
pmid: 21332562
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. (PACE 2011; 717–723)
Cardiac/epidemiology*, Adult, Male, 610, Risk Assessment, Military Personnel/statistics & numerical data*, Risk Assessment/statistics & numerical data, Reference Values, Risk Factors, 616, Prevalence, Humans, Risk Assessment/methods, Brugada Syndrome, Korea/epidemiology, Korea, Sudden, Survival Analysis, Death, Survival Rate, Death, Sudden, Cardiac, Military Personnel, Brugada Syndrome/epidemiology*
Cardiac/epidemiology*, Adult, Male, 610, Risk Assessment, Military Personnel/statistics & numerical data*, Risk Assessment/statistics & numerical data, Reference Values, Risk Factors, 616, Prevalence, Humans, Risk Assessment/methods, Brugada Syndrome, Korea/epidemiology, Korea, Sudden, Survival Analysis, Death, Survival Rate, Death, Sudden, Cardiac, Military Personnel, Brugada Syndrome/epidemiology*
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