Prediction and Management of People at High Risk of Sudden Death after Myocardial Infarction Who are not Covered by Guidelines
The prevention of sudden cardiac death after myocardial infarction in contemporary clinical practice primarily relies on the evaluation of left ventricular ejection fraction (LVEF) . However, the single measurement is inadequate to identify people who are truly at high risk of sudden cardiac death....
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| Format: | Article |
| Language: | zho |
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Chinese General Practice Publishing House Co., Ltd
2022-02-01
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| Series: | Zhongguo quanke yixue |
| Subjects: | |
| Online Access: | https://www.chinagp.net/fileup/1007-9572/PDF/1643428269650-782260606.pdf |
| _version_ | 1797217237590867968 |
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| author | HUANG Baotao |
| author_facet | HUANG Baotao |
| author_sort | HUANG Baotao |
| collection | DOAJ |
| description | The prevention of sudden cardiac death after myocardial infarction in contemporary clinical practice primarily relies on the evaluation of left ventricular ejection fraction (LVEF) . However, the single measurement is inadequate to identify people who are truly at high risk of sudden cardiac death. Based on the new clinical evidence that has been emerged in recent years, this review discussed the limitations of risk stratification for sudden death by LVEF, the exploration of early intervention in patients with high risk of sudden death after myocardial infarction, the re-stratification of patients with reduced LVEF for selecting the candidates who would benefit the most from implantable cardioverter defibrillator treatment, and the identification of patients with high risk of sudden death in those with preserved or slightly depressed LVEF. Furthermore, the paper reviewed the role of novel clinical scoring systems, cardiac magnetic resonance, noninvasive electrocardiography, and invasive electrophysiological testing in the prediction and management of sudden death.This review is expected to provide references for the long-term precise management and risk warning of patients with myocardial infarction. |
| first_indexed | 2024-04-24T11:58:40Z |
| format | Article |
| id | doaj.art-677572bc4fe54df28f46fe133995c0e7 |
| institution | Directory Open Access Journal |
| issn | 1007-9572 |
| language | zho |
| last_indexed | 2024-04-24T11:58:40Z |
| publishDate | 2022-02-01 |
| publisher | Chinese General Practice Publishing House Co., Ltd |
| record_format | Article |
| series | Zhongguo quanke yixue |
| spelling | doaj.art-677572bc4fe54df28f46fe133995c0e72024-04-09T02:50:52ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722022-02-01250551552110.12114/j.issn.1007-9572.2021.01.317Prediction and Management of People at High Risk of Sudden Death after Myocardial Infarction Who are not Covered by GuidelinesHUANG Baotao0 Department of Cardiology，West China Hospital，Sichuan University，Chengdu 610041，China The prevention of sudden cardiac death after myocardial infarction in contemporary clinical practice primarily relies on the evaluation of left ventricular ejection fraction (LVEF) . However, the single measurement is inadequate to identify people who are truly at high risk of sudden cardiac death. Based on the new clinical evidence that has been emerged in recent years, this review discussed the limitations of risk stratification for sudden death by LVEF, the exploration of early intervention in patients with high risk of sudden death after myocardial infarction, the re-stratification of patients with reduced LVEF for selecting the candidates who would benefit the most from implantable cardioverter defibrillator treatment, and the identification of patients with high risk of sudden death in those with preserved or slightly depressed LVEF. Furthermore, the paper reviewed the role of novel clinical scoring systems, cardiac magnetic resonance, noninvasive electrocardiography, and invasive electrophysiological testing in the prediction and management of sudden death.This review is expected to provide references for the long-term precise management and risk warning of patients with myocardial infarction.https://www.chinagp.net/fileup/1007-9572/PDF/1643428269650-782260606.pdf|myocardial infarction|death, sudden, cardiac|forecasting|management|guidebooks |
| spellingShingle | HUANG Baotao Prediction and Management of People at High Risk of Sudden Death after Myocardial Infarction Who are not Covered by Guidelines Zhongguo quanke yixue |myocardial infarction|death, sudden, cardiac|forecasting|management|guidebooks |
| title | Prediction and Management of People at High
Risk of Sudden Death after Myocardial Infarction Who are not Covered by
Guidelines |
| title_full | Prediction and Management of People at High
Risk of Sudden Death after Myocardial Infarction Who are not Covered by
Guidelines |
| title_fullStr | Prediction and Management of People at High
Risk of Sudden Death after Myocardial Infarction Who are not Covered by
Guidelines |
| title_full_unstemmed | Prediction and Management of People at High
Risk of Sudden Death after Myocardial Infarction Who are not Covered by
Guidelines |
| title_short | Prediction and Management of People at High
Risk of Sudden Death after Myocardial Infarction Who are not Covered by
Guidelines |
| title_sort | prediction and management of people at high risk of sudden death after myocardial infarction who are not covered by guidelines |
| topic | |myocardial infarction|death, sudden, cardiac|forecasting|management|guidebooks |
| url | https://www.chinagp.net/fileup/1007-9572/PDF/1643428269650-782260606.pdf |
| work_keys_str_mv | AT huangbaotao predictionandmanagementofpeopleathighriskofsuddendeathaftermyocardialinfarctionwhoarenotcoveredbyguidelines |