\documentclass[10pt]{article}

\usepackage{fullpage}
\usepackage{setspace}
\usepackage{parskip}
\usepackage{titlesec}
\usepackage[section]{placeins}
\usepackage{xcolor}
\usepackage{breakcites}
\usepackage{lineno}
\usepackage{hyphenat}





\PassOptionsToPackage{hyphens}{url}
\usepackage[colorlinks = true,
            linkcolor = blue,
            urlcolor  = blue,
            citecolor = blue,
            anchorcolor = blue]{hyperref}
\usepackage{etoolbox}
\makeatletter
\patchcmd\@combinedblfloats{\box\@outputbox}{\unvbox\@outputbox}{}{%
  \errmessage{\noexpand\@combinedblfloats could not be patched}%
}%
\makeatother


\usepackage{natbib}




\renewenvironment{abstract}
  {{\bfseries\noindent{\abstractname}\par\nobreak}\footnotesize}
  {\bigskip}

\titlespacing{\section}{0pt}{*3}{*1}
\titlespacing{\subsection}{0pt}{*2}{*0.5}
\titlespacing{\subsubsection}{0pt}{*1.5}{0pt}


\usepackage{authblk}


\usepackage{graphicx}
\usepackage[space]{grffile}
\usepackage{latexsym}
\usepackage{textcomp}
\usepackage{longtable}
\usepackage{tabulary}
\usepackage{booktabs,array,multirow}
\usepackage{amsfonts,amsmath,amssymb}
\providecommand\citet{\cite}
\providecommand\citep{\cite}
\providecommand\citealt{\cite}
% You can conditionalize code for latexml or normal latex using this.
\newif\iflatexml\latexmlfalse
\providecommand{\tightlist}{\setlength{\itemsep}{0pt}\setlength{\parskip}{0pt}}%

\AtBeginDocument{\DeclareGraphicsExtensions{.pdf,.PDF,.eps,.EPS,.png,.PNG,.tif,.TIF,.jpg,.JPG,.jpeg,.JPEG}}

\usepackage[utf8]{inputenc}
\usepackage[ngerman,english]{babel}



\usepackage{float}








\begin{document}

\title{The long-term outcomes of early repolarization pattern and incidence of
early repolarization syndrome in a population-based cohort study}



\author[1]{songkeat yodteerug}%
\author[1]{Prin Vathesatogkit}%
\author[2]{Pattara Rattanawong}%
\author[1]{Tachapong Ngarmukos}%
\author[1]{Sirin Apiyasawat}%
\author[1]{Pakorn Chandanamattha}%
\affil[1]{Mahidol University Faculty of Medicine Ramathibodi Hospital}%
\affil[2]{University of Hawaii Internal Medicine Residency Program}%


\vspace{-1em}



  
  \date{May 19, 2024}


\begingroup
\let\center\flushleft
\let\endcenter\endflushleft
\maketitle
\endgroup





\selectlanguage{english}
\begin{abstract}
Background : Early repolarization pattern (ERP) is associated with
long-term cardiovascular death. However, the incidence of early
repolarization syndrome ( ERS) has never been studied in a general
population-based cohort study. Purpose : To determine the prevalence and
long-term outcome of ERP as well as the incidence of ERS in a general
population-based cohort study. Methods : Participants from the
electricity generating authority of Thailand (EGAT) study during 1997 to
2015 were included. The outcomes included cardiovascular death,deaths
due to acute myocardial infarction, SCD, and all-cause mortality. A Cox-
proportional hazard model was used to determine the association between
ERP and the outcomes. Results: 2,689 participants with completed ECGs
and risk factor profiles were included for the analysis. Mean follow up
duration was 11.2\selectlanguage{ngerman}±6.7 years. There were 444 participants with baseline
ERP. There were 566 deaths during the follow-ups; of these, 21 were SCD
including 6 ERS. The prevalence and incidence of ERS in our study was
0.22\% and 0.20 per 1000 person-year. Overall, ERP was not associated
with an increased risk of all-cause mortality (hazard ratio
{[}HR{]}=1.04; 95\% confidence interval {[}CI{]}:0.81 to 1.34; p =0.75).
However, ERP was associated with an increased risk of all-cause
mortality in the population \selectlanguage{english}[?]55 years old (HR=2.36; 95\% CI:1.47-3.77; p
\textless{}0.01). Conclusion : The prevalence of ERP in the Thai
population was higher than the prevalence in other countries in Asia.
Our study supports previous studies that ERP is associated with a
long-term increased risk of all-cause mortality in the young-middle age
population.%
\end{abstract}\selectlanguage{ngerman}%



\sloppy




\selectlanguage{english}
\FloatBarrier
\end{document}

