Sudden cardiac death recorded during ambulatory electrocardiographic monitoring

Hohnloser, Stefan H.; Weiß, Michael; Zeiher, Andreas M.; Wollschläger, H; Hust, M. H.; Just, Hanjörg

doi:10.1002/clc.4960071002

Cited by 13 publications

(1 citation statement)

References 32 publications

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“…Scientists have attributed SCD to VF [ 53 , 54 ]. However, the specific relationship between MVP and VF has not been fully elucidated, and currently, experts believe that anatomical substrates and triggers play a role in SCD occurrence.…”

Section: Introductionmentioning

confidence: 99%

Arrhythmic Mitral Valve Prolapse: A Comprehensive Review

Deng,

Liu,

et al. 2023

Diagnostics

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Mitral valve prolapse (MVP) is a prevalent cardiac disorder that impacts approximately 2% to 3% of the overall population. While most patients experience a benign clinical course, there is evidence suggesting that a subgroup of MVP patients face an increased risk of sudden cardiac death (SCD). Although a conclusive causal link between MVP and SCD remains to be firmly established, various factors have been associated with arrhythmic mitral valve prolapse (AMVP). This study aims to provide a comprehensive review encompassing the historical background, epidemiology, pathology, clinical manifestations, electrocardiogram (ECG) findings, and treatment of AMVP patients. A key focus is on utilizing multimodal imaging techniques to accurately diagnose AMVP and to highlight the role of mitral annular disjunction (MAD) in AMVP.

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Section: Introductionmentioning

confidence: 99%

Arrhythmic Mitral Valve Prolapse: A Comprehensive Review

Deng,

Liu,

et al. 2023

Diagnostics

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Analysis of ambulatory electrocardiograms in 14 patients who experienced sudden cardiac death during monitoring

Savage

Kissane

Becher

et al. 1987

Clinical Cardiology

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Summary: The Holter monitors of 14 patients (out of58, 000 Holter recordings performed between 1978 and 1984) who experienced cardiac arrest and expired during the recording period were analyzed. Tachyarrhythmic arrest patients frequently had coronary heart disease, congestive heart failure, and prolonged QTc intervals. The highest incidence of intermediately frequent premature ventricular complexes (PVCs) occurred between 15 and 6 hours prior to death. The frequency of ventricular couplets increased toward the time of arrest. The hours with greatest frequency of ventricular tachycardia (VT) were found to be the last 5 hours of life. An increasing incidence of ST-segment changes greater than 2 mm was noted throughout all of the risk periods until the third hour prior to arrest when the incidence diminished. Conversely, the incidence of lower amplitude ST-segment changes (usually elevation) increased over the final 6 hours. The mean time of death was 0228 hours f 5:20. In conclusion, we observed two patterns of Holter-monitored changes which usually occurred prior to death and may represent predictors of sudden death: (1) an increasing incidence of intermediately fresuent isolated PVCs followed by increased ventricular couplets and runs of VT; (2) return of high amplitude ST-segment changes toward baseline. To our knowledge, the temporal relationship of the degree of ST-segment deviation to sudden death and the time of sudden death have not been reported in large studies of Holter-monitored sudden death patients.

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Langzeitspeicher-EKG

Samek¹

1989

Herzkrankheiten

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Sudden cardiac death recorded during ambulatory electrocardiographic monitoring

Cited by 13 publications

References 32 publications

Arrhythmic Mitral Valve Prolapse: A Comprehensive Review

Arrhythmic Mitral Valve Prolapse: A Comprehensive Review

Analysis of ambulatory electrocardiograms in 14 patients who experienced sudden cardiac death during monitoring

Langzeitspeicher-EKG

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