What does this research mean for the field?

Healthy individuals displaying coved or saddle-back ST-segment elevation in the right precordial leads without a family history of sudden cardiac death have a low risk of fatal ventricular arrhythmias. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

August 1, 2003European Heart JournalOpen Access

Proportion and prognosis of healthy people with coved or saddle-back type ST segment elevation in the right precordial leads during 10 years follow-up

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Why the study?

The long-term proportion and prognosis of healthy subjects with right precordial ST segment elevation without family history of sudden death were unclear.

Population

3,339 healthy subjects undergoing periodical medical examination from 1992 to 2001

Comparison

Subjects with coved or saddle-back type ST elevation vs those without such elevation

Design

Longitudinal cohort study with serial ECG follow-up

Follow-up

Median 4 years (IQR 4-8 years)

Authors

MSMasao SakabeCardiovascular Institute Hospital

Discussion

Member takes

Implication

Supports conservative management of incidental Brugada-like ECGs without family history; leaves open need for larger prospective studies on risk stratification.

Structured PICO

Population

3,339 healthy subjects (2,646 male, 693 female) undergoing periodical medical examination from 1992 to 2001. Subgroup of interest: 69 subjects (67 male, 2 female, mean age 47.9) presenting either coved or saddle back type ST segment elevation (>0.2 mV) in the right precordial leads without family history of sudden death.

Outcome

Proportion of coved or saddle-back type ST elevation and risk of fatal arrhythmiashard clinical

Incidental Brugada-like ECG patterns in healthy individuals without a family history of sudden death are rare (1.22%) and associated with a very low risk of fatal arrhythmias.

Cite This Study

Masao Sakabe (2003) studied this question.

synapsesocial.com/papers/6a7da2dc33dcb27c99cb5109 https://doi.org/10.1016/s0195-668x(03)00323-3

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Implication

Supports conservative management of incidental Brugada-like ECGs without family history; leaves open need for larger prospective studies on risk stratification.

Proportion and prognosis of healthy people with coved or saddle-back type ST segment elevation in the right precordial leads during 10 years follow-up

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Proportion and prognosis of healthy people with coved or saddle-back type ST segment elevation in the right precordial leads during 10 years follow-up

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider