Kobza Richard, Toggweiler Stefan, Dillier Roger, Abächerli Roger, Cuculi Florim, Frey Franz, Schmid Johann Jakob, Erne Paul
Division of Cardiology, Luzerner Kantonsspital, Luzern, Switzerland.
Pacing Clin Electrophysiol. 2011 Aug;34(8):949-53. doi: 10.1111/j.1540-8159.2011.03085.x. Epub 2011 Mar 31.
Sudden cardiac death can be the first clinical presentation of asymptomatic ventricular preexcitation. Recent data about prevalence of preexcitation in the electrocardiograms (ECG) of the general population are scarce.
The aim of the present study was to analyze the prevalence of preexcitation in a contemporary population of young conscripts.
We reanalyzed all consecutive ECGs of Swiss citizens who underwent conscription for the army between March 1, 2004, and July 31,2006. All ECGs with the diagnosis preexcitation were included in the present study.
We analyzed ECGs of 41,699 male conscripts. Mean age was 19.2 ± 1.1 years. Preexcitation was found in 53 individuals. The length of the delta wave was 46 ± 10 ms. The most frequent localization of the accessory pathway was the left free wall.
The prevalence of preexcitation in young, predominantly male conscripts is 0.13%. This is comparable with previous findings in children.
心脏性猝死可能是无症状性心室预激的首发临床表现。目前关于普通人群心电图(ECG)中预激患病率的资料较少。
本研究旨在分析当代年轻应征入伍者中预激的患病率。
我们重新分析了2004年3月1日至2006年7月31日期间所有连续接受征兵体检的瑞士公民的心电图。本研究纳入了所有诊断为预激的心电图。
我们分析了41699名男性应征入伍者的心电图。平均年龄为19.2±1.1岁。53人发现有预激。δ波时长为46±10毫秒。旁路最常见的定位是左游离壁。
年轻的、以男性为主的应征入伍者中预激的患病率为0.13%。这与先前儿童中的研究结果相当。