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Although T wave alternans (TWA) and the T wave peak-to-end (Tpte) interval are associated with vulnerability to ventricular tachyarrhythmia (VT), no previous reports have demonstrated that TWA immediately precedes spontaneous VT in the human ambulatory setting.

Defibillator Electrogram T Wave Alternans as a Predictor of Spontaneous Ventricular Tachyarrhythmias in Defibrillator Recipients