Table 2. Adjusted 8-year change (95% CI) in QTc interval, QRSc duration, and JTc intervala from baseline to follow-up ECG examination, by lead biomarker concentration at baseline, among participants who were free of IVCD, AVCD, and arrhythmia at baseline ECG. |
Lead biomarker level |
|
n |
|
QTc |
|
QRSc |
|
JTc |
Tibia lead tertile (µg/g) |
|
|
|
|
|
|
|
|
< 16 |
|
191 |
|
Reference |
|
Reference |
|
Reference |
16.0–23 |
|
208 |
|
7.49 (1.22 to 13.75) |
|
0.52 (–3.60 to 4.65) |
|
7.84 (1.23 to 14.45) |
> 23 |
|
195 |
|
7.94 (1.42 to 14.45) |
|
5.94 (1.66 to 10.22) |
|
3.19 (–3.68 to 10.05) |
p for trend test |
|
|
|
0.03 |
|
0.005 |
|
0.52 |
Patella lead tertile (µg/g) |
|
|
|
|
|
|
|
|
< 22 |
|
207 |
|
Reference |
|
Reference |
|
Reference |
22–33 |
|
190 |
|
4.14 (–2.19 to 10.46) |
|
2.87 (–1.02 to 7.33) |
|
0.94 (–5.73 to 7.61) |
> 33 |
|
202 |
|
2.69 (–3.68 to 9.06) |
|
3.16 (–1.34 to 7.07) |
|
0.53 (–6.18 to 7.23) |
p for trend test |
|
|
|
0.45 |
|
0.20 |
|
0.90 |
Blood lead tertile (µg/dL) |
|
|
|
|
|
|
|
|
< 4 |
|
240 |
|
Reference |
|
Reference |
|
Reference |
4–6 |
|
153 |
|
1.72 (–4.94 to 8.38) |
|
2.76 (–1.65 to 7.17) |
|
–0.11 (–7.09 to 6.87) |
> 6 |
|
196 |
|
–3.54 (–9.74 to 2.66) |
|
1.51 (–2.58 to 5.61) |
|
–6.15 (–12.63 to 0.34) |
p for trend test |
|
|
|
0.32 |
|
0.40 |
|
0.08 |
aAdjusted for age (years) and age squared, education (≤ high school, some college, college graduate, or graduate school), smoking (never, former, or current and pack-years), BMI (kg/m2), albumin-adjusted serum calcium (mg/dL), and diabetes status (yes/no) at baseline, as well as years between ECG tests and QT-prolongation drugs (yes/no) at the time of ECG measurement. The measures analysis approach includes participants who did not have a follow-up ECG (see “Materials and Methods”). |