Cited by 54Cardiac electrophysiology and arrhythmiasECG Monitoring and AnalysisCardiac Arrhythmias and Treatments

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Usefulness of multichannel Holter ECG recording in the third intercostal space for detecting type 1 Brugada ECG: Comparison with repeated 12-lead ECGs

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SHIMENO, KENJI, TAKAGI, MASAHIKO, MAEDA, KEIKO, TATSUMI, HIROAKI, DOI, ATSUSHI, YOSHIYAMA, MINORU·2009·Journal of Cardiovascular Electrophysiology

Abstract

Introduction: Type 1 Brugada ECG is essential for the diagnosis of Brugada syndrome. We aimed to evaluate the usefulness of multichannel Holter ECG recording in the third intercostal space for detecting type 1 Brugada ECG. Methods and Results: We enrolled 60 consecutive individuals with type 1 Brugada ECG and 31 individuals with type 2 or 3 Brugada ECG, in the presence or absence of Na+ channel blockers. All individuals underwent 12‐lead ECGs recorded in the standard position and the third intercostal space at least 5 times every 3 months (4L‐ECGs, 3L‐ECGs, respectively) and multichannel Holter ECG. On multichannel Holter ECG, the precordial electrodes were attached at standard positions (4L‐Holter) and the third intercostal space (3L‐Holter) for leads V1 and V2. Among the 60 individuals, type 1 Brugada ECG in 4L‐ECGs, 3L‐ECGs, 4L‐Holter, and 3L‐Holter was detected in 15 (25%), 26 (43.3%), 23 (38.3%), and 33 individuals (55%), respectively, whereas detected in none of the 31 individuals. The documented duration of type 1 Brugada ECG on 3L‐Holter was significantly longer than that on 4L‐Holter (700 ± 467 vs 372 ± 422 min; P = 0.01, 3L‐Holter vs 4L‐Holter, respectively), and type 1 Brugada ECG was most frequently observed between 6 pm and 12 pm. Neither the presence nor the duration of the appearance of type 1 Brugada ECG differed significantly between symptomatic and asymptomatic individuals. Conclusion: Multichannel Holter ECG recording in the third intercostal space is more sensitive and useful for the diagnosis of type 1 Brugada ECG than repeated 12‐lead ECGs or multichannel Holter ECG in the standard position.

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Crossref · 10.1111/j.1540-8167.2009.01490.x

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Metadata

Authors
SHIMENO, K., TAKAGI, M., MAEDA, K., TATSUMI, H., DOI, A., & YOSHIYAMA, M.
Affiliations
Osaka City University (JP)
Corresponding author
TAKAGI, MASAHIKO
Venue
Journal of Cardiovascular Electrophysiology
Publisher
Wiley
Published
2009-08-26
Volume
20
Issue
9
Pages
1026-1031
ISSN
  • 1045-3873 (ISSN-L)
  • 1540-8167
OpenAlex
W2112126585
Cited by
54
References
25
Citations by year
2025: 1 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 9 · 2016: 10 · 2015: 6 · 2014: 1 · 2013: 6 · 2012: 1
FWCI
1.30
Type
journal article
Language
en
Open access
Locations
  • Journal of Cardiovascular Electrophysiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Keywords
Brugada syndrome, 12-lead ECG, diagnostic sensitivity
MeSH terms
Female, Humans, Intercostal Muscles, Male, Middle Aged, Sensitivity and Specificity, Reproducibility of Results, Electrocardiography, Ambulatory, Brugada Syndrome, In Vitro Techniques

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