Bibliographic Details
| Title: |
Different patterns of pre-excitation in a large Italian cohort of asymptomatic non-competitive athletes evaluated by telecardiology screening: Prevalence and ECG features |
| Authors: |
Martina Molinari, Sergio Setti, Natale Daniele Brunetti, Nicola Di Nunno, Maria Alberta Cattabiani, Giuseppe Molinari |
| Source: |
International Journal of Cardiology: Heart & Vasculature, Vol 55, Iss , Pp 101553- (2024) |
| Publisher Information: |
Elsevier, 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: |
Wolff-Parkinson-White, Non-Competitive Athletes, Telemedicine, Telecardiology, Electrocardiogram, Screening, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: |
Background: Telecardiology has proven to be a useful and cost-effective tool for ECG screening in several contexts, allowing the evaluation of large cohorts of subjects in a short time, even for non-competitive athletes (NCA). Aim of the study: To evaluate and detail the prevalence of the Wolff-Parkinson-White (WPW) syndrome in a large Italian cohort of young NCA. Methods: In a 4-year period 216,424 consecutive NCA (118,851 males; 55%) underwent preparticipation ECG screening through a Telecardiology System. ECGs were recorded and sent by a network of ‘spoke’ centers located all over Italy; a ‘hub’ center, located in Genoa, received and reported back on ECGs, digitally stored and analyzed. Only asymptomatic NCA were included in the study. Results: Out of 216,424 NCA 88 (mean age: 14 ± 8) presented a WPW pre-excitation at ECG analysis (55 males, 62.5 %); the prevalence of WPW pre-excitation in this population was 4.1 per 10,000 NCA. No significant sex-related differences were found. The highest incidence (29 WPW patterns) was observed in the 10–15 year group with an equal sex ratio (M/F:16/13).Intermittent pre-excitation was found in 8 NCAs. The most frequent accessory pathway locations were right antero-septal (25.0%), mid-septal (21.6%) and postero-septal (13.6%). Conclusions: In a large population of young NCA the prevalence of ECG pre-excitation at telemedicine remote screening was 4.1 per 10,000; intermittent pre-excitation was found in 9% of NCA with ECG pre-excitation. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2352-9067 |
| Relation: |
http://www.sciencedirect.com/science/article/pii/S2352906724002197; https://doaj.org/toc/2352-9067 |
| DOI: |
10.1016/j.ijcha.2024.101553 |
| Access URL: |
https://doaj.org/article/712aa6345b9c4c1ca40c2d9f1cb28902 |
| Accession Number: |
edsdoj.712aa6345b9c4c1ca40c2d9f1cb28902 |
| Database: |
Directory of Open Access Journals |
