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QTc prolongation, reported in approximately 18%–29% of PLWH, is associated with heightened risk for malignant ventricular arrhythmias such as torsades de pointes ( These arrhythmic substrates contribute to a markedly increased burden of sudden cardiac death (SCD) in this population ( Given these findings, systematic rhythm surveillance in HIVAC, including baseline and periodic ECG assessment, may facilitate early detection of arrhythmia-prone patients and inform risk stratification for implantable cardioverter-defibrillator (ICD) consideration

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