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Review ArticleReviews and Contemporary Updates

Surface Electrocardiogram Predictors of Sudden Cardiac Arrest

Samy A. Abdelghani, Todd M. Rosenthal and Daniel P. Morin
Ochsner Journal September 2016, 16 (3) 280-289;
Samy A. Abdelghani
1Department of Cardiology, Ochsner Clinic Foundation, New Orleans, LA
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Todd M. Rosenthal
1Department of Cardiology, Ochsner Clinic Foundation, New Orleans, LA
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Daniel P. Morin
1Department of Cardiology, Ochsner Clinic Foundation, New Orleans, LA
2The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA
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    Figure 1.

    Different morphologies of the fragmented QRS. (From Das et al30 and reprinted with permission of Elsevier and the Heart Rhythm Society.)

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    Figure 2.

    T wave alternans (TWA) of increasing subtlety. A. Gross alternans of elevated ST/T-segments in a patient with angina pectoris preceding ventricular tachycardia (VT). B. Visible alternans of T wave polarity in a woman without angina, heralding polymorphic VT. C. Subtle but visible TWA after tachycardia termination, without arterial pressure alternans (bottom). D. Visually inapparent microvolt-level TWA, uncovered by digital signal processing. *=The more positive T wave of each alternating pair. (From Narayan64 and reprinted with permission of Elsevier and the American College of Cardiology.)

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    Figure 3.

    The utility of the T-peak to T-end (Tpe) interval for the prediction of ventricular tachyarrhythmia and death. A. Kaplan-Meier plots of freedom from appropriate implantable cardioverter-defibrillator therapy, stratified by tertiles (T1, T2, T3) of corrected Tpe (Tpec). B. Kaplan-Meier plots of all-cause mortality, stratified by tertiles of Tpec. C. Kaplan-Meier plots of arrhythmia-free survival, stratified by tertiles of Tpec. (From Rosenthal et al78 and reprinted with permission of Elsevier and the Heart Rhythm Society.)

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Ochsner Journal
Vol. 16, Issue 3
Sep 2016
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Surface Electrocardiogram Predictors of Sudden Cardiac Arrest
Samy A. Abdelghani, Todd M. Rosenthal, Daniel P. Morin
Ochsner Journal Sep 2016, 16 (3) 280-289;

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Surface Electrocardiogram Predictors of Sudden Cardiac Arrest
Samy A. Abdelghani, Todd M. Rosenthal, Daniel P. Morin
Ochsner Journal Sep 2016, 16 (3) 280-289;
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  • Article
    • Abstract
    • INTRODUCTION
    • VENTRICULAR FIBRILLATION AND VENTRICULAR TACHYCARDIA IN SUDDEN CARDIAC ARREST
    • QT PROLONGATION
    • QRS DURATION
    • FRAGMENTED QRS COMPLEXES
    • EARLY REPOLARIZATION
    • HOLTER MONITORING
    • HEART RATE VARIABILITY
    • HEART RATE TURBULENCE
    • SIGNAL-AVERAGED ELECTROCARDIOGRAM
    • T WAVE ALTERNANS
    • T-PEAK TO T-END
    • INHERITED SUDDEN DEATH SYNDROMES
    • CONCLUSION
    • ACKNOWLEDGMENTS
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Cited By...

  • MAGNETO cardiography parameters to predict future Sudden Cardiac Death (MAGNETO-SCD) or ventricular events from implantable cardioverter defibrillators: study protocol, design and rationale
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Keywords

  • arrhythmias–cardiac
  • death–sudden–cardiac
  • defibrillators–implantable
  • electrocardiography
  • primary prevention
  • ventricular fibrillation

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