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European Heart Journal Advance Access originally published online on February 5, 2009
European Heart Journal 2009 30(5):528-529; doi:10.1093/eurheartj/ehp029
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Should the exercise ECG be used to screen for sudden cardiac death?

James Freeman1, Euan A. Ashley1,2 and Victor Froelicher1,3,*

1 Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
2 Stanford Hypertrophic Cardiomyopathy Center, Stanford Hospitals and Clinics, Stanford, CA 94305, USA
3 Department of Cardiology, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA 94304, USA

* Corresponding author. Email: vicmd@aol.com

This editorial refers to ‘Asymptomatic ST-segment depression during exercise testing and the risk of sudden cardiac death in middle-aged men: a population-based follow-up study’{dagger}, by J.A. Laukkanen on page 558

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

Unfortunately no randomized controlled trials have been performed to demonstrate that screening asymptomatic adults without known cardiovascular disease leads to improved outcomes. All that is available are observational studies to guide our efforts to screen and treat asymptomatic patients in an effort to minimize the risks of coronary heart disease (CHD) and sudden cardiac death (SCD). The findings of Laukkanen et al.1 make a unique contribution to the literature in that they demonstrate the ability of the exercise ECG . . . [Full Text of this Article]


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Related articles in EHJ:

Asymptomatic ST-segment depression during exercise testing and the risk of sudden cardiac death in middle-aged men: a population-based follow-up study
Jari A. Laukkanen, Timo H. Mäkikallio, Rainer Rauramaa, and Sudhir Kurl
EHJ 2009 30: 558-565. [Abstract] [Full Text]