The role of the electrocardiogram in identifying the risk of sudden cardiac death

Biljana Zogović, Miljan Stašević, I. Radić
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Abstract

Introduction: Sudden cardiac death (SCD) represents the unexpected and sudden death of young apparently healthy people. Alarge number of examined cases referred to professional athletes. There is not enough data in the literature related to those who performed sports in a sporadic and recreational manner. In order to prevent SCD, a screening protocol was determined, in which, an ECG performed at rest plays a important role. Based on the established criteria, changes on the ECG can be treated as normal, borderline and abnormal. An abnormal result indicates a risk of SCD. Objective: The aim of this study was to determine the risk of SCD in students who practice physical activity recreationally. Methods: The research involved 500 students (both sexes) of the 1st and 3rd year of study on the University of Pristina situated in Kosovska Mitrovica. As part of the regular systematic examination, an ECG was performed at rest. The risk of SCD was determined by analyzing the changes on the ECG and grouping them based on screening recommendations. Results: The obtained results show that 44% of students had changes on the ECG and that 8% of students had an abnormal result indicated a possible risk of sudden cardiac death. Conclusion: Therefore, timely recognizing and interpreting ECG changes in accordance with screening recommendations is an imperative for identification and possible prevention of SCD.
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心电图在识别心源性猝死风险中的作用
心源性猝死(SCD)是指表面健康的年轻人意外猝死。大量的检查病例转介给职业运动员。文献中没有足够的数据与那些以零星和娱乐的方式进行体育运动的人有关。为了预防SCD,确定了一种筛查方案,其中静息心电图起着重要作用。根据所建立的标准,心电图的变化可分为正常、边缘和异常。异常结果提示有SCD风险。目的:本研究的目的是确定从事娱乐性体育活动的学生发生SCD的风险。方法:该研究涉及500名来自科索沃米特罗维察普里什蒂纳大学一年级和三年级的学生(男女)。作为常规系统检查的一部分,在休息时进行心电图检查。通过分析心电图的变化并根据筛查建议对其进行分组,确定SCD的风险。结果:所得结果显示,44%的学生心电图改变,8%的学生心电图异常提示可能存在心源性猝死的危险。结论:根据筛查建议及时识别和解读心电图变化,对SCD的识别和预防至关重要。
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