Evidence map›Paper›PMID 41773203›Full record

ArticleHealth science reports2026

The Prognostic Ability of ECG Findings in Predicting Cardiovascular Events: A Five-Year Nested Case-Cohort Study in an Iranian Population (Shiraz Heart Study).

Seyed Alireza Mirhosseini, Pouria Azami, Raziye Saeedizade, Mehrab Sayadi, Mahya Beykihosseinabadi, Mohammad Keshavarz, Masood Dindari Parizi, Mahsa Borjzadehgashtaseb, Mohammadjavad Nobakhti, Armin Attar and 1 more

Abstract read
In one paragraph

Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Seyed Alireza MirhosseiniCardiovascular Research Center, School of Medicine Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0009-0000-3920-8640
Pouria AzamiCardiovascular Research Center, School of Medicine Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0000-0001-8563-6005
Raziye SaeedizadeSchool of Medicine Shiraz University of Medical Sciences Shiraz Iran.
Mehrab SayadiCardiovascular Research Center, School of Medicine Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0000-0003-2575-790X
Mahya BeykihosseinabadiSchool of Medicine Qazvin University of Medical Sciences Qazvin Iran.
Mohammad KeshavarzSchool of Medicine Shiraz University of Medical Sciences Shiraz Iran.
Masood Dindari PariziSchool of Medicine Shiraz University of Medical Sciences Shiraz Iran.
Mahsa BorjzadehgashtasebSchool of Medicine Shiraz University of Medical Sciences Shiraz Iran.
Mohammadjavad NobakhtiSchool of Medicine Shiraz University of Medical Sciences Shiraz Iran.
Armin AttarSchool of Medicine Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0000-0002-4133-4870
MohammadJavad ZibaeenezhadCardiovascular Research Center, School of Medicine Shiraz University of Medical Sciences Shiraz Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Electrocardiographic (ECG) markers may provide incremental prognostic value for cardiovascular disease (CVD) events beyond traditional ASCVD risk scores. This study aimed to evaluate the association between baseline ECG parameters and the incidence of cardiovascular events over 5 years in a nested case-control cohort. Methods: We analyzed 442 participants from the Shiraz Heart Study, including 221 individuals who experienced CVD events and 221 ASCVD risk-matched event-free controls. Detailed ECG parameters and clinical variables were evaluated. Multivariable logistic regression, including a prespecified 22-variable model and LASSO penalized regression, was used to identify independent ECG predictors. Model performance was assessed using bootstrap-corrected area under the curve (AUC). Results: In multivariable analyses, ST-segment coving (OR 7.57, 95% CI 2.09-27.4, Conclusion: Baseline ECG parameters provide independent prognostic information for cardiovascular events beyond traditional ASCVD risk factors. These findings highlight the potential of ECG markers to enhance risk stratification, although external validation in larger and diverse populations is warranted before clinical implementation.

Indexed as

atherosclerotic cardiovascular diseasecardiovascular eventselectrocardiography risk score

Identifiers

PMID41773203
PMCPMC12949821

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.