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European Heart Journal Advance Access originally published online on August 25, 2007
European Heart Journal 2007 28(19):2303-2304; doi:10.1093/eurheartj/ehm350
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

T-wave alternans: predicting the unpredictable?

Lucas V.A. Boersma*

Cardiology Department, St Antonius Hospital, PO 2500, 3430 EM Nieuwegein, The Netherlands

* Tel: +31 30 6092396; fax: +31 30 6092274. E-mail address: l.boersma@antonius.net

This editorial refers to ‘T-wave alternans predicts mortality in a population undergoing a clinically indicated excercise test’ by T. Nieminen et al., on page 2332

Footnotes

The opinions expressed in this article are not necessarily those of the Editors of the European Heart Journal or of the European Society of Cardiology.

The first 10% of the full text of this article appears below.

Sudden cardiac death (SCD) due to ventricular arrhythmias has a high morbidity and mortality. It is no wonder that cardiologists, rather than patching up survivors, are dedicated to finding predictors of cardiac electrical instability to prevent SCD. The implantable cardiac defibrillator (ICD) has evolved as the ultimate strategy for sudden arrhythmic death. In secondary prevention, individuals are recognized by an aborted arrhythmic event. By stratifying according to left ventricular ejection fraction (LVEF) below 35%, SCD may also be prevented by an ICD in individuals without any prior arrhythmic event.1 However, the relative SCD risk based . . . [Full Text of this Article]

Microvoltage T-wave alternans

T-wave alternans in a random cardiac population

Predicting cardiac events in a general population


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Related articles in EHJ:

T-wave alternans predicts mortality in a population undergoing a clinically indicated exercise test
Tuomo Nieminen, Terho Lehtimäki, Jari Viik, Rami Lehtinen, Kjell Nikus, Tiit Kööbi, Kari Niemelä, Väinö Turjanmaa, Willi Kaiser, Heini Huhtala, Richard L. Verrier, Heikki Huikuri, and Mika Kähönen
EHJ 2007 28: 2332-2337. [Abstract] [FREE Full Text]