The Prevalence of the Male Pattern in Electrocardiograms of Healthy Chinese Adult Males in Hong Kong
Introduction The main feature of the male pattern in electrocardiograms (ECG) is ST-elevation at the J-point of >0.1 mV in at least one of the leads V1–4 with concave upward ST-segments. The prevalence of the male pattern in ECG of healthy male foreigners who were 16–58 years old (mostly Caucasia...
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Published in | Hong Kong journal of emergency medicine Vol. 12; no. 4; pp. 198 - 205 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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London, England
SAGE Publications
01.10.2005
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Abstract | Introduction
The main feature of the male pattern in electrocardiograms (ECG) is ST-elevation at the J-point of >0.1 mV in at least one of the leads V1–4 with concave upward ST-segments. The prevalence of the male pattern in ECG of healthy male foreigners who were 16–58 years old (mostly Caucasians or Blacks) was high (85%). These ST-segment elevations may meet the ECG criteria for fibrinolytic therapy according to the present guidelines for the treatment of ST-elevation myocardial infarction (STEMI), thus resulting in potentially inappropriate management. Clinicians should be aware of this common phenomenon. As yet, the prevalence of the male pattern in healthy Chinese adult males has not been studied specifically.
Materials and methods
Standard 12-lead ECG from 202 apparently healthy Chinese adult males (aged 20–54) were collected and analysed.
Results
The prevalence of the male pattern was 95.5% in our 202 samples (p<0.05). Of these samples of male patterns, 97.4% might have met the ECG criteria for fibrinolytic therapy according to the guidelines of the American College of Cardiology and American Heart Association (2004); but if we followed the guidelines of the European Society of Cardiology (2003), only 21.8% met the criteria.
Conclusions
The prevalence of the male pattern in ECG of healthy Chinese adult males in Hong Kong is high. Clinicians should be more cautious while managing patients with possible acute coronary syndrome to avoid over-diagnosis of STEMI. It seems the European guidelines are safer to follow as regard to the prescription of fibrinolytics for STEMI, especially for junior doctors. |
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AbstractList | Introduction
The main feature of the male pattern in electrocardiograms (ECG) is ST‐elevation at the J‐point of >0.1 mV in at least one of the leads V1–4 with concave upward ST‐segments. The prevalence of the male pattern in ECG of healthy male foreigners who were 16–58 years old (mostly Caucasians or Blacks) was high (85%). These ST‐segment elevations may meet the ECG criteria for fibrinolytic therapy according to the present guidelines for the treatment of ST‐elevation myocardial infarction (STEMI), thus resulting in potentially inappropriate management. Clinicians should be aware of this common phenomenon. As yet, the prevalence of the male pattern in healthy Chinese adult males has not been studied specifically.
Materials and methods
Standard 12‐lead ECG from 202 apparently healthy Chinese adult males (aged 20–54) were collected and analysed.
Results
The prevalence of the male pattern was 95.5% in our 202 samples (p<0.05). Of these samples of male patterns, 97.4% might have met the ECG criteria for fibrinolytic therapy according to the guidelines of the American College of Cardiology and American Heart Association (2004); but if we followed the guidelines of the European Society of Cardiology (2003), only 21.8% met the criteria.
