Correlations between Resting Electrocardiogram Findings and Disease Profiles: Insights from the Qatar Biobank Cohort

<h3>Background</h3><p dir="ltr">Resting electrocardiogram (ECG) is a valuable non-invasive diagnostic tool used in clinical medicine to assess the electrical activity of the heart while the patient is resting. Abnormalities in ECG may be associated with clinical biomarker...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Fatima Qafoud (14778571) (author)
مؤلفون آخرون: Khalid Kunji (828224) (author), Mohamed Elshrif (19326013) (author), Asma Althani (193235) (author), Amar Salam (19326016) (author), Jassim Al Suwaidi (284932) (author), Dawood Darbar (181657) (author), Nidal Asaad (284935) (author), Mohamad Saad (214545) (author)
منشور في: 2024
الموضوعات:
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author Fatima Qafoud (14778571)
author2 Khalid Kunji (828224)
Mohamed Elshrif (19326013)
Asma Althani (193235)
Amar Salam (19326016)
Jassim Al Suwaidi (284932)
Dawood Darbar (181657)
Nidal Asaad (284935)
Mohamad Saad (214545)
author2_role author
author
author
author
author
author
author
author
author_facet Fatima Qafoud (14778571)
Khalid Kunji (828224)
Mohamed Elshrif (19326013)
Asma Althani (193235)
Amar Salam (19326016)
Jassim Al Suwaidi (284932)
Dawood Darbar (181657)
Nidal Asaad (284935)
Mohamad Saad (214545)
author_role author
dc.creator.none.fl_str_mv Fatima Qafoud (14778571)
Khalid Kunji (828224)
Mohamed Elshrif (19326013)
Asma Althani (193235)
Amar Salam (19326016)
Jassim Al Suwaidi (284932)
Dawood Darbar (181657)
Nidal Asaad (284935)
Mohamad Saad (214545)
dc.date.none.fl_str_mv 2024-01-03T03:00:00Z
dc.identifier.none.fl_str_mv 10.3390/jcm13010276
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Correlations_between_Resting_Electrocardiogram_Findings_and_Disease_Profiles_Insights_from_the_Qatar_Biobank_Cohort/26491150
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Health sciences
Health services and systems
ECG
arrythmia
risk scores
Qatar Biobank
type 2 diabetes
cardiovascular diseases
Middle East
diverse populations
dc.title.none.fl_str_mv Correlations between Resting Electrocardiogram Findings and Disease Profiles: Insights from the Qatar Biobank Cohort
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">Resting electrocardiogram (ECG) is a valuable non-invasive diagnostic tool used in clinical medicine to assess the electrical activity of the heart while the patient is resting. Abnormalities in ECG may be associated with clinical biomarkers and can predict early stages of diseases. In this study, we evaluated the association between ECG traits, clinical biomarkers, and diseases and developed risk scores to predict the risk of developing coronary artery disease (CAD) in the Qatar Biobank. Methods: This study used 12-lead ECG data from 13,827 participants. The ECG traits used for association analysis were RR, PR, QRS, QTc, PW, and JT. Association analysis using regression models was conducted between ECG variables and serum electrolytes, sugars, lipids, blood pressure (BP), blood and inflammatory biomarkers, and diseases (e.g., type 2 diabetes, CAD, and stroke). ECG-based and clinical risk scores were developed, and their performance was assessed to predict CAD. Classical regression and machine-learning models were used for risk score development. Results: Significant associations were observed with ECG traits. RR showed the largest number of associations: e.g., positive associations with bicarbonate, chloride, HDL-C, and monocytes, and negative associations with glucose, insulin, neutrophil, calcium, and risk of T2D. QRS was positively associated with phosphorus, bicarbonate, and risk of CAD. Elevated QTc was observed in CAD patients, whereas decreased QTc was correlated with decreased levels of calcium and potassium. Risk scores developed using regression models were outperformed by machine-learning models. The area under the receiver operating curve reached 0.84 using a machine-learning model that contains ECG traits, sugars, lipids, serum electrolytes, and cardiovascular disease risk factors. The odds ratio for the top decile of CAD risk score compared to the remaining deciles was 13.99. Conclusions: ECG abnormalities were associated with serum electrolytes, sugars, lipids, and blood and inflammatory biomarkers. These abnormalities were also observed in T2D and CAD patients. Risk scores showed great predictive performance in predicting CAD.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Clinical Medicine<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/jcm13010276" target="_blank">https://dx.doi.org/10.3390/jcm13010276</a></p>
eu_rights_str_mv openAccess
id Manara2_f7efb637eaf470d6326c41f17cd306ce
identifier_str_mv 10.3390/jcm13010276
