Skip to main content
Erschienen in: Heart and Vessels 2/2014

01.03.2014 | Original Article

Gender modulates the aging effects on different patterns of early repolarization

verfasst von: Yen-Chou Chen, Jen-Hung Huang, Yung-Kuo Lin, Ming-Hsiung Hsieh, Yi-Jen Chen

Erschienen in: Heart and Vessels | Ausgabe 2/2014

Einloggen, um Zugang zu erhalten

Abstract

Distinct patterns of early repolarization (ER) are associated with ventricular fibrillation and arrhythmic death. We evaluated whether gender modulated the aging effects on different ER patterns. We studied manifestations of ER in the anterior, inferior, and lateral leads on standard 12-lead electrocardiography from male (n = 1077) and female (n = 1170) individuals of young (≤44 years), middle-aged (45–64 years), and elderly (≥65 years) subjects. Among a total of 2247 individuals, 543 (24.2 %) subjects had ER and 417 (18.6 %) had single-location ER. Single-location ER occurred less in lateral leads than in anterior or inferior leads (2.1, 7.8, 8.6 %, respectively, p < 0.05). Subjects with inferior ER (n = 193) were older (61 ± 14, 49 ± 14, 54 ± 16 years, respectively, p < 0.05) than those with anterior (n = 176) or lateral (n = 48) ER. In males with ER, the elderly group (n = 22) had fewer instances of anterior ER (34, 59, 80 %, respectively, p < 0.05) than middle-aged (n = 76) or young (n = 59) groups. Elderly males (n = 37) and females (n = 48) had greater instances of inferior ER (57, 32, 19 %, p < 0.05; 86, 62, 46 %, respectively, p < 0.05) than middle-aged males (n = 41) and females (n = 41), and young males (n = 14) and females (n = 12), respectively. In conclusion, gender modulates the aging effects on the occurrences of anterior ER and inferior ER.
Literatur
1.
Zurück zum Zitat Wasserburger RH, Alt WJ (1961) The normal RS-T segment elevation variant. Am J Cardiol 8:184–192PubMedCrossRef Wasserburger RH, Alt WJ (1961) The normal RS-T segment elevation variant. Am J Cardiol 8:184–192PubMedCrossRef
2.
Zurück zum Zitat Haïssaguerre M, Derval N, Sacher F, Jesel L, Deisenhofer I, de Roy L, Pasquié JL, Nogami A, Babuty D, Yli-Mayry S, De Chillou C, Scanu P, Mabo P, Matsuo S, Probst V, Le Scouarnec S, Defaye P, Schlaepfer J, Rostock T, Lacroix D, Lamaison D, Lavergne T, Aizawa Y, Englund A, Anselme F, O’Neill M, Hocini M, Lim KT, Knecht S, Veenhuyzen GD, Bordachar P, Chauvin M, Jais P, Coureau G, Chene G, Klein GJ, Clémenty J (2008) Sudden cardiac arrest associated with early repolarization. N Engl J Med 358:2016–2023PubMedCrossRef Haïssaguerre M, Derval N, Sacher F, Jesel L, Deisenhofer I, de Roy L, Pasquié JL, Nogami A, Babuty D, Yli-Mayry S, De Chillou C, Scanu P, Mabo P, Matsuo S, Probst V, Le Scouarnec S, Defaye P, Schlaepfer J, Rostock T, Lacroix D, Lamaison D, Lavergne T, Aizawa Y, Englund A, Anselme F, O’Neill M, Hocini M, Lim KT, Knecht S, Veenhuyzen GD, Bordachar P, Chauvin M, Jais P, Coureau G, Chene G, Klein GJ, Clémenty J (2008) Sudden cardiac arrest associated with early repolarization. N Engl J Med 358:2016–2023PubMedCrossRef
3.
Zurück zum Zitat Nam GB, Kim YH, Antzelevitch C (2008) Augmentation of J waves and electrical storms in patients with early repolarization. N Engl J Med 358:2078–2079PubMedCentralPubMedCrossRef Nam GB, Kim YH, Antzelevitch C (2008) Augmentation of J waves and electrical storms in patients with early repolarization. N Engl J Med 358:2078–2079PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Tikkanen JT, Anttonen O, Junttila MJ, Aro AL, Kerola T, Rissanen HA, Reunanen A, Huikuri HV (2009) Long-term outcome associated with early repolarization on electrocardiography. N Engl J Med 361:2529–2537PubMedCrossRef Tikkanen JT, Anttonen O, Junttila MJ, Aro AL, Kerola T, Rissanen HA, Reunanen A, Huikuri HV (2009) Long-term outcome associated with early repolarization on electrocardiography. N Engl J Med 361:2529–2537PubMedCrossRef