Conclusions
The prevalence of the male pattern in ECG of healthy Chinese adult males in Hong Kong is high. Clinicians should be more cautious while managing patients with possible acute coronary syndrome to avoid over‐diagnosis of STEMI. It seems the European guidelines are safer to follow as regard to the prescription of fibrinolytics for STEMI, especially for junior doctors. Introduction The main feature of the male pattern in electrocardiograms (ECG) is ST-elevation at the J-point of >0.1 mV in at least one of the leads V1–4 with concave upward ST-segments. The prevalence of the male pattern in ECG of healthy male foreigners who were 16–58 years old (mostly Caucasians or Blacks) was high (85%). These ST-segment elevations may meet the ECG criteria for fibrinolytic therapy according to the present guidelines for the treatment of ST-elevation myocardial infarction (STEMI), thus resulting in potentially inappropriate management. Clinicians should be aware of this common phenomenon. As yet, the prevalence of the male pattern in healthy Chinese adult males has not been studied specifically. Materials and methods Standard 12-lead ECG from 202 apparently healthy Chinese adult males (aged 20–54) were collected and analysed. Results The prevalence of the male pattern was 95.5% in our 202 samples (p<0.05). Of these samples of male patterns, 97.4% might have met the ECG criteria for fibrinolytic therapy according to the guidelines of the American College of Cardiology and American Heart Association (2004); but if we followed the guidelines of the European Society of Cardiology (2003), only 21.8% met the criteria. Conclusions The prevalence of the male pattern in ECG of healthy Chinese adult males in Hong Kong is high. Clinicians should be more cautious while managing patients with possible acute coronary syndrome to avoid over-diagnosis of STEMI. It seems the European guidelines are safer to follow as regard to the prescription of fibrinolytics for STEMI, especially for junior doctors. |
Author | Ho, JKK Ko, HF Lee, KH Lit, CH Tsui, CSY |
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CitedBy_id | crossref_primary_10_1016_j_ancard_2020_09_001 |
Cites_doi | 10.1016/0002-8703(52)90174-9 10.1067/mhj.2000.109918 10.1016/j.jacc.2004.07.014 10.1046/j.1542-474X.2003.08411.x 10.1016/S0140-6736(88)92656-6 10.1016/0002-9149(60)90047-3 10.1136/hrt.11.1.103 10.1016/1062-1458(95)00083-V 10.1016/S0735-1097(02)02492-0 10.1053/euhj.1999.1748 10.1056/NEJMra022580 10.1016/S0195-668X(02)00618-8 10.1136/emj.19.2.126 10.1016/0735-1097(95)00404-1 10.1016/j.ajem.2003.12.003 10.1161/01.CIR.10.4.564 10.1067/mhj.2000.108240 10.1056/NEJM199706053362301 10.1067/mem.2000.106387 |
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References | Surawicz, Parikh 2003; 8 1986; 1 Antman, Anbe, Armstrong, Bates, Green, Hand 2004; 44 1997; 336 Lepeschkin, Surawicz 1952; 44 Fesmire 2004; 22 Surawicz, Parikh 2002; 40 East, Bain, Hill, Wood 1949; 11 Hiss, Lamb, Allen 1960; 6 2000; 35 Massel, Dawdy, Melendez 2000; 140 Wang, Asinger, Marriott 2003; 349 Carley, Gamon, Driscoll, Brown, Wallman 2002; 19 1954; 10 Menown, Mackenzie, Adgey 2000; 21 Sequeira, Lemberg 1995; 5 Bidoggia, Maciel, Capalozza, Mosca, Blaksley, Valverde 2000; 140 Wilcox, von der Lippe, Olsson, Jensen, Skene, Hampton 1988; 2 Anderson, Cannon, Stone, Williams, McCabe, Knatterud 1995; 26 Van de Werf, Ardissino, Betriu, Cokkinos, Falk, Fox 2003; 24 1988; 2 2004; 44 2004; 22 1952; 44 2003; 349 1949; 11 2002; 19 2001 1960; 6 1995; 26 2002; 40 2000; 21 2003; 8 2003; 24 2000; 140 1961 1982 2003 2002 1995; 5 bibr3-102490790501200402 bibr4-102490790501200402 bibr1-102490790501200402 bibr2-102490790501200402 bibr6-102490790501200402 bibr5-102490790501200402 bibr7-102490790501200402 bibr8-102490790501200402 bibr26-102490790501200402 GUSTO IIb. (bibr18-102490790501200402) 1997; 336 bibr25-102490790501200402 bibr23-102490790501200402 bibr24-102490790501200402 Effectiveness of intravenous thrombolytic treatment in acute myocardial infarction. (bibr16-102490790501200402) 1986; 1 bibr19-102490790501200402 bibr22-102490790501200402 bibr21-102490790501200402 bibr20-102490790501200402 Anderson H.V. (bibr15-102490790501200402) 1995; 26 bibr9-102490790501200402 bibr13-102490790501200402 bibr10-102490790501200402 bibr17-102490790501200402 bibr14-102490790501200402 bibr11-102490790501200402 bibr12-102490790501200402 |
