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Small patches of inflammation and\/or edema can be missed on cardiac imaging and autopsy, and the heart can appear grossly normal. This paper reviews evidence linking COVID-19 vaccines to cardiac arrest where unfortunately the majority of victims have had no antecedent clinical evaluation. We propose a comprehensive strategy for evaluating cardiovascular risk post-vaccination, incorporating detailed patient history, antibody testing, and cardiac diagnostics in the best attempt to detect abnormalities before sudden cardiac death. This approach aims to identify individuals at higher risk of cardiac events after COVID-19 vaccination and guide appropriate clinical management. It is prudent for each primary care physician to have a pre-established plan when addressing this issue in their practice.<\/jats:p>","DOI":"10.4330\/wjc.v17.i2.103909","type":"journal-article","created":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T09:17:13Z","timestamp":1740388633000},"source":"Crossref","is-referenced-by-count":4,"title":["Risk stratification for future cardiac arrest after COVID-19 vaccination"],"prefix":"10.4330","volume":"17","author":[{"given":"Peter A","family":"McCullough","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Hulscher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"B1","doi-asserted-by":"crossref","unstructured":"Hulscher N, Cook MJ, Stricker RB, McCullough PA. 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