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Prevalence of the Brugada-type ECG recorded from higher intercostal spaces in healthy Korean males.
Authors:Seung Chul Shin  Hyeon Min Ryu  Jang Hoon Lee  Byoung Jin Chang  Jae Kook Shin  Hyung Seop Kim  Jung Ho Heo  Dong Heon Yang  Hun Sik Park  Yongkeun Cho  Shung Chull Chae  Jae Eun Jun  Wee Hyun Park
Institution:Department of Internal Medicine, Kyungpook National University Hospital, Taegu, Korea.
Abstract:BACKGROUND: Electrocardiograms (ECGs) recorded from the higher intercostal spaces (ICSs) are reported to be helpful for the diagnosis of Brugada syndrome (BS). However, the prevalence of Brugada-type ECG changes recorded from the higher ICSs is unknown in the healthy Korean population. METHODS AND RESULTS: A total of 225 healthy Korean male subjects with a mean age of 44+/-13 (20-69) years with no syncope or family history of sudden death were enrolled in the present study. ECGs were taken from 4th, 3rd, and 2nd ICSs and examined for Brugada-type ECG changes. There were none on the routine 12-lead ECGs, but 3 (1.3%) of the 225 subjects had a Brugada-type ECG recorded from the higher ICSs and 1 of them had a Brugada-type ECG recorded at both the 2nd and 3rd ICSs. The prevalence of the Brugada-type ECG was 1.3% at the 3rd ICS, 0.4% at the 2nd ICS. All were type 2. CONCLUSION: Some healthy Korean males with normal routine ECGs show Brugada-type 2 changes on ECGs recorded from higher ICSs.
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