التفاصيل البيبلوغرافية
| العنوان: |
Usefulness of Multichannel Holter ECG Recording in the Third Intercostal Space for Detecting Type 1 Brugada ECG: Comparison with Repeated 12-Lead ECGs. |
| المؤلفون: |
SHIMENO, KENJI, TAKAGI, MASAHIKO, MAEDA, KEIKO, TATSUMI, HIROAKI, DOI, ATSUSHI, YOSHIYAMA, MINORU |
| المصدر: |
Journal of Cardiovascular Electrophysiology; Sep2009, Vol. 20 Issue 9, p1026-1031, 6p, 1 Diagram, 2 Charts, 3 Graphs |
| مصطلحات موضوعية: |
MEDICAL research, ELECTROCARDIOGRAPHY, INTERCOSTAL muscles, ELECTRODES, BRUGADA syndrome, DIAGNOSIS |
| مستخلص: |
Introduction: Type 1 Brugada ECG is essential for the diagnosis of Brugada syndrome. We aimed to evaluate the usefulness of multichannel Holter ECG recording in the third intercostal space for detecting type 1 Brugada ECG. Methods and Results: We enrolled 60 consecutive individuals with type 1 Brugada ECG and 31 individuals with type 2 or 3 Brugada ECG, in the presence or absence of Na+ channel blockers. All individuals underwent 12-lead ECGs recorded in the standard position and the third intercostal space at least 5 times every 3 months (4L-ECGs, 3L-ECGs, respectively) and multichannel Holter ECG. On multichannel Holter ECG, the precordial electrodes were attached at standard positions (4L-Holter) and the third intercostal space (3L-Holter) for leads V1 and V2. Among the 60 individuals, type 1 Brugada ECG in 4L-ECGs, 3L-ECGs, 4L-Holter, and 3L-Holter was detected in 15 (25%), 26 (43.3%), 23 (38.3%), and 33 individuals (55%), respectively, whereas detected in none of the 31 individuals. The documented duration of type 1 Brugada ECG on 3L-Holter was significantly longer than that on 4L-Holter (700 ± 467 vs 372 ± 422 min; P = 0.01, 3L-Holter vs 4L-Holter, respectively), and type 1 Brugada ECG was most frequently observed between 6 pm and 12 pm. Neither the presence nor the duration of the appearance of type 1 Brugada ECG differed significantly between symptomatic and asymptomatic individuals. Conclusion: Multichannel Holter ECG recording in the third intercostal space is more sensitive and useful for the diagnosis of type 1 Brugada ECG than repeated 12-lead ECGs or multichannel Holter ECG in the standard position. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
