Analysis of ECG abnormal results of officers and soldiers and its influencing factors
XIE Jinli1,2, LIU Ying1, WANG Feng2, CAI Wei3, YAO Zhanxin2, BI Xun3
1. School of Public Health, Inner Mongolia Medical University, Hohhot 010000, China; 2. Institute of Environmental Medicine and Occupational Medicine, A Cademy of Military Medicine Scienes, Academy of Military Sciences, Tianjin 300050, China; 3. Medical Examination Center, Characteristic Medical Center of Chinese People’s Armed Police Force, Tianjin 300162, China
Abstract：Objective To investigate the abnormal results of the electrocardiogram (ECG) of the physical examination and its influencing factors of officers and soldiers Of Chinese People’s Armed Police Force. Methods The ECG examination results of 749 members of officers and soldiers of Chinese People’s Armed Police Force who participated in the physical examination at the Characteristic Medical Center from 2018 to 2021 were analyzed and ranked by the abnormal ECG performance. The data was examined by Chi square test, and the influencing factors of ECG abnormalities were evaluated by logistic regression. Results A total of 276 cases (36.85%) of ECG abnormalities were detected in this examination, which were mainly manifested as 252 cases (33.64%) of sinus arrhythmias, 30 cases of conduction block (5.86%) and 16 cases (2.14%) of ST-T changes; in the single factor analysis of ECG abnormalities, the differences in age, sex, BMI, TG and LDL-C were statistically significant (P<0.05); in the multivariate analysis, special operations forces members aged above 40 years old and women were associated with a low risk of ECG abnormalities, and elevated TG was associated with a high risk of ECG abnormalities (P<0.05). Conclusions There is a certain percentage of ECG abnormalities in the research subjects, mainly males and those with elevated TG. It is recommended to conduct regular physical examinations and ECG examinations to provide a basis for the prevention of cardiovascular disease.
谢金丽, 刘颖, 王锋, 蔡伟, 姚站馨, 毕珣. 武警某部官兵健康体检心电图异常结果及其影响因素[J]. 武警医学, 2023, 34(1): 5-9.
XIE Jinli, LIU Ying, WANG Feng, CAI Wei, YAO Zhanxin, BI Xun. Analysis of ECG abnormal results of officers and soldiers and its influencing factors. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(1): 5-9.
Unger T, Borghi C, Charchar F, et al. 2020 International Society of Hypertension global hypertension practice guidelines[J].J Hypertens, 2020, 38(6):982-1004.
Burghouwt D E, Kammeraad J A, Knops P, et al. Bradyarrhythmias: first presentation of arrhythmogenic right ventricular cardiomyopathy[J].J Clin Med Res, 2015, 7(4): 278-281.
[11]
Pérez-Riera A R, Barbosa-Barros R, Daminello-Raimundo R,et al. Current aspects of the basic concepts of the electrophysiology of the sinoatrial node[J].J Electrocardiol, 2019, 57:112-118.
[12]
Lang D, Glukhov A V. Cellular and molecular mechanisms of functional hierarchy of pacemaker clusters in the sinoatrial node: new insights into sick sinus syndrome[J].J Cardiovasc Dev Dis, 2021, 8(4):43.
Bebawi E, Jouni S S, Tessier A A, et al. A metoprolol-terbinafine combination induced bradycardia[J].Eur J Drug Metab Pharmacokinet, 2015, 40(3):295-299.
2023, Vol. 34 