References_xml | – volume: 336 start-page: 1621 issue: 23 year: 1997 end-page: 8 article-title: A clinical trial comparing primary coronary angioplasty with tissue plasminogen activator for acute myocardial infarction. The Global Use of Strategies to Open Occluded Coronary Arteries in Acute Coronary Syndromes (GUSTO IIb) Angioplasty Substudy Investigators. publication-title: N Engl J Med – volume: 1 start-page: 397 issue: 8478 year: 1986 end-page: 402 article-title: Gruppo Italiano per lo Studio della Streptochinasi nell'Infarto Miocardico (GISSI). publication-title: Lancet – volume: 5 start-page: 36 year: 1995 end-page: 40 article-title: The electrocardiogram read as nonspecific ST-T waves. publication-title: ACC Curr J Rev contributor: fullname: Lemberg – volume: 22 start-page: 120 issue: 2 year: 2004 end-page: 2 article-title: Electrocardiographic ST-segment elevation: a source of error or burden for EPs [corrected]? publication-title: Am J Emerg Med contributor: fullname: Fesmire – volume: 40 start-page: 1870 issue: 10 year: 2002 end-page: 6 article-title: Prevalence of male and female patterns of early ventricular repolarization in the normal ECG of males and females from childhood to old age. publication-title: J Am Coll Cardiol contributor: fullname: Parikh – volume: 44 start-page: E1 issue: 3 year: 2004 end-page: E211 article-title: ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction). publication-title: J Am Coll Cardiol contributor: fullname: Hand – volume: 11 start-page: 103 year: 1949 end-page: 4 article-title: Multiple unipolar leads. Report of the Committee of the British Cardiac Society. publication-title: Br Heart J contributor: fullname: Wood – volume: 349 start-page: 2128 issue: 22 year: 2003 end-page: 35 article-title: ST-segment elevation in conditions other than acute myocardial infarction. publication-title: N Engl J Med contributor: fullname: Marriott – volume: 24 start-page: 28 issue: 1 year: 2003 end-page: 66 article-title: Management of acute myocardial infarction in patients presenting with ST-segment elevation. The Task Force on the Management of Acute Myocardial Infarction of the European Society of Cardiology. publication-title: Eur Heart J contributor: fullname: Fox – volume: 10 start-page: 564 issue: 4 year: 1954 end-page: 73 article-title: Recommendations for standardization of electrocardiographic and vectorcardiographic leads. publication-title: Circulation – volume: 8 start-page: 333 issue: 4 year: 2003 end-page: 40 article-title: Differences between ventricular repolarization in men and women: description, mechanism and implications. publication-title: Ann Noninvasive Electrocardiol contributor: fullname: Parikh – volume: 2 start-page: 525 issue: 8610 year: 1988 end-page: 30 article-title: Trial of tissue plasminogen activator for mortality reduction in acute myocardial infarction. Anglo-Scandinavian Study of Early Thrombolysis (ASSET). publication-title: Lancet contributor: fullname: Hampton – volume: 140 start-page: 221 issue: 2 year: 2000 end-page: 6 article-title: Strict reliance on a computer algorithm or measurable ST segment criteria may lead to errors in thrombolytic therapy eligibility. publication-title: Am Heart J contributor: fullname: Melendez – volume: 35 start-page: 521 issue: 5 year: 2000 end-page: 5 article-title: Clinical policy: critical issues in the evaluation and management of adult patients presenting with