Prognosis of patients with nonspecific electrocardiogram findings in a Tanzanian emergency department
Authors' conclusion
Certain nonspecific ECG findings are associated with increased risk of 30-day mortality.
Study context
- Population
- Patients presenting with chest pain or shortness of breath to an ED in Moshi, Tanzania, January 2019–January 2023
- Participants
- 1,111 patients
- Exposure
- Nonspecific electrocardiogram (ECG) findings vs their absence
- Outcome
- 30-day mortality
- Follow-up
- 30 days
Methodological detailssingle-centre, Two independent adjudicators interpreted ECGs using standardized criteria
- Single-centre
- Two independent adjudicators interpreted ECGs using standardized criteria
Main finding
As reported in the abstract
30-day mortality by ECG finding
Estimate (95% CI)P value
T-wave inversionsadjusted for age and gender
aOR 1.60(1.19–2.15)
P = 0.002Resting tachycardiaadjusted for age and gender
aOR 1.57(1.16–2.13)
P = 0.003Non-sinus rhythmsadjusted for age and gender
aOR 1.93(1.26–2.96)
P = 0.003ST depressionsadjusted for age and gender
aOR 1.73(1.17–2.56)
P = 0.006Abnormal ECGvs Normal ECGany abnormal ECG finding
OR 1.53(1.08–2.21)
P = 0.019- Overall 30-day mortality
- 231 (20.8%)
Observational data: associations, not effects.
Original publication
Prognosis of patients with nonspecific electrocardiogram findings in a Tanzanian emergency department. Am Heart J. Published 19 December 2024. doi:10.
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