کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2967729 | 1178856 | 2014 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Brugada-type patterns are easily observed in high precordial lead ECGs in collegiate athletes Brugada-type patterns are easily observed in high precordial lead ECGs in collegiate athletes](/preview/png/2967729.png)
BackgroundDisplacement of ECG leads can result in unwarranted findings. We assessed the frequency of Brugada-type patterns in athletes when precordial leads were purposely placed upward.MethodsFour hundred ninety-one collegiate athletes underwent two ECGs: one with standard leads, one with V1 and V2 along the 2nd intercostal space. A positive Brugada-type pattern was defined as ST elevation in V1 or V2 consistent with a Type 1, 2, or 3 pattern in the high-lead ECG. A control group was comprised of 181 outpatients.ResultsNo Type 1 patterns were seen. In 58 athletes (11.8%), a Brugada-type 2 or 3 pattern was observed. Those with Brugada-type 2 or 3 patterns were more likely male, taller, and heavier. In the control group, 18 (9.9%) had Brugada-type 2 or 3 patterns and were more likely male.ConclusionsProper lead positioning is essential to avoid unwarranted diagnosis of a Brugada-type ECG, especially in taller, heavier male athletes.
Journal: Journal of Electrocardiology - Volume 47, Issue 1, January–February 2014, Pages 1–6