5.
Zurück zum Zitat Merchant FM, Noseworthy PA, Weiner RB, Singh SM, Ruskin JN, Reddy VY (2009) Ability of terminal QRS notching to distinguish benign from malignant electrocardiographic forms of early repolarization. Am J Cardiol 104:1402–1406PubMedCrossRef Merchant FM, Noseworthy PA, Weiner RB, Singh SM, Ruskin JN, Reddy VY (2009) Ability of terminal QRS notching to distinguish benign from malignant electrocardiographic forms of early repolarization. Am J Cardiol 104:1402–1406PubMedCrossRef
6.
Zurück zum Zitat Tikkanen JT, Junttila MJ, Anttonen O, Aro AL, Luttinen S, Kerola T, Sager SJ, Rissanen HA, Myerburg RJ, Reunanen A, Huikuri HV (2011) Early repolarization: electrocardiographic phenotypes associated with favorable long-term outcome. Circulation 14:2666–2673CrossRef Tikkanen JT, Junttila MJ, Anttonen O, Aro AL, Luttinen S, Kerola T, Sager SJ, Rissanen HA, Myerburg RJ, Reunanen A, Huikuri HV (2011) Early repolarization: electrocardiographic phenotypes associated with favorable long-term outcome. Circulation 14:2666–2673CrossRef
7.
Zurück zum Zitat Junttila MJ, Sager SJ, Tikkanen JT, Anttonen O, Huikuri HV, Myerburg RJ (2012) Clinical significance of variants of J-points and J-waves: early repolarization patterns and risk. Eur Heart J 33:2639–2643PubMedCrossRef Junttila MJ, Sager SJ, Tikkanen JT, Anttonen O, Huikuri HV, Myerburg RJ (2012) Clinical significance of variants of J-points and J-waves: early repolarization patterns and risk. Eur Heart J 33:2639–2643PubMedCrossRef
8.
Zurück zum Zitat Bidoggia H, Maciel JP, Capalozza N, Mosca S, Blaksley EJ, Valverde E, Bertran G, Arini P, Biagetti MO, Quinteiro RA (2000) Sex-dependent electrocardiographic pattern of cardiac repolarization. Am Heart J 140:430–436PubMedCrossRef Bidoggia H, Maciel JP, Capalozza N, Mosca S, Blaksley EJ, Valverde E, Bertran G, Arini P, Biagetti MO, Quinteiro RA (2000) Sex-dependent electrocardiographic pattern of cardiac repolarization. Am Heart J 140:430–436PubMedCrossRef
9.
Zurück zum Zitat Surawicz B, Parikh SR (2002) Prevalence of male and female patterns of early ventricular repolarization in the normal ECG of males and females from childhood to old age. J Am Coll Cardiol 40:1870–1876PubMedCrossRef Surawicz B, Parikh SR (2002) Prevalence of male and female patterns of early ventricular repolarization in the normal ECG of males and females from childhood to old age. J Am Coll Cardiol 40:1870–1876PubMedCrossRef
10.
Zurück zum Zitat Odell WD (2001) Endocrinology of sexual maturation. In: De Groot LJ, Jameson JL (eds) Endocrinology, 4th edn. WB Saunders Co., Philadelphia, pp 1955–1960 Odell WD (2001) Endocrinology of sexual maturation. In: De Groot LJ, Jameson JL (eds) Endocrinology, 4th edn. WB Saunders Co., Philadelphia, pp 1955–1960
11.
Zurück zum Zitat Nankin HR, Calkins JH (1986) Decreased bioavailable testosterone in aging normal and impotent men. J Clin Endocrinol Metab 63:1418–1420PubMedCrossRef Nankin HR, Calkins JH (1986) Decreased bioavailable testosterone in aging normal and impotent men. J Clin Endocrinol Metab 63:1418–1420PubMedCrossRef
12.
Zurück zum Zitat Ezaki K, Nakagawa M, Taniguchi Y, Nagano Y, Teshima Y, Yufu K, Takahashi N, Nomura T, Satoh F, Mimata H, Saikawa T (2010) Gender differences in the ST segment: effect of androgen-deprivation therapy and possible role of testosterone. Circ J 74:2448–2454PubMedCrossRef Ezaki K, Nakagawa M, Taniguchi Y, Nagano Y, Teshima Y, Yufu K, Takahashi N, Nomura T, Satoh F, Mimata H, Saikawa T (2010) Gender differences in the ST segment: effect of androgen-deprivation therapy and possible role of testosterone. Circ J 74:2448–2454PubMedCrossRef
