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[Value of Non-invasive Electrocardiologic Examination in Prediction of Sudden Cardiac Death].

Zhongguo Yi Xue Ke Xue Yuan Xue Bao

December 2021

Department of Cardiology, Fuwai Hospital,CAMS and PUMC,Beijing 100037,China.

Sudden cardiac death(SCD),a serious public health problem facing China and the world,causes heavy social burden.It is reported that SCD accounts for 15%-20% of all the deaths and the proportion of SCD patients with non-cardiac disease is as high as 50%.Finding effective predictors to identify SCD early is particularly important for clinical practice.

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Background: Electrocardiographic methods still provide the bulk of cardiovascular diagnostics. Cardiac ischemia is associated with typical alterations in cardiac biosignals that have to be measured, analyzed by mathematical algorithms and allegorized for further clinical diagnostics. The fast growing fields of biomedical engineering and applied sciences are intensely focused on generating new approaches to cardiac biosignal analysis for diagnosis and risk stratification in myocardial ischemia.

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This a position paper of the Working Group on Electrocardiology, Exercise Testing and Cardiac rehabilitation of the Belgian Society of Cardiology (BSC), aimed at reassessing the value for the clinical practice of cardiology of some electrocardiological techniques such as vectorcardiography and Holter monitoring in the frame of what has been called "quantitative electrocardiology". This official statement issued on behalf of the BSC was deemed necessary because of several consecutive attempts to discredit the clinical merits of these electrocardiological techniques currently in use in our country. This paper will also reassess the role of quantitative electrocardiology amidst non-invasive diagnostic methods used for cardiac imaging.

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