Abstract
Sudden or instantaneous death is nearly always of cardiac origin. The most common mechanism is a severe electrical dysfunction, which is apparent on Holter monitoring tapes. Identifying patients at risk of sudden cardiac death is difficult, and Holter monitoring has proved to be limited in its diagnostic usefulness. However, in patients who have experienced cardiac arrest Holter monitoring has shown that the electrical abnormalities leading to death vary. These abnormalities usually take time to develop, and during this time the cerebral circulation is partially maintained. In this brief period, lasting less than 2 minutes, the individual may become aware that something is wrong and have time to react.
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Selected References
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- Corday E. Symposium on identification and management of the candidate for sudden cardiac death: introduction. Am J Cardiol. 1977 May 26;39(6):813–815. doi: 10.1016/s0002-9149(77)80032-5. [DOI] [PubMed] [Google Scholar]
- Friedman M., Manwaring J. H., Rosenman R. H., Donlon G., Ortega P., Grube S. M. Instantaneous and sudden deaths. Clinical and pathological differentiation in coronary artery disease. JAMA. 1973 Sep 10;225(11):1319–1328. doi: 10.1001/jama.225.11.1319. [DOI] [PubMed] [Google Scholar]
- Hinkle L. E., Jr, Argyros D. C., Hayes J. C., Robinson T., Alonso D. R., Shipman S. C., Edwards M. E. Pathogenesis of an unexpected sudden death: role of early cycle ventricular premature contractions. Am J Cardiol. 1977 May 26;39(6):873–879. doi: 10.1016/s0002-9149(77)80042-8. [DOI] [PubMed] [Google Scholar]
- James T. N. Chance and sudden death. J Am Coll Cardiol. 1983 Jan;1(1):164–183. doi: 10.1016/s0735-1097(83)80020-5. [DOI] [PubMed] [Google Scholar]
- Lesch M., Kehoe R. F. Predictability of sudden cardiac death. A partially fulfilled promise. N Engl J Med. 1984 Jan 26;310(4):255–257. doi: 10.1056/NEJM198401263100409. [DOI] [PubMed] [Google Scholar]
- Lewis B. H., Antman E. M., Graboys T. B. Detailed analysis of 24 hour ambulatory electrocardiographic recordings during ventricular fibrillation or torsade de pointes. J Am Coll Cardiol. 1983 Sep;2(3):426–436. doi: 10.1016/s0735-1097(83)80268-x. [DOI] [PubMed] [Google Scholar]
- Lown B. Sudden cardiac death: the major challenge confronting contemporary cardiology. Am J Cardiol. 1979 Feb;43(2):313–328. doi: 10.1016/s0002-9149(79)80021-1. [DOI] [PubMed] [Google Scholar]
- Myerburg R. J., Conde C. A., Sung R. J., Mayorga-Cortes A., Mallon S. M., Sheps D. S., Appel R. A., Castellanos A. Clinical, electrophysiologic and hemodynamic profile of patients resuscitated from prehospital cardiac arrest. Am J Med. 1980 Apr;68(4):568–576. doi: 10.1016/0002-9343(80)90307-1. [DOI] [PubMed] [Google Scholar]
- Nikolic G., Bishop R. L., Singh J. B. Sudden death recorded during Holter monitoring. Circulation. 1982 Jul;66(1):218–225. doi: 10.1161/01.cir.66.1.218. [DOI] [PubMed] [Google Scholar]
- Ruskin J. N., McGovern B., Garan H., DiMarco J. P., Kelly E. Antiarrhythmic drugs: a possible cause of out-of-hospital cardiac arrest. N Engl J Med. 1983 Nov 24;309(21):1302–1306. doi: 10.1056/NEJM198311243092107. [DOI] [PubMed] [Google Scholar]
- Schaffer W. A., Cobb L. A. Recurrent ventricular fibrillation and modes of death in survivors of out-of-hospital ventricular fibrillation. N Engl J Med. 1975 Aug 7;293(6):259–262. doi: 10.1056/NEJM197508072930601. [DOI] [PubMed] [Google Scholar]