13.
Zurück zum Zitat Liu G, Tamura A, Torigoe K, Kawano Y, Shinozaki K, Kotoku M, Kadota J (2012) Abnormal P-wave terminal force in lead V1 is associated with cardiac death or hospitalization for heart failure in prior myocardial infarction. Heart Vessels. doi:10.1007/s00380-012-0307-9 Liu G, Tamura A, Torigoe K, Kawano Y, Shinozaki K, Kotoku M, Kadota J (2012) Abnormal P-wave terminal force in lead V1 is associated with cardiac death or hospitalization for heart failure in prior myocardial infarction. Heart Vessels. doi:10.​1007/​s00380-012-0307-9
14.
Zurück zum Zitat Torigoe K, Tamura A, Kawano Y, Shinozaki K, Kotoku M, Kadota J (2012) Upright T waves in lead aVR are associated with cardiac death or hospitalization for heart failure in patients with a prior myocardial infarction. Heart Vessels 27:548–552PubMedCrossRef Torigoe K, Tamura A, Kawano Y, Shinozaki K, Kotoku M, Kadota J (2012) Upright T waves in lead aVR are associated with cardiac death or hospitalization for heart failure in patients with a prior myocardial infarction. Heart Vessels 27:548–552PubMedCrossRef
15.
Zurück zum Zitat Antzelevitch C, Brugada P, Borggrefe M, Brugada J, Brugada R, Corrado D, Gussak I, LeMarec H, Nademanee K, Perez Riera AR, Shimizu W, Schulze-Bahr E, Tan H, Wilde A (2005) Brugada syndrome: report of the second consensus conference: endorsed by the Heart Rhythm Society and the European Heart Rhythm Association. Circulation 111:659–670 Antzelevitch C, Brugada P, Borggrefe M, Brugada J, Brugada R, Corrado D, Gussak I, LeMarec H, Nademanee K, Perez Riera AR, Shimizu W, Schulze-Bahr E, Tan H, Wilde A (2005) Brugada syndrome: report of the second consensus conference: endorsed by the Heart Rhythm Society and the European Heart Rhythm Association. Circulation 111:659–670
17.
Zurück zum Zitat Bidoggia H, Maciel JP, Capalozza N, Mosca S, Blaksley EJ, Valverde E, Bertran G, Arini P, Biagetti MO, Quinteiro RA (2000) Sex differences on the electrocardiographic pattern of cardiac repolarization: possible role of testosterone. Am Heart J 140:678–683PubMedCrossRef Bidoggia H, Maciel JP, Capalozza N, Mosca S, Blaksley EJ, Valverde E, Bertran G, Arini P, Biagetti MO, Quinteiro RA (2000) Sex differences on the electrocardiographic pattern of cardiac repolarization: possible role of testosterone. Am Heart J 140:678–683PubMedCrossRef
18.
Zurück zum Zitat Shimizu W, Matsuo K, Kokubo Y, Satomi K, Kurita T, Noda T, Nagaya N, Suyama K, Aihara N, Kamakura S, Inamoto N, Akahoshi M, Tomoike H (2007) Sex hormone and gender difference—role of testosterone on male predominance in Brugada syndrome. J Cardiovasc Electrophysiol 18:415–421PubMedCrossRef Shimizu W, Matsuo K, Kokubo Y, Satomi K, Kurita T, Noda T, Nagaya N, Suyama K, Aihara N, Kamakura S, Inamoto N, Akahoshi M, Tomoike H (2007) Sex hormone and gender difference—role of testosterone on male predominance in Brugada syndrome. J Cardiovasc Electrophysiol 18:415–421PubMedCrossRef
19.
Zurück zum Zitat Matsuo K, Akahoshi M, Seto S, Yano KA (2003) Disappearance of the Brugada-type electrocardiogram after surgical castration: a role for testosterone and an explanation for the male preponderance. Pacing Clin Electrophysiol 26:1551–1553PubMedCrossRef Matsuo K, Akahoshi M, Seto S, Yano KA (2003) Disappearance of the Brugada-type electrocardiogram after surgical castration: a role for testosterone and an explanation for the male preponderance. Pacing Clin Electrophysiol 26:1551–1553PubMedCrossRef
