在无症状的上埃及人群中,高心脏前指导电心电图的定期实践的收益率,考虑到布鲁加达模式,这是一个横截面研究
Alaa Rashad Ali1, Mahmoud Abdelsabour1, Salah Atta2
1Department of Cardiovascular Medicine, Assiut University Hospitals, Assiut, Egypt.
概括
在无症状个体中,高前性心电图线索检测到的布鲁加达型心电图模式 (BTEPs) 比标准线索更多. 这些BTEP与短期心律失常有关,强调了高级心电图在风险评估中的实用性.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 公共卫生 公共卫生
背景情况:
- 布鲁加达型心电图图案 (BTEPs) 与心脏突然死亡风险增加有关.
- 在无症状人群中,特别是上埃及人群中,BTEPs的流行率和心律失常结果需要进一步调查.
- 标准的12导心电图可能低估了BTEP的患病率.
研究的目的:
- 确定来自上埃及的无症状个体中布鲁加达型心电图模式 (BTEPs) 的患病率.
- 为了比较标准与高前卫心电图的诊断产量,用于BTEPs检测.
- 评估BTEPs的个人中短期心律失常的结果.
主要方法:
- 一项涉及318名无症状参与者的横截面研究.
- 使用标准的12导线和高前导线 (V1-V2在第2个肋间间空间) 的心电图记录.
- 基于特定的β角,基底长度和基底宽度标准的BTEP识别.
- 在12个月内对阳性病例进行临床随访,心声学和霍尔特监测.
主要成果:
- 与标准心电图 (0.63%) (p=0.041) 相比,检测到高前线 (2.52%) 的BTEPs的流行率更高 (p=0.041).
- 所有确定的病例均为男性;在随访期间,87.5%的患者经历了记录的心律失常,包括SVT,非持续性静脉动脉和AV阻塞.
- 没有报告突发心脏病死亡的家族病史;发现与国际数据一致.
结论:
- 在上埃及人中常规使用高先线有效地检测到布鲁加达模式,与全球发现相似.
- 具有II型和III型布鲁加达模式的无症状个体可以表现出不同的心律失常表现.
- 由于样本规模小,随访时间短,初步发现需要进行更大规模的研究.
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