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Comparison of Inferolateral Early Repolarization and Its Electrocardiographic Phenotypes in Pre- and Postadolescent Populations

Inferolateral early repolarization (ER) patterns on standard electrocardiogram (ECG) are associated with increased risk for cardiac and arrhythmic death in general adult population cohorts. We sought to determine the prevalence of inferolateral ER on surface ECG in multiracial pre- and postadolescen...

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Bibliographic Details
Published in:The American journal of cardiology 2013-08, Vol.112 (3), p.444-448
Main Authors: Sager, Solomon J., MD, Hoosien, Michael, MD, Junttila, M. Juhani, MD, Tanawuttiwat, Tanyanan, MD, Perry, Arlette C., PhD, Myerburg, Robert J., MD
Format: Article
Language:English
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Summary:Inferolateral early repolarization (ER) patterns on standard electrocardiogram (ECG) are associated with increased risk for cardiac and arrhythmic death in general adult population cohorts. We sought to determine the prevalence of inferolateral ER on surface ECG in multiracial pre- and postadolescent populations and to analyze its association with age, race, gender, and ST-segment patterns. A retrospective review was conducted of all ECGs recorded from preadolescent (aged 8–12 years, n = 719) and postadolescent (aged 21–25 years, n = 755) patients seen at a large academic medical center between January 1, 2009, and December 31, 2010. The overall prevalence of inferolateral ER was similar in the preadolescent and postadolescent populations (17% vs 16%, NS). The prevalence of ER increased after puberty in male patients (16% to 25%, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2013.03.052