20.
Zurück zum Zitat Scragg JL, Jones RD, Channer KS, Jones TH, Peers C (2004) Testosterone is a potent inhibitor of L-type Ca2+ channels. Biochem Biophys Res Comm 318:503–506PubMedCrossRef Scragg JL, Jones RD, Channer KS, Jones TH, Peers C (2004) Testosterone is a potent inhibitor of L-type Ca2+ channels. Biochem Biophys Res Comm 318:503–506PubMedCrossRef
21.
Zurück zum Zitat Pham TV, Sosunov EA, Gainullin RZ, Danilo P Jr, Rosen MR (2004) Impact of sex and gonadal steroids on prolongation of ventricular repolarization and arrhythmias induced by IK-blocking drugs. Circulation 103:2207–2212CrossRef Pham TV, Sosunov EA, Gainullin RZ, Danilo P Jr, Rosen MR (2004) Impact of sex and gonadal steroids on prolongation of ventricular repolarization and arrhythmias induced by IK-blocking drugs. Circulation 103:2207–2212CrossRef
22.
Zurück zum Zitat Pham TV, Sosunov EA, Anyukhovsky EP, Danilo P Jr, Rosen MR (2002) Testosterone diminishes the proarrhythmic effects of dofetilide in normal female rabbits. Circulation 106:2132–2136PubMedCrossRef Pham TV, Sosunov EA, Anyukhovsky EP, Danilo P Jr, Rosen MR (2002) Testosterone diminishes the proarrhythmic effects of dofetilide in normal female rabbits. Circulation 106:2132–2136PubMedCrossRef
23.
Zurück zum Zitat Morita H, Takenaka-Morita S, Fukushima-Kusano K, Kobayashi M, Nagase S, Kakishita M, Nakamura K, Emori T, Matsubara H, Ohe T (2003) Risk stratification for asymptomatic patients with Brugada syndrome. Circ J 67:312–316PubMedCrossRef Morita H, Takenaka-Morita S, Fukushima-Kusano K, Kobayashi M, Nagase S, Kakishita M, Nakamura K, Emori T, Matsubara H, Ohe T (2003) Risk stratification for asymptomatic patients with Brugada syndrome. Circ J 67:312–316PubMedCrossRef
24.
Zurück zum Zitat Smetana P, Batchvarov VN, Hnatkova K, Camm AJ, Malik M (2002) Sex differences in repolarization homogeneity and its circadian pattern. Am J Physiol Heart Circ Physiol 282:H1889–H1897PubMed Smetana P, Batchvarov VN, Hnatkova K, Camm AJ, Malik M (2002) Sex differences in repolarization homogeneity and its circadian pattern. Am J Physiol Heart Circ Physiol 282:H1889–H1897PubMed
25.
Zurück zum Zitat Rodriguez I, Kilborn MJ, Liu XK, Pezzullo JC, Woosley RL (2001) Drug-induced QT prolongation in women during the menstrual cycle. JAMA 285:1322–1326PubMedCrossRef Rodriguez I, Kilborn MJ, Liu XK, Pezzullo JC, Woosley RL (2001) Drug-induced QT prolongation in women during the menstrual cycle. JAMA 285:1322–1326PubMedCrossRef
26.
Zurück zum Zitat Pewsner D, Jüni P, Egger M, Battaglia M, Sundström J, Bachmann LM (2007) Accuracy of electrocardiography in diagnosis of left ventricular hypertrophy in arterial hypertension: systematic review. BMJ 335:711PubMedCentralPubMedCrossRef Pewsner D, Jüni P, Egger M, Battaglia M, Sundström J, Bachmann LM (2007) Accuracy of electrocardiography in diagnosis of left ventricular hypertrophy in arterial hypertension: systematic review. BMJ 335:711PubMedCentralPubMedCrossRef
27.
Zurück zum Zitat Rudic B, Veltmann C, Kuntz E, Behnes M, Elmas E, Konrad T, Kuschyk J, Weiss C, Borggrefe M, Schimpf R (2012) Early repolarization pattern is associated with ventricular fibrillation in patients with acute myocardial infarction. Heart Rhythm 9:1295–1300PubMedCrossRef Rudic B, Veltmann C, Kuntz E, Behnes M, Elmas E, Konrad T, Kuschyk J, Weiss C, Borggrefe M, Schimpf R (2012) Early repolarization pattern is associated with ventricular fibrillation in patients with acute myocardial infarction. Heart Rhythm 9:1295–1300PubMedCrossRef
28.
