Risk stratification of sudden cardiac death in heart failure patients: is left ventricular ejection fraction alone sufficient?
According to current clinical guidelines, the risk of sudden cardiac death (SCD) in patients with heart failure is specified by left ventricular (LV) ejection fraction (EF). We believe that risk stratification and choice of patient management tactics should be based on modern diagnostic techniques a...
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| Format: | Article |
| Language: | Russian |
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«FIRMA «SILICEA» LLC
2021-02-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/3959 |
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| author | N. N. Ilov Olesya V. Palnikova D. R. Stompel E. V. Nikolaeva A. A. Nechepurenko |
| author_facet | N. N. Ilov Olesya V. Palnikova D. R. Stompel E. V. Nikolaeva A. A. Nechepurenko |
| author_sort | N. N. Ilov |
| collection | DOAJ |
| description | According to current clinical guidelines, the risk of sudden cardiac death (SCD) in patients with heart failure is specified by left ventricular (LV) ejection fraction (EF). We believe that risk stratification and choice of patient management tactics should be based on modern diagnostic techniques aimed at identifying the anatomical and electrophysiological substrate of SCD. Therefore, LVEF alone is not enough to solve such problems. This review presents an analysis of current research on the novel predictors of SCD. The most promising areas include the identification of electrocardiological markers of fatal ventricular arrhythmias, modern ultrasound and magnetic resonance imaging techniques. The importance of electrophysiological tests in the verification of SCD risk is discussed. Based on the literature analysis, we can conclude that only a combination of different factors can significantly increase the diagnostic value of prognostic model and improve the primary prevention of SCD. |
| format | Article |
| id | doaj-art-3e73f5f9606c4f6cb0e5d52a77ea42f9 |
| institution | Matheson Library |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2021-02-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-3e73f5f9606c4f6cb0e5d52a77ea42f92025-08-04T13:00:24Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202021-02-0126110.15829/1560-4071-2021-39593023Risk stratification of sudden cardiac death in heart failure patients: is left ventricular ejection fraction alone sufficient?N. N. Ilov0Olesya V. Palnikova1D. R. Stompel2E. V. Nikolaeva3A. A. Nechepurenko4Astrakhan State Medical University; Federal Center for Cardiovascular SurgeryFederal Center for Cardiovascular SurgeryFederal Center for Cardiovascular SurgeryFederal Center for Cardiovascular SurgeryFederal Center for Cardiovascular SurgeryAccording to current clinical guidelines, the risk of sudden cardiac death (SCD) in patients with heart failure is specified by left ventricular (LV) ejection fraction (EF). We believe that risk stratification and choice of patient management tactics should be based on modern diagnostic techniques aimed at identifying the anatomical and electrophysiological substrate of SCD. Therefore, LVEF alone is not enough to solve such problems. This review presents an analysis of current research on the novel predictors of SCD. The most promising areas include the identification of electrocardiological markers of fatal ventricular arrhythmias, modern ultrasound and magnetic resonance imaging techniques. The importance of electrophysiological tests in the verification of SCD risk is discussed. Based on the literature analysis, we can conclude that only a combination of different factors can significantly increase the diagnostic value of prognostic model and improve the primary prevention of SCD.https://russjcardiol.elpub.ru/jour/article/view/3959heart failuresudden cardiac deathcardioverter-defibrillatorpredictorrisk stratificationsudden cardiac death substrate |
| spellingShingle | N. N. Ilov Olesya V. Palnikova D. R. Stompel E. V. Nikolaeva A. A. Nechepurenko Risk stratification of sudden cardiac death in heart failure patients: is left ventricular ejection fraction alone sufficient? Российский кардиологический журнал heart failure sudden cardiac death cardioverter-defibrillator predictor risk stratification sudden cardiac death substrate |
| title | Risk stratification of sudden cardiac death in heart failure patients: is left ventricular ejection fraction alone sufficient? |
| title_full | Risk stratification of sudden cardiac death in heart failure patients: is left ventricular ejection fraction alone sufficient? |
| title_fullStr | Risk stratification of sudden cardiac death in heart failure patients: is left ventricular ejection fraction alone sufficient? |
| title_full_unstemmed | Risk stratification of sudden cardiac death in heart failure patients: is left ventricular ejection fraction alone sufficient? |
| title_short | Risk stratification of sudden cardiac death in heart failure patients: is left ventricular ejection fraction alone sufficient? |
| title_sort | risk stratification of sudden cardiac death in heart failure patients is left ventricular ejection fraction alone sufficient |
| topic | heart failure sudden cardiac death cardioverter-defibrillator predictor risk stratification sudden cardiac death substrate |
| url | https://russjcardiol.elpub.ru/jour/article/view/3959 |
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