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. 1985 Jul;54(1):27–32. doi: 10.1136/hrt.54.1.27

Ischaemic heart disease and prodromes of sudden cardiac death. Is it possible to identify high risk groups for sudden cardiac death?

J K Madsen
PMCID: PMC481843  PMID: 4015913

Abstract

A study was carried out to determine the incidence of sudden cardiac death in a well defined population in relation to prodromes, medical history, and previous medical consultations before sudden cardiac death. In Frederiksborg county, Denmark (population 332 000), of 1309 consecutive deaths in a six month period, 166 were due to sudden cardiac death; among men aged 50-69, 22% of all deaths were due to sudden cardiac death. The incidence per 1000 population per year by age group (less than 50, 50-69, greater than or equal to 70 years) was 0.19, 3.6, 11.4 in men and 0.12, 1.0, and 6.4 in women. The increasing incidence with age was significant. Ischaemic heart disease or hypertension had been recorded in 75% (124/166) of patients. Prodromes were reported in 54% (38/71) of patients with angina, and in 26% (25/95) without. Nineteen per cent (32/166) had neither prodromes nor overt heart disease. Forty six per cent of patients with known ischaemic heart disease and 24% without had consulted a doctor less than four weeks before death. Eight per cent had had a myocardial infarction within a year of death.

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Selected References

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

  1. Agner E., Damm P., Hansen P. F., Schroll M. Causes of hospitalisation in different age intervals. From the Glostrup population studies. Dan Med Bull. 1982 Mar;29(3):140–144. [PubMed] [Google Scholar]
  2. Agner E. Natural history of angina pectoris, possible previous myocardial infarction and intermittent claudication during the eighth decade. A longitudinal epidemiologic study. Acta Med Scand. 1981;210(4):271–276. doi: 10.1111/j.0954-6820.1981.tb09814.x. [DOI] [PubMed] [Google Scholar]
  3. Alonzo A. A., Simon A. B., Feinleib M. Prodromata of myocardial infarction and sudden death. Circulation. 1975 Dec;52(6):1056–1062. doi: 10.1161/01.cir.52.6.1056. [DOI] [PubMed] [Google Scholar]
  4. Armstrong A., Duncan B., Oliver M. F., Julian D. G., Donald K. W., Fulton M., Lutz W., Morrison S. L. Natural history of acute coronary heart attacks. A community study. Br Heart J. 1972 Jan;34(1):67–80. doi: 10.1136/hrt.34.1.67. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hinkle L. E., Jr The immediate antecedents of sudden death. Acta Med Scand Suppl. 1981;651:207–217. doi: 10.1111/j.0954-6820.1981.tb03659.x. [DOI] [PubMed] [Google Scholar]
  6. Hjermann I., Velve Byre K., Holme I., Leren P. Effect of diet and smoking intervention on the incidence of coronary heart disease. Report from the Oslo Study Group of a randomised trial in healthy men. Lancet. 1981 Dec 12;2(8259):1303–1310. doi: 10.1016/s0140-6736(81)91338-6. [DOI] [PubMed] [Google Scholar]
  7. Kannel W. B., Doyle J. T., McNamara P. M., Quickenton P., Gordon T. Precursors of sudden coronary death. Factors related to the incidence of sudden death. Circulation. 1975 Apr;51(4):606–613. doi: 10.1161/01.cir.51.4.606. [DOI] [PubMed] [Google Scholar]
  8. Kuller L., Cooper M., Perper J. Epidemiology of sudden death. Arch Intern Med. 1972 May;129(5):714–719. [PubMed] [Google Scholar]
  9. Kyst Madsen J., Fischer Hansen J. The prognosis for patients admitted to a coronary care unit due to suspected acute myocardial infarction with and without confirmed diagnosis. Acta Med Scand. 1982;211(6):453–457. doi: 10.1111/j.0954-6820.1982.tb01981.x. [DOI] [PubMed] [Google Scholar]
  10. Liberthson R. R., Nagel E. L., Hirschman J. C., Nussenfeld S. R., Blackbourne B. D., Davis J. H. Pathophysiologic observations in prehospital ventricular fibrillation and sudden cardiac death. Circulation. 1974 May;49(5):790–798. doi: 10.1161/01.cir.49.5.790. [DOI] [PubMed] [Google Scholar]
  11. Paul O., Schatz M. On sudden death. Circulation. 1971 Jan;43(1):7–10. doi: 10.1161/01.cir.43.1.7. [DOI] [PubMed] [Google Scholar]
  12. Romo M. Factors related to sudden death in acute ischaemic heart disease. A community study in Helsinki. Acta Med Scand Suppl. 1972;547:1–92. [PubMed] [Google Scholar]
  13. Schroeder J. S., Lamb I. H., Hu M. Do patients in whom myocardial infarction has been ruled out have a better prognosis after hospitalization than those surviving infarction? N Engl J Med. 1980 Jul 3;303(1):1–5. doi: 10.1056/NEJM198007033030101. [DOI] [PubMed] [Google Scholar]
  14. Wennerblom B., Holmberg S., Wedel H. The effect of a mobile coronary care unit on mortality in patients with acute myocardial infarction or cardiac arrest outside hospital. Eur Heart J. 1982 Dec;3(6):504–515. doi: 10.1093/oxfordjournals.eurheartj.a061345. [DOI] [PubMed] [Google Scholar]

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