通过远程心电图筛查评估了一大批意大利无症状非竞技运动员的不同预激模式：发病率和心电图特征

IF 2.5 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

IJC Heart and Vasculature Pub Date : 2024-11-12 DOI:10.1016/j.ijcha.2024.101553

Martina Molinari , Sergio Setti , Natale Daniele Brunetti , Nicola Di Nunno , Maria Alberta Cattabiani , Giuseppe Molinari

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引用次数: 0

摘要

背景电话心电图已被证明是在多种情况下进行心电图筛查的有效且经济的工具，可在短时间内对大量受试者进行评估，即使是非竞技运动员（NCA）也不例外。研究目的评估并详细说明沃尔夫-帕金森-怀特（WPW）综合征在意大利年轻 NCA 大样本中的患病率。方法在 4 年时间里，216,424 名连续的 NCA（118,851 名男性；55%）通过远程心电图系统接受了赛前心电图筛查。位于意大利各地的 "辐射 "中心网络记录并发送心电图；位于热那亚的 "枢纽 "中心接收并反馈心电图，进行数字存储和分析。结果在 216424 名 NCA 中，88 人（平均年龄：14 ± 8）在心电图分析时出现 WPW 预激（55 名男性，占 62.5%）；该人群中 WPW 预激的发生率为每 10,000 名 NCA 中 4.1 例。没有发现明显的性别差异。10-15岁年龄组的发病率最高（29种WPW模式），男女比例相同（男/女：16/13）。结论在一大群年轻的 NCA 中，远程医疗远程筛查中心电图预激的发生率为万分之 4.1；在 9% 的心电图预激 NCA 中发现了间歇性预激。

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Different patterns of pre-excitation in a large Italian cohort of asymptomatic non-competitive athletes evaluated by telecardiology screening: Prevalence and ECG features

Background

Telecardiology has proven to be a useful and cost-effective tool for ECG screening in several contexts, allowing the evaluation of large cohorts of subjects in a short time, even for non-competitive athletes (NCA).

Aim of the study

To evaluate and detail the prevalence of the Wolff-Parkinson-White (WPW) syndrome in a large Italian cohort of young NCA.

Methods

In a 4-year period 216,424 consecutive NCA (118,851 males; 55%) underwent preparticipation ECG screening through a Telecardiology System. ECGs were recorded and sent by a network of ‘spoke’ centers located all over Italy; a ‘hub’ center, located in Genoa, received and reported back on ECGs, digitally stored and analyzed. Only asymptomatic NCA were included in the study.

Results

Out of 216,424 NCA 88 (mean age: 14 ± 8) presented a WPW pre-excitation at ECG analysis (55 males, 62.5 %); the prevalence of WPW pre-excitation in this population was 4.1 per 10,000 NCA. No significant sex-related differences were found. The highest incidence (29 WPW patterns) was observed in the 10–15 year group with an equal sex ratio (M/F:16/13).

Intermittent pre-excitation was found in 8 NCAs. The most frequent accessory pathway locations were right antero-septal (25.0%), mid-septal (21.6%) and postero-septal (13.6%).

Conclusions

In a large population of young NCA the prevalence of ECG pre-excitation at telemedicine remote screening was 4.1 per 10,000; intermittent pre-excitation was found in 9% of NCA with ECG pre-excitation.

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来源期刊

IJC Heart and Vasculature Medicine-Cardiology and Cardiovascular Medicine

CiteScore

4.90

自引率

10.30%

发文量

216

审稿时长

56 days

期刊介绍： IJC Heart & Vasculature is an online-only, open-access journal dedicated to publishing original articles and reviews (also Editorials and Letters to the Editor) which report on structural and functional cardiovascular pathology, with an emphasis on imaging and disease pathophysiology. Articles must be authentic, educational, clinically relevant, and original in their content and scientific approach. IJC Heart & Vasculature requires the highest standards of scientific integrity in order to promote reliable, reproducible and verifiable research findings. All authors are advised to consult the Principles of Ethical Publishing in the International Journal of Cardiology before submitting a manuscript. Submission of a manuscript to this journal gives the publisher the right to publish that paper if it is accepted. Manuscripts may be edited to improve clarity and expression.