suspected acute myocardial infarction or unstable angina. American College of Emergency Physicians. publication-title: Ann Emerg Med – volume: 21 start-page: 275 issue: 4 year: 2000 end-page: 83 article-title: Optimizing the initial 12-lead electrocardiographic diagnosis of acute myocardial infarction. publication-title: Eur Heart J contributor: fullname: Adgey – volume: 44 start-page: 80 issue: 1 year: 1952 end-page: 8 article-title: The measurement of the duration of the QRS interval. publication-title: Am Heart J contributor: fullname: Surawicz – volume: 26 start-page: 1643 issue: 7 year: 1995 end-page: 50 article-title: One-year results of the Thrombolysis in Myocardial Infarction (TIMI) IIIB clinical trial. A randomized comparison of tissue-type plasminogen activator versus placebo and early invasive versus early conservative strategies in unstable angina and non-Q wave myocardial infarction. publication-title: J Am Coll Cardiol contributor: fullname: Knatterud – volume: 140 start-page: 678 issue: 4 year: 2000 end-page: 83 article-title: Sex differences on the electro-cardiographic pattern of cardiac repolarization: possible role of testosterone. publication-title: Am Heart J contributor: fullname: Valverde – volume: 19 start-page: 126 issue: 2 year: 2002 end-page: 8 article-title: What's the point of ST elevation? publication-title: Emerg Med J contributor: fullname: Wallman – volume: 6 start-page: 200 year: 1960 end-page: 31 article-title: Electrocardiographic findings in 67,375 asymptomatic subjects. X. Normal values. publication-title: Am J Cardiol contributor: fullname: Allen – volume: 140 start-page: 678 issue: 4 year: 2000 end-page: 83 article-title: Sex differences on the electro‐cardiographic pattern of cardiac repolarization: possible role of testosterone. publication-title: Am Heart J – volume: 5 start-page: 36 year: 1995 end-page: 40 article-title: The electrocardiogram read as nonspecific ST‐T waves. publication-title: ACC Curr J Rev – volume: 8 start-page: 333 issue: 4 year: 2003 end-page: 40 article-title: Differences between ventricular repolarization in men and women: description, mechanism and implications. publication-title: Ann Noninvasive Electrocardiol – volume: 11 start-page: 103 year: 1949 end-page: 4 article-title: Multiple unipolar leads. Report of the Committee of the British Cardiac Society. publication-title: Br Heart J – start-page: 228 year: 1982 – volume: 21 start-page: 275 issue: 4 year: 2000 end-page: 83 article-title: Optimizing the initial 12‐lead electrocardiographic diagnosis of acute myocardial infarction. publication-title: Eur Heart J – volume: 44 start-page: E1 issue: 3 year: 2004 end-page: E211 article-title: ACC/AHA guidelines for the management of patients with ST‐elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction). publication-title: J Am Coll Cardiol – start-page: 28 year: 2002 end-page: 9 – start-page: 134 year: 2001 – start-page: 408 year: 2003 – volume: 2 start-page: 525 issue: 8610 year: 1988 end-page: 30 article-title: Trial of tissue plasminogen activator for mortality reduction in acute myocardial infarction. Anglo‐Scandinavian Study of Early Thrombolysis (ASSET). publication-title: Lancet – volume: 349 start-page: 2128 issue: 22 year: 2003 end-page: 35 article-title: ST‐segment elevation in conditions other than acute myocardial infarction. publication-title: N Engl J Med – volume: 24 start-page: 28 issue: 1 year: 2003 end-page: 66 article-title: Management of acute myocardial infarction in patients presenting with ST‐segment elevation. The Task Force on the Management of Acute Myocardial Infarction of the European Society of Cardiology. publication-title: Eur Heart J – volume: 6 start-page: 200 year: 1960 end-page: 31 article-title: Electrocardiographic findings in 67,375 asymptomatic subjects. X. Normal values. publication-title: Am J Cardiol – volume: 140 start-page: 221 issue: 2 