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Sudden cardiac death & the Reverse Dodo Verdict. | LitMetric

Sudden cardiac death & the Reverse Dodo Verdict.

Int J Risk Saf Med

North Wales Department of Psychological Medicine, Bangor, Wales, UK.

Published: February 2015

AI Article Synopsis

  • Adverse effects on cardiac QT intervals from treatments have been recognized for over 50 years, with a clear connection to sudden deaths, although it was not widely acknowledged.
  • The significance of heart-related treatment effects gained attention about 20 years ago due to regulatory changes, especially amidst the growing use of various medications.
  • The paper suggests that the unanticipated cardiac effects of multiple medications are likely underreported and underdiagnosed, advocating for timely ECG recognition and proposing two methods to address the issue.

Article Abstract

Adverse effects of treatment on cardiac QT intervals were first reported 50 years ago. A clear link to sudden death was established, but the problem remained relatively unknown. The issue of treatment related effects on the heart, and the contribution this might make to sudden cardiac deaths in general, came more clearly into focus 20 years ago, linked to regulatory actions. In an era of polypharmacy, and mixing of prescribed and non-prescribed pharmacologically active agents it is now becoming increasingly clear that unanticipated cardiac effects may be common and a significant cause of mortality. There is likely underreporting and also underdiagnosis, as recognition requires a timely ECG. This paper proposes two methods to handle the problem.

Download full-text PDF

Source
http://dx.doi.org/10.3233/JRS-140615DOI Listing

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