Normal limits of the electrocardiogram in Nigerians

J Electrocardiol. 2013 Jul-Aug;46(4):289-95. doi: 10.1016/j.jelectrocard.2013.04.002. Epub 2013 May 20.

Abstract

Background: There has been no large study of ECG measures derived by automated methods in an apparently healthy indigenous West African population.

Methods: ECGs were recorded from apparently healthy Nigerians and analysed using automated methods. Age and sex based normal ranges were then established.

Results: A total of 782 males and 479 females aged between 20 and 87years were studied. Mean QRS duration in males was 87.9±9.4ms and 83.4±7.6ms in females (P<.0001). Mean QTc (Hodges) was 393±16ms in males and 406±16ms in females (P<.0001). The Cornell index (SV3+RaVL) was higher in males and decreased with increasing age in males though the reverse was true in females (P<.0001). STj amplitude was lower in older compared to younger males and higher in males.

Conclusion: This is the first large study of automated ECG measurements from healthy blacks living in West Africa which allows the determination of ECG normal limits in such a population.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Diagnosis, Computer-Assisted / standards*
  • Diagnosis, Computer-Assisted / statistics & numerical data*
  • Electrocardiography / standards*
  • Electrocardiography / statistics & numerical data*
  • Female
  • Heart Conduction System / physiology*
  • Heart Rate / physiology*
  • Humans
  • Male
  • Middle Aged
  • Nigeria / epidemiology
  • Reference Values