首页> 外文期刊>The Egyptian Heart Journal >Prevalence of early repolarization pattern and its association with sudden cardiac death and arrhythmia over one-year follow-up in an Egyptian cohort
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Prevalence of early repolarization pattern and its association with sudden cardiac death and arrhythmia over one-year follow-up in an Egyptian cohort

机译:在埃及队列中进行了为期一年的随访,早期复极化的发生率及其与心源性猝死和心律不齐的关联

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Background and objectivesEarly repolarization pattern (ERP) is not uncommon electrocardiography (ECG) finding and could be associated with arrhythmia and sudden cardiac death (SCD). We aimed to prospectively determine the prevalence of ERP and its association with arrhythmia and SCD during one-year follow-up in an outpatient Egyptian cohort.MethodsClinical assessment and ECG were performed to 1850 consecutive individuals presented at the outpatient clinic of Suez Canal University Hospital (SCUH). Then, the ERP group and 100 age and gender-matched ERP ?ve controls had undergone echocardiography, 24-h Holter ECG and exercise stress ECG.ResultsERP was found in 124 individuals (6.7%); we excluded 24 patients with structural heart disease. ERP group (No.?=?100) were relatively young (80% <50?years-old) and showed male preponderance (60%). ERP frequencies were: inferolateral (50%), antero-lateral (38%), inferior (10%), and global (2%). ERP subjects were leaner than controls (BMI was 25.3 vs. 30?kg/m2, P value?
机译:背景与目的早期复极模式(ERP)在心电图(ECG)中并不罕见,并且可能与心律不齐和心源性猝死(SCD)相关。我们旨在前瞻性确定埃及门诊患者在一年的随访期间ERP的患病率及其与心律失常和SCD的相关性。方法对在苏伊士运河大学医院门诊就诊的1850例连续患者进行临床评估和ECG( SCUH)。然后,对ERP组和100个年龄和性别相匹配的ERP 5对照组进行了超声心动图,24小时动态心电图和运动应激心电图。结果ERP在124人中被发现(6.7%)。我们排除了24例结构性心脏病患者。 ERP组(编号== 100)相对年轻(80%<50岁),男性占优势(60%)。 ERP频率为:下外侧(50%),外侧(38%),下(10%)和整体(2%)。 ERP受试者比对照组更苗条(BMI为25.3 vs. 30?kg / m2,P值 0.001),并且在压力ECG上获得了更多的代谢当量(METS)(10.7 vs. 8.5 METS,P值 0.01)。 。 ERP组中只有4%的患者具有水平/下降的ST斜率,而8%的患者ST升高≥2µms。两组在1年的随访中均未报告心律失常或SCD。回归分析表明,男性,Sokolow-Lyon标准和QTc短是ERP的重要独立预测因素,P值均<0.05。结论在门诊埃及人群中,ERP的患病率为6.7%,主要是下外侧型。我们的ERP受试者具有恶性ERP的低风险临床和心电图标准。需要进一步的流行病学研究来探索ERP的自然史。

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