Zurück zum Zitat Patel RB, Ng J, Reddy V, Chokshi M, Parikh K, Subacius H, Alsheikh-Ali AA, Nguyen T, Link MS, Goldberger JJ, Ilkhanoff L, Kadish AH (2010) Early repolarization associated with ventricular arrhythmias in patients with chronic coronary artery disease. Circ Arrhythm Electrophysiol 3:489–495PubMedCrossRef Patel RB, Ng J, Reddy V, Chokshi M, Parikh K, Subacius H, Alsheikh-Ali AA, Nguyen T, Link MS, Goldberger JJ, Ilkhanoff L, Kadish AH (2010) Early repolarization associated with ventricular arrhythmias in patients with chronic coronary artery disease. Circ Arrhythm Electrophysiol 3:489–495PubMedCrossRef
29.
Zurück zum Zitat Rosso R, Adler A, Halkin A, Viskin S (2011) Risk of sudden death among young individuals with J waves and early repolarization: putting the evidence into perspective. Heart Rhythm 8:923–929PubMedCrossRef Rosso R, Adler A, Halkin A, Viskin S (2011) Risk of sudden death among young individuals with J waves and early repolarization: putting the evidence into perspective. Heart Rhythm 8:923–929PubMedCrossRef
30.
Zurück zum Zitat Rollin A, Maury P, Bongard V, Sacher F, Delay M, Duparc A, Mondoly P, Carrié D, Ferrières J, Ruidavets JB (2012) Prevalence, prognosis, and identification of the malignant form of early repolarization pattern in a population-based study. Am J Cardiol 110:1302–1308PubMedCrossRef Rollin A, Maury P, Bongard V, Sacher F, Delay M, Duparc A, Mondoly P, Carrié D, Ferrières J, Ruidavets JB (2012) Prevalence, prognosis, and identification of the malignant form of early repolarization pattern in a population-based study. Am J Cardiol 110:1302–1308PubMedCrossRef
31.
Zurück zum Zitat Guntekin U, Gumrukcuoglu HA, Gunes Y, Gunes A, Simsek H, Sahin M, Sezen Y, Akdağ S, Tuncer M (2011) The effects of perindopril on QT duration and dispersion in patients with coronary slow flow. Heart Vessels 26:357–362PubMedCrossRef Guntekin U, Gumrukcuoglu HA, Gunes Y, Gunes A, Simsek H, Sahin M, Sezen Y, Akdağ S, Tuncer M (2011) The effects of perindopril on QT duration and dispersion in patients with coronary slow flow. Heart Vessels 26:357–362PubMedCrossRef
32.
Zurück zum Zitat Tereshchenko LG, McCabe A, Han L, Sur S, Huang T, Marine JE, Cheng A, Spragg DD, Sinha S, Calkins H, Stein K, Tomaselli GF, Berger RD (2012) Intracardiac J-point elevation before the onset of polymorphic ventricular tachycardia and ventricular fibrillation in patients with an implantable cardioverter-defibrillator. Heart Rhythm 9:1594–1602PubMedCentralPubMedCrossRef Tereshchenko LG, McCabe A, Han L, Sur S, Huang T, Marine JE, Cheng A, Spragg DD, Sinha S, Calkins H, Stein K, Tomaselli GF, Berger RD (2012) Intracardiac J-point elevation before the onset of polymorphic ventricular tachycardia and ventricular fibrillation in patients with an implantable cardioverter-defibrillator. Heart Rhythm 9:1594–1602PubMedCentralPubMedCrossRef
Metadaten
Titel
Gender modulates the aging effects on different patterns of early repolarization
verfasst von
Yen-Chou Chen
Jen-Hung Huang
Yung-Kuo Lin
Ming-Hsiung Hsieh
Yi-Jen Chen
Publikationsdatum
01.03.2014
Verlag
Springer Japan
Erschienen in
Heart and Vessels / Ausgabe 2/2014
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-013-0352-z

Weitere Artikel der Ausgabe 2/2014

Heart and Vessels 2/2014 Zur Ausgabe

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Adipositas-Medikament auch gegen Schlafapnoe wirksam

24.04.2024 Adipositas Nachrichten

Der als Antidiabetikum sowie zum Gewichtsmanagement zugelassene Wirkstoff Tirzepatid hat in Studien bei adipösen Patienten auch schlafbezogene Atmungsstörungen deutlich reduziert, informiert der Hersteller in einer Vorab-Meldung zum Studienausgang.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.