Tidig repolarisation på EKG - Definitioner, prevalens och prognostisk betydelse.

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Aagaard, Philip (författare)

Sydow, Julia (författare)

Börjesson, Mats, 1965 (författare)

Bergfeldt, Lennart, 1950 (författare): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine

Braunschweig, Frieder (författare)

(creator_code:org_t)

Abstract Ämnesord

Stäng

Early repolarization defined as antero-lateral ST-segment elevation exists in 1-2 % of the general population and has been considered a benign ECG finding for decades. However, early repolarization, defined as infero-lateral J-waves, has in recent studies been associated with an increased - albeit low - risk of sudden and cardiovascular death. This ECG pattern is present in 3-13% of the general population. However, exercise training can induce all types of early repolarization, and the prevalence in the athletic population rises to 20-90%. There is large variability between sports (higher in endurance athletes) and also throughout the season (higher during times of peak fitness). In athletes, early repolarization, regardless of type, is considered benign. In asymptomatic non-athletes, the absolute risk is too low to use this ECG finding in clinical practice. In individuals with J-wave syndrome, on the other hand, ICD implantation should be strongly considered to prevent sudden cardiac death.

Av författaren/redakt...: Aagaard, Philip; Sydow, Julia; Börjesson, Mats, ...; Bergfeldt, Lenna ...; Braunschweig, Fr ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

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