[SCD-FORUM] 25R RE: Palpitations and SCD risk. Dr. Vorotniak

[SCD Symposium]

Dear colleagues,

Thank you for the replies to my questions about "palpitations" and  
Brugada syndrome.
The problem of syncopes and "palpitations" is very important, mostly  
for physicians who work in emergency rooms. In general, when a  
patient presents with palpitations, we seek in ECG ischemic signs,  
conduction disorders, or arrhythmias. However, right precordial leads  
in general are overlooked.
Several authors that presented their fascinating lectures in the  
current Symposium, mention different ECG criteria, predictors of SCD.  
Some of these criteria are pretty well known and used in daily  
practice. However, there are others that are not so well known by  
cardiologists, and even less by general practitioners; for instance:  
ST segment variations  in right precordial leads, S wave morphology  
and duration in V1-V3, Tpeak-Tend interval, PR shortening, etc.
Considering that "palpitations" constitute one of the most frequent  
reasons for ambulatory consultations, I propose developing a list of  
ECG predictors of SCD, easy to apply both in emergency rooms and in  
cardiology offices.

Sincerely,
Dr. Andriy Vorotniak (Buenos Aires, Argentina)

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee

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