Cardiology pp 473-486 | Cite as

Management of the Patient at High Risk for Sudden Cardiac Death

  • Bernard Lown
  • Thomas B. Graboys
  • Philip J. Podrid
  • Steven Lampert

Abstract

Can one protect the subject at high risk for sudden cardiac death? To be able to answer this question requires identification of the specific pathologic derangement contributing to the sudden fatality. However, in most victims of sudden cardiac death (SCD) no acute lesions are demonstrable. Autopsy studies document severe occlusive atherosclerotic disease of major epicardial coronary arteries.1,2 But acute arterial events such as thrombosis of diseased vessels, hemorrhage into a plaque, fracture of atherosclerotic lesion are observed in a minority of cases.3 Even if coronary occlusion is not demonstrable, this does not preclude the occurrence of myocardial infarction. But even with sensitive stains, a majority of patients dying suddenly exhibit no evidence of myocardial infarction. Reichenback and coworkers4 noted such findings in only 5% of sudden death victims.

Keywords

Sudden Death Ventricular Tachycardia Ventricular Arrhythmia Sudden Cardiac Death Ventricular Fibrillation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1984

Authors and Affiliations

  • Bernard Lown
    • 1
  • Thomas B. Graboys
    • 1
  • Philip J. Podrid
    • 1
  • Steven Lampert
    • 1
  1. 1.Cardiovascular Research Laboratories, Dept. of Nutrition Harvard School of Public Health and The Cardiovascular DivisionDept. of Medicine Brigham & Women’s HospitalBostonUSA

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