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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 
Authors
 JAE-SUN UHM ; IL-UNG HWANG ; NAM-HO KIM ; HUI-NAM PAK ; DONG-GU SHIN ; YOUNG-KEUN ON ; TAE-JOON CHA ; HONG-EUY LIM ; YOON-NYUN KIM ; YONG-HOON KIM ; KYOUNG-MIN PARK ; JUNE NAMGUNG ; DAE-KYEONG KIM ; DONG-JIN OH ; JEONG-GWAN CHO ; YOUNG-SOO LEE ; JUNG-HOON SUNG ; YOU-HO KIM ; TAI-HO RHO ; MAN-YOUNG LEE ; JI-HOON KIM ; WOO-SEUNG SHIN ; SUNG-WON JANG ; MIN-SEOK CHOI ; YONG-SEOG OH 
Issue Date
2011
Journal Title
 Pacing and clinical electrophysiology 
ISSN
 0147-8389 
Citation
 PACE - Pacing and Clinical Electrophysiology, Vol.34(6) : 717~723, 2011 
Abstract
BACKGROUND: The objective of this study was to determine the prevalence of electrocardiographic (ECG) findings suggestive of sudden cardiac death risk in apparently healthy young Korean men. 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
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/93819
DOI
10.1111/j.1540-8159.2010.03024.x
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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Link
 http://onlinelibrary.wiley.com/doi/10.1111/j.1540-8159.2010.03024.x/abstract
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