Abstract
Two patients known to have coronary artery disease died suddenly outdoors while active. Neither had symptoms or signs of acute myocardial infarction. They were being monitored by continuous tape recording of the electrocardiogram at the time of death. In one patient the cause of death was cardiac arrest, preceded by bigeminy and multiform ventricular ectopic beats, in the other ventricular fibrillation preceded by atrial fibrillation, multiform ventricular ectopic beats, and ST depression. These observations are added to the limited reported cases in which the mechanism leading to sudden death outside the hospital is recorded.
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Selected References
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- Baum R. S., Alvarez H., 3rd, Cobb L. A. Survival after resuscitation from out-of-hospital ventricular fibrillation. Circulation. 1974 Dec;50(6):1231–1235. doi: 10.1161/01.cir.50.6.1231. [DOI] [PubMed] [Google Scholar]
- Bleifer S. B., Bleifer D. J., Hansmann D. R., Sheppard J. J., Harold H. L. Diagnosis of occult arrhythmias by Holter electrocardiography. Prog Cardiovasc Dis. 1974 May-Jun;16(6):569–599. doi: 10.1016/0033-0620(74)90019-x. [DOI] [PubMed] [Google Scholar]
- DeSanctis R. W., Block P., Hutter A. M., Jr Tachyarrhythmias in myocardial infarction. Circulation. 1972 Mar;45(3):681–702. doi: 10.1161/01.cir.45.3.681. [DOI] [PubMed] [Google Scholar]
- Gradman A. H., Bell P. A., DeBusk R. F. Sudden death during ambulatory monitoring. Clinical and electrocardiographic correlations. Report of a case. Circulation. 1977 Jan;55(1):210–211. doi: 10.1161/01.cir.55.1.210. [DOI] [PubMed] [Google Scholar]
- 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]
- Ryan M., Lown B., Horn H. Comparison of ventricular ectopic activity during 24-hour monitoring and exercise testing in patients with coronary heart disease. N Engl J Med. 1975 Jan 30;292(5):224–229. doi: 10.1056/NEJM197501302920502. [DOI] [PubMed] [Google Scholar]