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. 1985;96:120–130.

Unusual sudden death.

J V Warren
PMCID: PMC2279660  PMID: 6537674

Abstract

In contrast to usual sudden death seen in the course of coronary artery disease, individuals dying suddenly from other causes form a complex array of situations. In some the causes are readily identifiable. No simple pattern is available to identify the potential candidate, but on review of the many causes some moves by the physician may be helpful. For example, a more complete physical evaluation of young individuals participating in competitive athletics is in order. This is particularly true if the athlete reports an episode of unexplained syncope. This may well be the warning of a propensity towards sudden death under physical and emotional stress. Knowledge of the specific problems in underwater swimming and diving, in high altitude exposure and in various circumstances such as certain weight reduction diets and industrial exposures may lead to control of some types of unusual sudden death. Clearly, more studies are needed to give answers in so called crib death. As the incidence of usual sudden death falls, these unusual forms of sudden death will represent a more important fraction of sudden death in general.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. APONTE G. E. The enigma of "bangungut". Ann Intern Med. 1960 Jun;52:1258–1263. doi: 10.7326/0003-4819-52-6-1258. [DOI] [PubMed] [Google Scholar]
  2. Avery M. E., Frantz I. D., 3rd To breathe or not to breathe--what have we learned about apneic spells and sudden infant death? N Engl J Med. 1983 Jul 14;309(2):107–108. doi: 10.1056/NEJM198307143090211. [DOI] [PubMed] [Google Scholar]
  3. Baron R. C., Thacker S. B., Gorelkin L., Vernon A. A., Taylor W. R., Choi K. Sudden death among Southeast Asian refugees. An unexplained nocturnal phenomenon. JAMA. 1983 Dec 2;250(21):2947–2951. [PubMed] [Google Scholar]
  4. CRAIG A. B., Jr Underwater swimming and loss of consciousness. JAMA. 1961 Apr 29;176:255–258. doi: 10.1001/jama.1961.03040170001001. [DOI] [PubMed] [Google Scholar]
  5. Engel G. L. Psychologic stress, vasodepressor (vasovagal) syncope, and sudden death. Ann Intern Med. 1978 Sep;89(3):403–412. doi: 10.7326/0003-4819-89-3-403. [DOI] [PubMed] [Google Scholar]
  6. Goodwin J. F., Krikler D. M. Arrhythmia as a cause of sudden death in hypertrophic cardiomyopathy. Lancet. 1976 Oct 30;2(7992):937–940. doi: 10.1016/s0140-6736(76)90896-5. [DOI] [PubMed] [Google Scholar]
  7. Guntheroth W. G. Sudden infant death syndrome (crib death). Am Heart J. 1977 Jun;93(6):784–793. doi: 10.1016/s0002-8703(77)80077-x. [DOI] [PubMed] [Google Scholar]
  8. Heimlich H. J. A life-saving maneuver to prevent food-choking. JAMA. 1975 Oct 27;234(4):398–401. [PubMed] [Google Scholar]
  9. James T. N., MacLean W. A. Paroxysmal ventricular arrhythmias and familial sudden death associated with neural lesions in the heart. Chest. 1980 Jul;78(1):24–30. doi: 10.1378/chest.78.1.24. [DOI] [PubMed] [Google Scholar]
  10. James T. N., Pearce W. N., Jr, Givhan E. G., Jr Sudden death while driving. Role of sinus perinodal degeneration and cardiac neural degeneration and ganglionitis. Am J Cardiol. 1980 May;45(5):1095–1102. doi: 10.1016/0002-9149(80)90180-0. [DOI] [PubMed] [Google Scholar]
  11. James T. N. Sudden deaths of babies. Circulation. 1976 Jan;53(1):1–2. doi: 10.1161/01.cir.53.1.1. [DOI] [PubMed] [Google Scholar]
  12. Kuller L., Lilienfeld A., Fisher R. An epidemiological study of sudden and unexpected deaths in adults. Medicine (Baltimore) 1967 Jul;46(4):341–361. doi: 10.1097/00005792-196707000-00003. [DOI] [PubMed] [Google Scholar]
  13. Maron B. J., Roberts W. C., Epstein S. E. Sudden death in hypertrophic cardiomyopathy: a profile of 78 patients. Circulation. 1982 Jun;65(7):1388–1394. doi: 10.1161/01.cir.65.7.1388. [DOI] [PubMed] [Google Scholar]
  14. Maron B. J., Roberts W. C., McAllister H. A., Rosing D. R., Epstein S. E. Sudden death in young athletes. Circulation. 1980 Aug;62(2):218–229. doi: 10.1161/01.cir.62.2.218. [DOI] [PubMed] [Google Scholar]
  15. Plueckhahn V. D. Death by drowning? Geelong 1959 to 1974. Med J Aust. 1975 Dec 13;2(24):904–906. doi: 10.5694/j.1326-5377.1975.tb106430.x. [DOI] [PubMed] [Google Scholar]
  16. Randall B. Fatty liver and sudden death. A review. Hum Pathol. 1980 Mar;11(2):147–153. doi: 10.1016/s0046-8177(80)80133-x. [DOI] [PubMed] [Google Scholar]
  17. Rossner S. D. Coronary anomalies. Circulation. 1978 Oct;58(4):759–760. doi: 10.1161/01.cir.58.4.759. [DOI] [PubMed] [Google Scholar]
  18. 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]
  19. Wadden T. A., Stunkard A. J., Brownell K. D. Very low calorie diets: their efficacy, safety, and future. Ann Intern Med. 1983 Nov;99(5):675–684. doi: 10.7326/0003-4819-99-5-675. [DOI] [PubMed] [Google Scholar]

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