Abstract:
BACKGROUND:Displacement of ECG leads can result in unwarranted findings. We assessed the frequency of Brugada-type patterns in athletes when precordial leads were purposely placed upward. METHODS:Four hundred ninety-one collegiate athletes underwent two ECGs: one with standard leads, one with V1 and V2 along the 2nd intercostal space. A positive Brugada-type pattern was defined as ST elevation in V1 or V2 consistent with a Type 1, 2, or 3 pattern in the high-lead ECG. A control group was comprised of 181 outpatients. RESULTS:No Type 1 patterns were seen. In 58 athletes (11.8%), a Brugada-type 2 or 3 pattern was observed. Those with Brugada-type 2 or 3 patterns were more likely male, taller, and heavier. In the control group, 18 (9.9%) had Brugada-type 2 or 3 patterns and were more likely male. CONCLUSIONS:Proper lead positioning is essential to avoid unwarranted diagnosis of a Brugada-type ECG, especially in taller, heavier male athletes.
journal_name
J Electrocardioljournal_title
Journal of electrocardiologyauthors
Chung EH,McNeely DE 3rd,Gehi AK,Brickner T,Evans S,Pryski E,Waicus K,Stafford H,Mounsey JP,Schwartz JD,Huang S,Pursell I,Ciocca Mdoi
10.1016/j.jelectrocard.2013.08.014subject
Has Abstractpub_date
2014-01-01 00:00:00pages
1-6issue
1eissn
0022-0736issn
1532-8430pii
S0022-0736(13)00424-Xjournal_volume
47pub_type
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