Author + information
- Massimo Mancone,
- Alessandra D'Ambrosi,
- Francesco Adamo,
- Antonio Fusto,
- Ilaria Mancini,
- Azzurra Marceca,
- Maria Chiara Gatto,
- Laura Marruncheddu,
- Giuseppe Giunta and
- Francesco Fedele
In the Italian population (<35years old), sudden cardiac death (SCD) incidence is 1000/Year. Only the young competitive athletes are routinely screened in order to prevent SCD. The aim of our study, performing an electrocardiographic screening in high school students (16-20 years old), is to estimate the prevalence of abnormal electrocardiographic findings and in particular identifying the young at risk of SCD.
From October 2010 to October 2012 we enrolled 10019 young students, from 16 to 20 years old (median age 18,2 ±0,8SD years). Students with known heart disease were excluded. All students underwent to electrocardiographic (EKG) evaluation. All EKGs were transmitted to the reporting center for the off-line analysis.
The EKG analysis showed in 21,2% of the students (2124, 958 males and 1166 females) the presence of a pathologic EKG: supraventricular arrhythmias 3,25 %; ventricular arrhythmias 1,08 %; atrio-Ventricular Block 0,91 %; fascicular block 4,50 %; right / left bundle branch block 1,55 %; ventricular pre-excitation 3,69 %; atrial enlargement 0,98 %; long / short QT 0,61 %; ventricular repolarization anomalies 4,50%; Signs of left ventricular hypertrophy 0,47%; junctional rhythm 0,07%; Coronary Sinus Rhythm 0,22%; Brugada EKG pattern 2,09%.
In our observational study an high percent of students presented a pathologic ECG(21,2%). In our knowledge, this is the first prospective observational study to estimate the prevalence of pathologic ECG in a young general healthy population. The follow-up analysis will explain the clinical significance of these findings.
Moderated Poster Contributions
Poster Sessions, Expo North
Saturday, March 09, 2013, 10:00 a.m.-10:45 a.m.
Session Title: Prevention: Sudden Cardiac Death Prevention
Abstract Category: 24. Prevention: Clinical
Presentation Number: 1101M-9
- 2013 American College of Cardiology Foundation