Stillbirths, Sudden Infant Deaths, and Long-QT Syndrome

نویسنده

  • Peter J. Schwartz
چکیده

Stillbirths contribute substantially to perinatal mortality in developed countries.1 Their prevalence ranges between 4 and 6 per 1000 births.1–3 Despite careful investigation, at least 25%,4 and possibly 50%,1 remain unexplained. Another mysterious cause of early sudden death is represented by sudden infant death syndrome (SIDS),5,6 which is still the leading cause of mortality during the first year of life. Finally, a relatively large number of sudden deaths in the young (infants, children, and teenagers) is due to long-QT syndrome (LQTS).7–10 Are these entities completely unrelated or is there a link between them, such that the latter might be a contributor to the former? As a matter of fact, this specific hypothesis has already been proposed.11,12 Its interest lies in the fact that, beyond the scientific and conceptual implications, if proven correct it could offer an opportunity to prevent those fetal or infant deaths sharing the same genetic and arrhythmogenic mechanism.

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Stillbirths, sudden infant deaths, and long-QT syndrome: puzzle or mosaic, the pieces of the Jigsaw are being fitted together.

Stillbirths contribute substantially to perinatal mortality in developed countries.1 Their prevalence ranges between 4 and 6 per 1000 births.1–3 Despite careful investigation, at least 25%,4 and possibly 50%,1 remain unexplained. Another mysterious cause of early sudden death is represented by sudden infant death syndrome (SIDS),5,6 which is still the leading cause of mortality during the first...

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Stillbirths contribute substantially to perinatal mortality in developed countries with a prevalence ranging between 4 and 6 per 1000 births (1-3). Despite careful evaluation during pregnancy of fetal well-being, about 25-50%, 1 remains without a clear cause, coding for a new entity called Sudden Intrauterine Unexplained Death Syndrome (SIUDS). Moreover, an important cause of early sudden death...

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تاریخ انتشار 2004