Electrocardiogram-based parameters for the prediction of sudden cardiac death: a review

There has recently been a resurgence of interest in electrocardiogram-based (ECG-based) parameters in predicting Sudden Cardiac Death (SCD) risk. Accurate and timely SCD predictions are essential clinical practice for physicians to provide effective prevention and treatment. An ECG is a non-invasive...

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Main Authors: Shaliza Jumahat, Norbahiah Misran, Gan, Kok Beng, Mohammad Tariqul Islam, M.A.M Yahya
Format: Article
Language:en
Published: Penerbit Universiti Kebangsaan Malaysia 2020
Online Access:http://journalarticle.ukm.my/15332/1/10.pdf
http://journalarticle.ukm.my/15332/
http://www.ukm.my/jkukm/volume-322-2020/
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author Shaliza Jumahat,
Norbahiah Misran,
Gan, Kok Beng
Mohammad Tariqul Islam,
M.A.M Yahya,
author_facet Shaliza Jumahat,
Norbahiah Misran,
Gan, Kok Beng
Mohammad Tariqul Islam,
M.A.M Yahya,
author_sort Shaliza Jumahat,
building Tun Sri Lanang Library
collection Institutional Repository
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
continent Asia
country Malaysia
description There has recently been a resurgence of interest in electrocardiogram-based (ECG-based) parameters in predicting Sudden Cardiac Death (SCD) risk. Accurate and timely SCD predictions are essential clinical practice for physicians to provide effective prevention and treatment. An ECG is a non-invasive and inexpensive diagnostic test, and has been firmly established as a clinical tool for assessing the risk of cardiac disease. The electrocardiographic signal derived from the ECG recording consists of a distinctive waveform that depicts the electrical activity of the heart, which can be analyzed for the identification of abnormalities in the heart rhythm. The parameter or characteristic found in the ECG signal might be important for predicting the SCD. A number of systematic reports by expert meetings and review articles in indexed journals identified ECG-based parameters as QRS duration, QT interval, Signal Average ECG (SAECG), T-wave alternan (TWA), Heart Rate Variability (HRV), Heart Rate Turbulence (HRT), T-peak to T-end (Tpe), fragmented QRS complexes (fQRS), and Early Repolarization (ER). This article reviews the mechanism and morphology of these parameters, which may potentially have a role to play in a future algorithm designed to identify early signs of SCD. As of now, none of the ECG-based parameters have been found to be sufficiently stable to predict the SCD risk. Nevertheless, the combination of two or more of the parameters listed, as suggested in many studies, may become a useful component for predicting SCD in the future.
format Article
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institution Universiti Kebangsaan Malaysia
language en
publishDate 2020
publisher Penerbit Universiti Kebangsaan Malaysia
record_format eprints
spelling my-ukm.journal.153322020-10-12T01:13:24Z http://journalarticle.ukm.my/15332/ Electrocardiogram-based parameters for the prediction of sudden cardiac death: a review Shaliza Jumahat, Norbahiah Misran, Gan, Kok Beng Mohammad Tariqul Islam, M.A.M Yahya, There has recently been a resurgence of interest in electrocardiogram-based (ECG-based) parameters in predicting Sudden Cardiac Death (SCD) risk. Accurate and timely SCD predictions are essential clinical practice for physicians to provide effective prevention and treatment. An ECG is a non-invasive and inexpensive diagnostic test, and has been firmly established as a clinical tool for assessing the risk of cardiac disease. The electrocardiographic signal derived from the ECG recording consists of a distinctive waveform that depicts the electrical activity of the heart, which can be analyzed for the identification of abnormalities in the heart rhythm. The parameter or characteristic found in the ECG signal might be important for predicting the SCD. A number of systematic reports by expert meetings and review articles in indexed journals identified ECG-based parameters as QRS duration, QT interval, Signal Average ECG (SAECG), T-wave alternan (TWA), Heart Rate Variability (HRV), Heart Rate Turbulence (HRT), T-peak to T-end (Tpe), fragmented QRS complexes (fQRS), and Early Repolarization (ER). This article reviews the mechanism and morphology of these parameters, which may potentially have a role to play in a future algorithm designed to identify early signs of SCD. As of now, none of the ECG-based parameters have been found to be sufficiently stable to predict the SCD risk. Nevertheless, the combination of two or more of the parameters listed, as suggested in many studies, may become a useful component for predicting SCD in the future. Penerbit Universiti Kebangsaan Malaysia 2020 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/15332/1/10.pdf Shaliza Jumahat, and Norbahiah Misran, and Gan, Kok Beng and Mohammad Tariqul Islam, and M.A.M Yahya, (2020) Electrocardiogram-based parameters for the prediction of sudden cardiac death: a review. Jurnal Kejuruteraan, 32 (2). pp. 259-269. ISSN 0128-0198 http://www.ukm.my/jkukm/volume-322-2020/
spellingShingle Shaliza Jumahat,
Norbahiah Misran,
Gan, Kok Beng
Mohammad Tariqul Islam,
M.A.M Yahya,
Electrocardiogram-based parameters for the prediction of sudden cardiac death: a review
title Electrocardiogram-based parameters for the prediction of sudden cardiac death: a review
title_full Electrocardiogram-based parameters for the prediction of sudden cardiac death: a review
title_fullStr Electrocardiogram-based parameters for the prediction of sudden cardiac death: a review
title_full_unstemmed Electrocardiogram-based parameters for the prediction of sudden cardiac death: a review
title_short Electrocardiogram-based parameters for the prediction of sudden cardiac death: a review
title_sort electrocardiogram-based parameters for the prediction of sudden cardiac death: a review
url http://journalarticle.ukm.my/15332/1/10.pdf
http://journalarticle.ukm.my/15332/
http://www.ukm.my/jkukm/volume-322-2020/
url_provider http://journalarticle.ukm.my/