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/26491150
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spelling Correlations between Resting Electrocardiogram Findings and Disease Profiles: Insights from the Qatar Biobank CohortFatima Qafoud (14778571)Khalid Kunji (828224)Mohamed Elshrif (19326013)Asma Althani (193235)Amar Salam (19326016)Jassim Al Suwaidi (284932)Dawood Darbar (181657)Nidal Asaad (284935)Mohamad Saad (214545)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesHealth sciencesHealth services and systemsECGarrythmiarisk scoresQatar Biobanktype 2 diabetescardiovascular diseasesMiddle Eastdiverse populations<h3>Background</h3><p dir="ltr">Resting electrocardiogram (ECG) is a valuable non-invasive diagnostic tool used in clinical medicine to assess the electrical activity of the heart while the patient is resting. Abnormalities in ECG may be associated with clinical biomarkers and can predict early stages of diseases. In this study, we evaluated the association between ECG traits, clinical biomarkers, and diseases and developed risk scores to predict the risk of developing coronary artery disease (CAD) in the Qatar Biobank. Methods: This study used 12-lead ECG data from 13,827 participants. The ECG traits used for association analysis were RR, PR, QRS, QTc, PW, and JT. Association analysis using regression models was conducted between ECG variables and serum electrolytes, sugars, lipids, blood pressure (BP), blood and inflammatory biomarkers, and diseases (e.g., type 2 diabetes, CAD, and stroke). ECG-based and clinical risk scores were developed, and their performance was assessed to predict CAD. Classical regression and machine-learning models were used for risk score development. Results: Significant associations were observed with ECG traits. RR showed the largest number of associations: e.g., positive associations with bicarbonate, chloride, HDL-C, and monocytes, and negative associations with glucose, insulin, neutrophil, calcium, and risk of T2D. QRS was positively associated with phosphorus, bicarbonate, and risk of CAD. Elevated QTc was observed in CAD patients, whereas decreased QTc was correlated with decreased levels of calcium and potassium. Risk scores developed using regression models were outperformed by machine-learning models. The area under the receiver operating curve reached 0.84 using a machine-learning model that contains ECG traits, sugars, lipids, serum electrolytes, and cardiovascular disease risk factors. The odds ratio for the top decile of CAD risk score compared to the remaining deciles was 13.99. Conclusions: ECG abnormalities were associated with serum electrolytes, sugars, lipids, and blood and inflammatory biomarkers. These abnormalities were also observed in T2D and CAD patients. Risk scores showed great predictive performance in predicting CAD.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Clinical Medicine<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/jcm13010276" target="_blank">https://dx.doi.org/10.3390/jcm13010276</a></p>2024-01-03T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3390/jcm13010276https://figshare.com/articles/journal_contribution/Correlations_between_Resting_Electrocardiogram_Findings_and_Disease_Profiles_Insights_from_the_Qatar_Biobank_Cohort/26491150CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/264911502024-01-03T03:00:00Z
spellingShingle Correlations between Resting Electrocardiogram Findings and Disease Profiles: Insights from the Qatar Biobank Cohort
Fatima Qafoud (14778571)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Health sciences
Health services and systems
ECG
arrythmia
risk scores
Qatar Biobank
type 2 diabetes
cardiovascular diseases
Middle East
diverse populations
status_str publishedVersion
title Correlations between Resting Electrocardiogram Findings and Disease Profiles: Insights from the Qatar Biobank Cohort
title_full Correlations between Resting Electrocardiogram Findings and Disease Profiles: Insights from the Qatar Biobank Cohort
title_fullStr Correlations between Resting Electrocardiogram Findings and Disease Profiles: Insights from the Qatar Biobank Cohort
title_full_unstemmed Correlations between Resting Electrocardiogram Findings and Disease Profiles: Insights from the Qatar Biobank Cohort
title_short Correlations between Resting Electrocardiogram Findings and Disease Profiles: Insights from the Qatar Biobank Cohort
title_sort Correlations between Resting Electrocardiogram Findings and Disease Profiles: Insights from the Qatar Biobank Cohort
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Health sciences
Health services and systems
ECG
arrythmia
risk scores
Qatar Biobank
type 2 diabetes
cardiovascular diseases
Middle East
diverse populations