year: 2000 end-page: 6 article-title: Strict reliance on a computer algorithm or measurable ST segment criteria may lead to errors in thrombolytic therapy eligibility. publication-title: Am Heart J – volume: 44 start-page: 80 issue: 1 year: 1952 end-page: 8 article-title: The measurement of the duration of the QRS interval. publication-title: Am Heart J – volume: 26 start-page: 1643 issue: 7 year: 1995 end-page: 50 article-title: One‐year results of the Thrombolysis in Myocardial Infarction (TIMI) IIIB clinical trial. A randomized comparison of tissue‐type plasminogen activator versus placebo and early invasive versus early conservative strategies in unstable angina and non‐Q wave myocardial infarction. publication-title: J Am Coll Cardiol – volume: 22 start-page: 120 issue: 2 year: 2004 end-page: 2 article-title: Electrocardiographic ST‐segment elevation: a source of error or burden for EPs [corrected]? publication-title: Am J Emerg Med – start-page: 48 year: 1961 end-page: 50 – start-page: 27 year: 2003 – volume: 40 start-page: 1870 issue: 10 year: 2002 end-page: 6 article-title: Prevalence of male and female patterns of early ventricular repolarization in the normal ECG of males and females from childhood to old age. publication-title: J Am Coll Cardiol – volume: 19 start-page: 126 issue: 2 year: 2002 end-page: 8 article-title: What's the point of ST elevation? publication-title: Emerg Med J – ident: bibr26-102490790501200402 – ident: bibr12-102490790501200402 doi: 10.1016/0002-8703(52)90174-9 – ident: bibr9-102490790501200402 – ident: bibr10-102490790501200402 – ident: bibr24-102490790501200402 doi: 10.1067/mhj.2000.109918 – volume: 1 start-page: 397 issue: 8478 year: 1986 ident: bibr16-102490790501200402 publication-title: Lancet contributor: fullname: Effectiveness of intravenous thrombolytic treatment in acute myocardial infarction. – ident: bibr5-102490790501200402 doi: 10.1016/j.jacc.2004.07.014 – ident: bibr23-102490790501200402 – ident: bibr11-102490790501200402 – ident: bibr3-102490790501200402 doi: 10.1046/j.1542-474X.2003.08411.x – ident: bibr17-102490790501200402 doi: 10.1016/S0140-6736(88)92656-6 – ident: bibr4-102490790501200402 doi: 10.1016/0002-9149(60)90047-3 – ident: bibr7-102490790501200402 doi: 10.1136/hrt.11.1.103 – ident: bibr25-102490790501200402 doi: 10.1016/1062-1458(95)00083-V – ident: bibr2-102490790501200402 doi: 10.1016/S0735-1097(02)02492-0 – ident: bibr21-102490790501200402 doi: 10.1053/euhj.1999.1748 – ident: bibr1-102490790501200402 doi: 10.1056/NEJMra022580 – ident: bibr6-102490790501200402 doi: 10.1016/S0195-668X(02)00618-8 – ident: bibr20-102490790501200402 doi: 10.1136/emj.19.2.126 – volume: 26 start-page: 1643 issue: 7 year: 1995 ident: bibr15-102490790501200402 publication-title: J Am Coll Cardiol doi: 10.1016/0735-1097(95)00404-1 contributor: fullname: Anderson H.V. – ident: bibr22-102490790501200402 doi: 10.1016/j.ajem.2003.12.003 – ident: bibr13-102490790501200402 doi: 10.1161/01.CIR.10.4.564 – ident: bibr8-102490790501200402 – ident: bibr19-102490790501200402 doi: 10.1067/mhj.2000.108240 – volume: 336 start-page: 1621 issue: 23 year: 1997 ident: bibr18-102490790501200402 publication-title: N Engl J Med doi: 10.1056/NEJM199706053362301 contributor: fullname: GUSTO IIb. – ident: bibr14-102490790501200402 doi: 10.1067/mem.2000.106387 |
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The main feature of the male pattern in electrocardiograms (ECG) is ST-elevation at the J-point of >0.1 mV in at least one of the leads V1–4 with... Introduction The main feature of the male pattern in electrocardiograms (ECG) is ST‐elevation at the J‐point of >0.1 mV in at least one of the leads V1–4 with... |
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Title | The Prevalence of the Male Pattern in Electrocardiograms of Healthy Chinese Adult Males in Hong Kong |
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