Prevalence of Electrocardiographic Findings Suggestive of Sudden Cardiac Death Risk in 10,867 Apparently Healthy Young Korean Men

Title
Prevalence of Electrocardiographic Findings Suggestive of Sudden Cardiac Death Risk in 10,867 Apparently Healthy Young Korean Men
Author(s)
신동구엄재선[엄재선]황일웅[황일웅]오용석[오용석]최민석[최민석]장성원[장성원]신우승[신우승]김지훈[김지훈]이만영[이만영]Tai-Ho Rho[Tai-Ho Rho]김유호[김유호]성정훈[성정훈]이영수[이영수]조정관[조정관]오동진[오동진]김대경[김대경]공준남[공준남]박경민[박경민]김용훈[김용훈]김윤년[김윤년]임홍의[임홍의]차태준[차태준]온영근[온영근]박희남[박희남]김남호[김남호]
Keywords
BRUGADA-TYPE ECG; ST-SEGMENT ELEVATION; BUNDLE-BRANCH BLOCK; OF-CARDIOLOGY; POPULATION; PREVENTION; STATEMENT; CRITERIA; PATTERN
Issue Date
201106
Publisher
WILEY-BLACKWELL
Citation
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, v.34, no.6, pp.717 - 723
Abstract
Methods: We administered questionnaires that elicited personal and family histories and performed ECGs on 10,867 male subjects (mean age, 20.9 years). The subjects with abnormal ECG findings underwent echocardiography, a treadmill test, Holter monitoring, a flecainide provocation test, or an electrophysiologic study (EPS) according to the ECG findings and histories. Results: Of the subjects, 5.95% had left ventricular hypertrophy on ECG, but no subjects had hypertrophic cardiomyopathy by echocardiography. The percentage of subjects with a Brugada ECG pattern was 0.90%. We identified one subject with a positive result on the flecainide provocation test. The percentage of subjects with a preexcitation ECG was 0.17%. In two of the subjects, supraventricular tachycardia was induced in the EPS. Of the subjects, 0.05% had epsilon waves, but there were no subjects with arrhythmogenic right ventricular dysplasia/cardiomyopathy by echocardiography. The percentage of subjects with long QT intervals was 0.02%, but there were no arrhythmias on the treadmill test or Holter monitoring. Conclusions: The prevalence of a Brugada ECG pattern in apparently healthy young men is higher in Korea than other countries. (PACE 2011; 1-7).
URI
http://hdl.handle.net/YU.REPOSITORY/25074http://dx.doi.org/10.1111/j.1540-8159.2010.03024.x
ISSN
0147-8389
Appears in Collections:
의과대학 > 내과학교실 > Articles
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