":"10.1111/anec.70031","DOIUrl":"10.1111/anec.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>QT/QTc prolongation is associated with an increased risk for torsade de pointes. In at-risk hospitalized patients, it is common to obtain a standard 12-lead electrocardiogram (ECG) for this assessment, but this interrupts patient care. Our hospital recently introduced bedside monitors in the intensive care unit (ICU) with continuous QT/QTc software. However, only four of the seven available ECG leads are used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Evaluate the agreement between computerized QT/QTc measurements from the bedside monitor (four leads) and a time-matched standard 12-lead ECG.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Prospective observational study in three adult ICUs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>QT/QTc measurements were obtained from a convenience sample, and the two ECG types were ≤ 30 min apart. Agreement was evaluated using Bland–Altman analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 120 patients were evaluated for inclusion, and 60 (50%) had a 12-lead ECG for comparison. The mean bias difference for QT measurements was not statistically different (<i>β</i> = −2.47, 95% CI = 5.50 to −11.05; <i>p</i> = 0.44; limits of agreement (LOA) = −64.37 to 59.44). Similar non-statistical differences were observed for QTc (<i>β</i> = −3.20, 95% CI = 5.50 to −11.05; <i>p</i> = 0.44; LOA = −67.43 to 61.03).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There was good agreement for both QT and QTc measurements between the two methods. These pilot data are promising and suggest QT/QTc measurements from bedside monitors (four leads) may be an acceptable alternative to obtaining additional standard 12-lead ECGs. Given that half of the ICU patients screened did not have a 12-lead ECG recorded, bedside monitor QT/QTc's could identify at-risk patients. However, an evaluation in a larger sample and non-ICU patients is warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"30 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142790938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ventricular Tachycardia Possibly Originated From the His-Purkinje System May Result From Aconitine Poisoning","authors":"Honglin Ni,&nbsp;Changlin Zhai,&nbsp;Haihua Pan","doi":"10.1111/anec.70040","DOIUrl":"10.1111/anec.70040","url":null,"abstract":"<p>Accurate diagnosis of wide QRS complex tachycardia (WCT) with the earliest ventricular origin potentially located in the His-Purkinje system, and exploration of its etiology are helpful for further diagnosis and treatment. This article finds through specific cases that one of the possible etiologies is aconitine poisoning.</p>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"30 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142790949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Myocardial Fibrosis Detected by CMR in Patients With Idiopathic PVCs","authors":"Ștefan Ailoaei,&nbsp;Laurențiu Șorodoc,&nbsp;Carina Ureche,&nbsp;Nicolae Sîtari,&nbsp;Gabriel Sandu,&nbsp;Alexandr Ceasovschih,&nbsp;Mihaela Grecu,&nbsp;Radu Andy Sascău,&nbsp;Cristian Stătescu","doi":"10.1111/anec.70039","DOIUrl":"https://doi.org/10.1111/anec.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Premature ventricular contractions (PVCs) are a frequent electrocardiographic finding in routine medical practice, and 16% of the patients with idiopathic PVCs may have underlying heart disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>We analyzed the correlation between the morphology of the PVCs and the myocardial scarring identified by cardiac magnetic resonance (CMR), together with the impact of late gadolinium enhancement (LGE) on the need for ablation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ninety-four patients (median age 56 years) with frequent PVCs (&gt; 500 PVCs on 24 h) and a structurally normal heart were referred for comprehensive CMR. The patients were followed for 12 months. Patients were referred for ablation if they were symptomatic in the context of frequent PVCs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of LGE identified by CMR was higher among males (OR 5.506 (2.092–14.49) <i>p</i> &lt; 0.05), with an age ≥ 50 years (OR 1.047 (1.015–1.08), <i>p</i> &lt; 0.05) and a higher PVC burden (OR 1.922 (1.723–1.976), <i>p</i> &lt; 0.05). Additionally, patients with PVCs with a LBBB inferior axis had four times higher risk of exhibiting LGE (OR 4.09 (1.584–10.565), <i>p</i> &lt; 0.05). In multivariate analysis, age (OR 1.059 (1.019–1.099), <i>p</i> &lt; 0.05) and a LBBB inferior axis (OR 4.605 (1.472–14.404), <i>p</i> &lt; 0.05) were independently associated with the presence of LGE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Patients with PVCs and apparently, structurally normal heart present myocardial scarring identified by CMR in 71.23% of cases. PVCs with LBBB inferior axis pattern, age ≥ 50 years and male sex are associated with the presence of LGE on CMR. In multivariate analysis, age and LBBB inferior axis were independently correlated with the presence of LGE.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"29 6","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/anec.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142708007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Catheter Ablation of Ventricular Premature Contractions Originating From RVOT With Interruption of the Inferior Vena Cava—A Case Report","authors":"Liang Xiong,&nbsp;Jinzhu Hu,&nbsp;Dandan Wang,&nbsp;Juan Hua,&nbsp;Qi Chen","doi":"10.1111/anec.70034","DOIUrl":"10.1111/anec.70034","url":null,"abstract":"<p>Ventricular premature contractions (VPC) originating from right ventricular outflow tract is the most common type of ventricular arrhythmias in clinic settings, which can be effectively cured by catheter ablation. Interruption of the inferior vena cava (IVC) is a rare vascular anomaly resulting from aberrant development during embryogenesis. Herein, we reported a very rare case of VPC originating from right ventricular outflow tract (RVOT) with interruption of IVC, which was successfully ablated by transfemoral vein approach.</p>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"29 6","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Different Insulin Resistance Indices and Heart Failure in US Adults With Diabetes Mellitus","authors":"Lirong Chen,&nbsp;Lin Qian,&nbsp;Yongming Liu","doi":"10.1111/anec.70035","DOIUrl":"10.1111/anec.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aims to scrutinize the association between various Insulin Resistance (IR) indices and heart failure (HF) risk in adult diabetics within the United States.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The National Health and Nutrition Examination Survey (NHANES) (2005–2018) dataset was used in this study. Weighted logistic regression analysis and restricted cubic spline were employed to ascertain the correlation between IR indices and the incidence of HF in diabetic patients. The predictive capability of the IR indices was evaluated using the Receiver Operating Characteristic curve.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This study included a total of 2574 diabetic patients, out of which 209 (8.1%) were diagnosed with HF. After the adjustment of potential confounders, TyG-BMI (OR: 1.005, 95% CI: 1.002–1.009), TG/HDL-C (OR: 1.138, 95% CI: 1.024–1.265), and METS-IR index (OR: 1.035, 95% CI: 1.015–1.057) were significantly associated with HF risk. RCS curves revealed nonlinear dose–response relationship between TyG, TyG-BMI, TG/HDL-C, and the occurrence of HF in diabetic patients. Subgroup analyses showed that four IR indices were positively associated with the risk of HF in the elderly diabetic population. Unfortunately, all IR indices failed to improve the predictive performance of the underlying risk model for HF in diabetic patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Four IR markers may be important predictors of HF risk in diabetics.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"29 6","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/anec.70035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}