|
|
|
|
Long-Term Prognosis of Brugada-Type ECG and ECG With Atypical ST-Segment Elevation in the Right Precordial Leads Over 20 Years: Results From the Circulatory Risk in Communities Study (CIRCS)
|
|
|
|
|
|
|
|
نویسنده
|
tsuneoka h. ,takagi m. ,murakoshi n. ,yamagishi k. ,yokoyama y. ,xu d. ,sekiguchi y. ,yamasaki h. ,naruse y. ,ito y. ,igarashi m. ,kitamura a. ,okada t. ,tanigawa t. ,kuga k. ,ohira t. ,tada h. ,aonuma k. ,iso h. ,sankai t. ,umesawa m. ,chei c.-l. ,yokota k. ,tabata m. ,imano h. ,cui r. ,ikeda a. ,noda h. ,ikehara s. ,muraki i. ,shimizu y. ,ishikawa y. ,kiyama m. ,nakamura m. ,maeda k. ,ido m. ,konishi m. ,shimamoto t. ,iida m. ,komachi y. ,sato s. ,naito y. ,ozawa h. ,saito i. ,sakurai s. ,hitsumoto s. ,yao m.
|
|
منبع
|
journal of the american heart association - 2016 - دوره : 5 - شماره : 8
|
|
چکیده
|
Background: brugada syndrome is recognized as being associated with sudden cardiac death; however,the prevalence of non-type 1 brugada-type ecg (brs) or atypical st-segment elevation in the right precordial leads (sterp) and the long-term prognosis for those patients remain unknown. methods and results: we analyzed standard 12-lead ecgs of 7178 apparently healthy participants (age range 40-64 years) who underwent health checkups from 1982 to 1986 in the circulatory risk in communities study,a prospective,large,community-based cohort study in japan. ecgs with j point amplitude ≥0.2 mv in the right precordial leads were divided into 3 groups: (1) type 1 brs,(2) type 2 or 3 brs (non-type 1 brs),and (3) sterp. the others served as the non-st-segment elevation group. we identified 8 participants (0.1%) with type1 brs,84 (1.2%) with non-type 1 brs,and 228 (3.2%) with sterp. during a median follow-up of 18.7 years (133 987.0 person-years),sudden cardiac death was observed in no participants (0.0%) with type 1 brs,in 1 (1.2%) with non-type 1 brs,in 7 (3.1%) with sterp,and in 50 (0.7%) with non-st-segment elevation. participants with sterp had a markedly elevated risk of sudden cardiac death (multivariable hazard ratio 3.9,95% ci 1.7-9.0). conclusions: sterp was associated with an elevated risk of sudden cardiac death in a middle-aged population. © 2016 the authors. published on behalf of the american heart association,inc.,by wiley blackwell.
|
|
کلیدواژه
|
Brugada syndrome; Electrocardiography; Epidemiology; Prognosis; Sudden cardiac death
|
|
آدرس
|
cardiovascular division,faculty of medicine,university of tsukuba,ibaraki, Japan, department of cardiovascular medicine,osaka city university graduate school of medicine,osaka, Japan, cardiovascular division,faculty of medicine,university of tsukuba,ibaraki, Japan, department of public health medicine,faculty of medicine,university of tsukuba,ibaraki,japan,osaka center for cancer and cardiovascular disease prevention,osaka, Japan, department of cardiovascular medicine,disaster medical center,tokyo, Japan, cardiovascular division,faculty of medicine,university of tsukuba,ibaraki, Japan, cardiovascular division,faculty of medicine,university of tsukuba,ibaraki, Japan, cardiovascular division,faculty of medicine,university of tsukuba,ibaraki, Japan, cardiovascular division,faculty of medicine,university of tsukuba,ibaraki, Japan, cardiovascular division,faculty of medicine,university of tsukuba,ibaraki, Japan, cardiovascular division,faculty of medicine,university of tsukuba,ibaraki, Japan, osaka center for cancer and cardiovascular disease prevention,osaka,japan,osaka medical center for health science and promotion,osaka, Japan, osaka center for cancer and cardiovascular disease prevention,osaka,japan,osaka medical center for health science and promotion,osaka, Japan, department of public health,juntendo university graduate school of medicine,tokyo,japan,ehime university,töon, Japan, cardiovascular division,faculty of medicine,university of tsukuba,ibaraki, Japan, public health,department of social medicine,osaka university graduate school of medicine,osaka,japan,osaka university,suita, Japan, cardiovascular division,faculty of medicine,university of tsukuba,ibaraki, Japan, cardiovascular division,faculty of medicine,university of tsukuba,ibaraki, Japan, public health,department of social medicine,osaka university graduate school of medicine,osaka,japan,osaka university,suita, Japan, university of tsukuba,tsukuba, Japan, university of tsukuba,tsukuba, Japan, university of tsukuba,tsukuba, Japan, university of tsukuba,tsukuba, Japan, university of tsukuba,tsukuba, Japan, osaka university,suita, Japan, osaka university,suita, Japan, osaka university,suita, Japan, osaka university,suita, Japan, osaka university,suita, Japan, osaka university,suita, Japan, osaka university,suita, Japan, osaka medical center for health science and promotion,osaka, Japan, osaka medical center for health science and promotion,osaka, Japan, osaka medical center for health science and promotion,osaka, Japan, osaka medical center for health science and promotion,osaka, Japan, osaka medical center for health science and promotion,osaka, Japan, osaka medical center for health science and promotion,osaka, Japan, osaka medical center for health science and promotion,osaka, Japan, osaka medical center for health science and promotion,osaka, Japan, osaka medical center for health science and promotion,osaka, Japan, chiba prefectural institute of public health,chiba, Japan, mukogawa women's university,nishinomiya, Japan, senri-kinran university,suita, Japan, ehime university,töon, Japan, ehime university,töon, Japan, ehime university,töon, Japan, ranryoen hospital,ibaraki, Japan
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Authors
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|