Risk stratification of sudden cardiac death: a review

Author:

Tfelt-Hansen Jacob12ORCID,Garcia Rodrigue34,Albert Christine5,Merino Jose67,Krahn Andrew8,Marijon Eloi9,Basso Cristina10,Wilde Arthur A M1112,Haugaa Kristina Hermann13

Affiliation:

1. Cardiology Department, Copenhagen University Hospital-Rigshospitalet , Blegdamsvej 9, Copenhagen 2100 , Denmark

2. Section of Forensic Genetics, Department of Forensic Medicine, Copenhagen University , Frederik V’s Vej 11, Copenhagen 2100 , Denmark

3. Cardiology Department, University Hospital of Poitiers , 2 rue de la Milétrie, Poitiers 86000 , France

4. Centre d'Investigation Clinique 1402, University Hospital of Poitiers , 2 rue de la Milétrie, Poitiers 86000 , France

5. Cardiology Department, Smidt Heart Institute, Cedars-Sinai Hospital , Los Angeles, CA , USA

6. Department of Cardiology, La Paz University Hospital, IdiPaz , P. Castellana, 261, Madrid 28046 , Spain

7. Department of Cardiology, Viamed Santa Elena University Hospital , C/La Granja, 8, Madrid 28003 , Spain

8. Centre for Cardiovascular Innovation, Division of Cardiology, Department of Medicine, University of British Columbia , Vancouver, British Columbia , Canada

9. Cardiology Department, European Georges Pompidou Hospital , Paris , France

10. Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova , Via Giustiniani 2, Padova 35121 , Italy

11. Department of Cardiology, Amsterdam UMC location University of Amsterdam , Meibergdreef 9, Amsterdam , The Netherlands

12. Department of Cardiology, Heart Failure and Arrhythmias, Amsterdam Cardiovascular Sciences , Amsterdam , The Netherlands

13. ProCardio Center for Innovation, Department of Cardiology, Oslo University Hospital, Rikshospitalet , Oslo , Norway

Abstract

Abstract Sudden cardiac death (SCD) is responsible for several millions of deaths every year and remains a major health problem. To reduce this burden, diagnosing and identification of high-risk individuals and disease-specific risk stratification are essential. Treatment strategies include treatment of the underlying disease with lifestyle advice and drugs and decisions to implant a primary prevention implantable cardioverter-defibrillator (ICD) and perform ablation of the ventricles and novel treatment modalities such as left cardiac sympathetic denervation in rare specific primary electric diseases such as long QT syndrome and catecholaminergic polymorphic ventricular tachycardia. This review summarizes the current knowledge on SCD risk according to underlying heart disease and discusses the future of SCD prevention.

Publisher

Oxford University Press (OUP)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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