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Volume 359:761-762 August 14, 2008 Number 7
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Sudden Cardiac Arrest Associated with Early Repolarization

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 by Haïssaguerre, M.
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To the Editor: In their article on sudden cardiac arrest associated with early repolarization, Haïssaguerre and colleagues (May 8 issue)1 refer to the definition of idiopathic ventricular fibrillation that is used by the joint steering committees of the Unexplained Cardiac Registry of Europe and of the Idiopathic Ventricular Fibrillation Registry of the United States. However, the characterization of patients in their study appears to be largely incomplete. Registries,2 necropsy studies,3 and endomyocardial-biopsy studies4 have shown that concealed myocardial diseases — in particular, arrhythmogenic right ventricular cardiomyopathy and myocarditis — may cause sudden death in subjects with apparently normal hearts. In . . . [Full Text of this Article]




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