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Review
. 2016 Jun;16(3):283.
doi: 10.7861/clinmedicine.16-3-283.

New approaches to predicting the risk of sudden death

Elijah Behr  1 , Bode Ensam  1
Affiliations
Review

New approaches to predicting the risk of sudden death

Elijah Behr et al. Clin Med (Lond). 2016 Jun.

Abstract

In this review article, we will explore some of the contemporary methods for predicting sudden cardiac death (SCD). These include experimental methods yet to be adopted in the clinical setting, and methods that have been extrapolated from observational data in those with a history of SCD. We will discuss how these relate to the different aetiologies and disease processes. We will also explore how these may be used in the clinical setting to decide on management.

Keywords: Sudden cardiac death; inherited heart disease and ischaemic heart disease; ventricular arrhythmia.

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Figures

Fig 1.
Fig 1.
Tpeak – Tend interval (Tp-end).
Fig 2.
Fig 2.
A – Typical J point elevation; B – upsloping ascending with notching (arrowed); C – horizontal descending.
Fig 3.
Fig 3.
Signal-averaged electrocardiogram. LP = late potentials; QRSd = total QRS duration; RMS = root mean square in the terminal 40 ms of QRS.
Fig 4.
Fig 4.
Notching within the S wave.
Fig 5.
Fig 5.
Widespread QRS fragmentation in a patient with Brugada syndrome.
See this image and copyright information in PMC

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