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Review
. 2005 May;91(5):674-80.
doi: 10.1136/hrt.2003.025254.

Prediction and prevention of sudden cardiac death in heart failure

Rebecca E Lane  1 , Martin R Cowie, Anthony W C Chow
Affiliations
Review

Prediction and prevention of sudden cardiac death in heart failure

Rebecca E Lane et al. Heart. 2005 May.
No abstract available

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Figures

Figure 1
Figure 1
Cumulative survival of 552 incident (new) cases of heart failure identified in the London heart failure studies 1995 to 1998. Kaplan-Meier estimates with 95% point wise confidence bands (authors’ own data).
Figure 2
Figure 2
Implantable cardioverter-defibrillator (ICD) data showing an episode of ventricular fibrillation terminated by a 21 J shock delivered by the device. Intracardiac electrograms are recorded from the right atrium (A) and right ventricle (V) along with a surface ECG. Sensed intracardiac intervals are shown at the bottom of the figure. Following cardioversion, ventricular fibrillation is terminated and bradycardia is seen requiring atrioventricular pacing.
Figure 3
Figure 3
Severity of heart failure and the mode of death in the MERIT-HF study. CHF, congestive heart failure; MERIT-HF, metoprolol CR/XL randomized intervention trial in heart failure; NYHA, New York Heart Association; SCD, sudden cardiac death. Adapted from MERIT-HF Study Group. Lancet 1999;353:2001–7.
Figure 4
Figure 4
Fluoroscopy showing lead positions of an atrio-biventricular ICD in an anteroposterior projection. LV, left ventricular coronary sinus lead; RA, right atrial lead; RV ICD, right ventricular implantable cardioverter-defibrillator lead.
Figure 5
Figure 5
Algorithm for the assessment and management of patients with heart failure at risk of sudden cardiac death. ACE, angiotensin converting enzyme; ACS, acute coronary syndrome; BNP, B type natriuretic peptide; BP, blood pressure; CRT, cardiac resynchronisation therapy; EPS, electrophysiological study; HRV, heart rate variability; ICD, implantable cardioverter-defibrillator; LV, left ventricular; LVEF, left ventricular ejection fraction; MI, myocardial infarction; NSVT, non-sustained ventricular tachycardia; NYHA, New York Heart Association; SAECG, signal averaged ECG; SCD, sudden cardiac death; TWA, T wave alternans; VF, ventricular fibrillation; VT, ventricular tachycardia.
See this image and copyright information in PMC

References

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    1. Cowie MR, Mosterd A, Wood DA, et al. The epidemiology of heart failure. Eur Heart J 1997;18:208–25. - PubMed
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