Arrhythmias & electrophysiology

Electrical Heterogeneity in Hispanic Background Subpopulations: The HCHS/SOL

JACC AdvPublished Cross-sectional study

Authors' conclusion

In CVD-free Hispanic/Latino subpopulations, cardiovascular risk factors do not fully explain GEH differences across ethnic background categories, which likely reflect unmeasured health disparities.

Study context

Population
Hispanic/Latino adults in HCHS/SOL (mean age 41 years)
Participants
15,684 adults
Exposure
Hispanic/Latino background subpopulations vs total mean
Outcome
Vectorcardiographic GEH (spatial QRS-T angle, SVG azimuth, SVG elevation, SVG magnitude, sum absolute QRST integral)

Main finding

As reported in the abstract

Adjusted GEH vs total mean
Each group vs total meanDifference, ° (95% CI)P value
Dominicanspatial QRS-T angle, narrower
−3.4(−5.0° to −1.7°)
P < 0.0001
Each group vs total meanDifference (95% CI)
South AmericanSVG azimuth, more anterior
−2.9(−4.4 to −1.4)
MexicanSVG azimuth, more anterior
−3.5(−4.3 to −2.6)

Difference

Dominican · spatial ventricular gradient (SVG) azimuth, more posterior
+2.9 (95% CI 1.6–4.2)
Puerto Rican · SVG azimuth, more posterior
+3.8 (95% CI 2.4–5.2)

Observational data: associations, not effects.

Further findings

Association of CHD with Global Electrical Heterogeneity (GEH), by background

Association especially strong in Cuban background subpopulation

Original publication

Electrical Heterogeneity in Hispanic Background Subpopulations: The HCHS/SOL. JACC Adv. Published 11 September 2024. doi:10.1016/j.jacadv.2024.101225

Composed by AI from the published abstract and checked against it. How Briefs are made →

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