Clinical Approach to Sudden Cardiac Death Syndromes

2019 ◽  
Vol 293 ◽  
pp. 148-152 ◽  
Author(s):  
Josep Lupón ◽  
Germán Cediel ◽  
Pedro Moliner ◽  
Marta de Antonio ◽  
Mar Domingo ◽  
...  

JAMA ◽  
2010 ◽  
Vol 304 (15) ◽  
pp. 1724
Author(s):  
Mario Di Napoli

2018 ◽  
Vol 7 (1) ◽  
pp. 32 ◽  
Author(s):  
Josep Brugada ◽  
Roberto Keegan ◽  
◽  

Debate about the best clinical approach to the management of asymptomatic patients with ventricular pre-excitation and advice on whether or not to invasively stratify and ablate is on-going. Weak evidence about the real risk of sudden cardiac death and the potential benefit of catheter ablation has probably prevented the clarification of action in this not infrequent and sometimes conflicting clinical situation. After analysing all available data, real evidence-based medicine could be the alternative strategy for managing this group of patients. According to recent surveys, most electrophysiologists invasively stratify. Based on all accepted risk factors – younger age, male, associated structural heart disease, posteroseptal localisation, ability of the accessory pathway to conduct anterogradely at short intervals of ≤250 milliseconds and inducibility of sustained atrioventricular re-entrant tachycardia and/or atrial fibrillation – a shared decisionmaking process on catheter ablation is proposed.


2020 ◽  
Vol 95 (4) ◽  
pp. 251-259
Author(s):  
Yun Young Choi ◽  
Jong-Il Choi

Syncope, defined as a transient loss of consciousness, is commonly clinical encountered in patients of all ages at emergency and outpatient clinics. However, syncope shares various clinical features with other diseases (e.g., epilepsy), and the explicit cause may be difficult to identify because testing (e.g., electrocardiography) cannot be performed during a syncopal episode. Syncope due to a cardiac disorder may lead to a fatal outcome such as sudden cardiac death, whereas neurally mediated syncope has a much more favorable prognosis. Herein, we classify the causes of syncope and provide the clinical approach for each, focusing on recently updated guidelines.


2008 ◽  
Vol 7 ◽  
pp. 109-109
Author(s):  
R BRECKENRIDGE ◽  
Z ZUBERI ◽  
L FELKIN ◽  
E BIRKS ◽  
P BARTON ◽  
...  

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