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Editorial to Association of QT dispersion with mortality and arrhythmic events—A meta‐analysis of observational studies

机译:社论 QT离散度与死亡率和心律失常事件的关联—观察性研究的荟萃分析

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摘要

The majority of sudden cardiac death (SCD) cases are associated with coronary artery disease (CAD). Furthermore, SCD can be the first and devastating manifestation of CAD. Although, in the advances of medicine survival rate after out‐of‐hospital cardiac arrest is still low, even in the developed countries. Identification of patients with increased risk for SCD is quite important. Surface electrocardiography (ECG) has been used to predict SCD, including 24‐hour Holter monitoring for identifying the arrhythmia burden and signal‐averaged ECG for identifying abnormalities of QRS duration and configuration. However, these techniques are not sensitive and specific. Also, these cannot be used routinely in clinical practice. Thus, some electrocardiographic markers have been put forward to identify patients who are at risk for SCD. QT dispersion (QTd) is one of the noninvasive electrocardiographic markers for assessing susceptibility in CAD patients with arrhythmic risk and other clinical conditions.
机译:大多数心脏性猝死(SCD)病例与冠状动脉疾病(CAD)相关。此外,SCD可能是CAD的首个破坏性表现。尽管,即使在发达国家,在院外心脏骤停后药物存活率仍然很低。确定患有SCD风险增加的患者非常重要。表面心电图(ECG)已用于预测SCD,包括24小时动态心电图监测(用于确定心律不齐的负担)和信号平均ECG(用于确定QRS持续时间和配置的异常)。但是,这些技术并不敏感和特定。而且,这些不能在临床实践中常规使用。因此,已经提出了一些心电图标记物以识别有SCD风险的患者。 QT离散度(QTd)是用于评估有心律失常风险和其他临床状况的CAD患者易感性的一种非侵入性心电图标记。

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