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Cited by 630

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Long-Term Follow-Up of Individuals With the Electrocardiographic Pattern of Right Bundle-Branch Block and ST-Segment Elevation in Precordial Leads V 1 to V 3

Brugada, Josep, Brugada, Ramon, Antzelevitch, Charles, Towbin, Jeffrey, Nademanee, Koonlawee, Brugada, Pedro·2002·Circulation

Abstract

Background — The electrocardiographic pattern of right bundle-branch block with ST-segment elevation in leads V 1 to V 3 is increasingly recognized among patients who have aborted sudden cardiac death, but also in asymptomatic individuals, raising questions about its prognostic significance. Methods and Results — The clinical, electrophysiological, and follow-up data of 334 patients with the Brugada phenotype were analyzed. A total of 79 women and 255 men with a mean age at diagnosis of 42±16 years were studied. The abnormal ECG was recognized after a resuscitated cardiac arrest in 71 patients (group A), after a syncopal episode in 73 patients (group B), and in 190 asymptomatic individuals (group C). Sustained ventricular arrhythmias were inducible in 83%, 63%, and 33% of patients in group A, group B, and group C, respectively. During 54±54 and 26±36 months of follow-up, respectively, 62% of patients in group A and 19% of group B patients had a new arrhythmic event. Inducibility of ventricular arrhythmias was the only predictor of arrhythmia occurrence in both groups. During a mean follow-up of 27±29 months, 8% of group C individuals had a first arrhythmic event. In these individuals, inducibility of ventricular arrhythmias and a basal abnormal ECG were predictors of arrhythmia occurrence. Conclusions — An ECG showing right bundle-branch block and ST-segment elevation in the right precordial leads is a marker of malignant ventricular arrhythmias and sudden death. Recurrence of malignant arrhythmias is high after the occurrence of symptoms. Among asymptomatic individuals, those with a spontaneously abnormal ECG and inducible to ventricular arrhythmias have the poorer prognosis.

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Metadata

Authors
Brugada, J., Brugada, R., Antzelevitch, C., Towbin, J., Nademanee, K., & Brugada, P.
Venue
Circulation
Published
2002-01
Volume
105
Issue
1
Pages
73-78
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2083594415
Cited by
630
References
11
FWCI
33.22
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Long-Term Follow-Up of Individuals With the Electrocardiographic Pattern of Right Bundle-Branch Block and ST-Segment Elevation in Precordial Leads V 1 to V 3. https://app.cochat.ai/papers/10.1161/hc0102.101354
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Brugada, J., Brugada, R., Antzelevitch, C., Towbin, J., Nademanee, K., & Brugada, P. (2002). Long-Term Follow-Up of Individuals With the Electrocardiographic Pattern of Right Bundle-Branch Block and ST-Segment Elevation in Precordial Leads V 1 to V 3. Circulation. https://doi.org/10.1161/hc0102.101354

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