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Circulation, Vol 65, 457-464, Copyright © 1982 by American Heart Association
LE Hinkle Jr and HT Thaler
One hundred forty-two deaths among 743 men ages 50 - 65 years who had been
examined and followed 5 - 10 years were investigated and classified on the
basis of clinical information from medical and non- medical observers, ECGs
and autopsies. A classification based on the condition of the circulation
immediately before death appears to be most relevant to studies of sudden
death. In 58% of the cases, the subjects collapsed abruptly and his pulse
ceased without prior circulatory collapse (arrhythmic death); in 42%, the
pulse ceased only after the peripheral circulation had collapsed (deaths in
circulatory failure). Thirty-three percent of arrhythmic deaths and 10% of
deaths in circulatory failure occurred in a setting of clinical evidence of
acute ischemic heart disease (p less than 0.005). Forty-five percent of
arrhythmic deaths were preceded by chronic congestive heart failure without
circulatory collapse. Ninety-three percent of final illnesses that lasted
less than 1 hour ended in arrhythmic deaths; 74% lasted more than 1 day
ended in deaths in circulatory failure (p less than 0.001). Eighty-eight
percent of deaths that occurred outside of the hospital were arrhythmic;
71% of deaths that occurred in the hospital were deaths in circulatory
failure (p less than 0.001). Ninety percent of deaths in which the primary
cause of the final illness was heart disease were arrhythmic; 86% of deaths
in which the primary cause was other than heart disease were deaths in
circulatory failure (p less than 0.001). Ninety-one percent of deaths
precipitated by an acute cardiac event were arrhythmic; 98% precipitated by
acute respiratory obstruction, hemorrhage, infection, stroke or other
noncardiac events were deaths in circulatory failure (p less than 0.001).
ARTICLES
Clinical classification of cardiac deaths
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C.M Pratt, A.J Camm, J.T Bigger Jr, G Breithardt, R.W.F Campbell, A.E Epstein, L.J Kappenberger, K.-H Kuck, S Pocock, S Saksena, et al. Evaluation of antiarrhythmic drug efficacy in patients with an ICD. Unlimited potential or replete with complexity and problems? Eur. Heart J., November 1, 1999; 20(21): 1538 - 1552. [Abstract] [PDF] |
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L. H. Ling, J. K. Oh, H. V. Schaff, G. K. Danielson, D. W. Mahoney, J. B. Seward, and A. J. Tajik Constrictive Pericarditis in the Modern Era : Evolving Clinical Spectrum and Impact on Outcome After Pericardiectomy Circulation, September 28, 1999; 100(13): 1380 - 1386. [Abstract] [Full Text] [PDF] |
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C. M. Albert, J. E. Manson, N. R. Cook, U. A. Ajani, J. M. Gaziano, and C. H. Hennekens Moderate Alcohol Consumption and the Risk of Sudden Cardiac Death Among US Male Physicians Circulation, August 31, 1999; 100(9): 944 - 950. [Abstract] [Full Text] [PDF] |
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A. J. Moss, R. E. Goldstein, V. J. Marder, C. E. Sparks, D. Oakes, H. Greenberg, H. J. Weiss, W. Zareba, M. W. Brown, C.-S. Liang, et al. Thrombogenic Factors and Recurrent Coronary Events Circulation, May 18, 1999; 99(19): 2517 - 2522. [Abstract] [Full Text] [PDF] |
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L. Fauchier, D. Babuty, P. Cosnay, and J. P. Fauchier Prognostic value of heart rate variability for sudden death and major arrhythmic events in patients with idiopathic dilated cardiomyopathy J. Am. Coll. Cardiol., April 1, 1999; 33(5): 1203 - 1207. [Abstract] [Full Text] [PDF] |
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J. T. Bigger Jr, W. Whang, J. N. Rottman, R. E. Kleiger, C. D. Gottlieb, P. B. Namerow, R. C. Steinman, and N. A. M. Estes III Mechanisms of Death in the CABG Patch Trial : A Randomized Trial of Implantable Cardiac Defibrillator Prophylaxis in Patients at High Risk of Death After Coronary Artery Bypass Graft Surgery Circulation, March 23, 1999; 99(11): 1416 - 1421. [Abstract] [Full Text] [PDF] |
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D. Andresen, G. Steinbeck, T. Bruggemann, D. Muller, R. Haberl, S. Behrens, E. Hoffmann, K. Wegscheider, R.u. Dissmann, and H.-C. Ehlers Risk stratification following myocardial infarction in the thrombolytic era: a two-step strategy using noninvasive and invasive methods J. Am. Coll. Cardiol., January 1, 1999; 33(1): 131 - 138. [Abstract] [Full Text] [PDF] |
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W. Grimm, J.u. Hoffmann, V. Menz, K. Luck, and B. Maisch Programmed ventricular stimulation for arrhythmia risk prediction in patients with idiopathic dilated cardiomyopathy and nonsustained ventricular tachycardia J. Am. Coll. Cardiol., September 1, 1998; 32(3): 739 - 745. [Abstract] [Full Text] [PDF] |
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A. Arola, J. Tuominen, O. Ruuskanen, and E. Jokinen Idiopathic Dilated Cardiomyopathy in Children: Prognostic Indicators and Outcome Pediatrics, March 1, 1998; 101(3): 369 - 376. [Abstract] [Full Text] [PDF] |
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C. M. Albert, C. H. Hennekens, C. J. O'Donnell, U. A. Ajani, V. J. Carey, W. C. Willett, J. N. Ruskin, and J. E. Manson Fish Consumption and Risk of Sudden Cardiac Death JAMA, January 7, 1998; 279(1): 23 - 28. [Abstract] [Full Text] [PDF] |
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A. C. Caruso, F. I. Marcus, E. A. Hahn, V. L. Hartz, and J. W. Mason Predictors of Arrhythmic Death and Cardiac Arrest in the ESVEM Trial Circulation, September 16, 1997; 96(6): 1888 - 1892. [Abstract] [Full Text] |
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C. M. Albert, J. E. Manson, C. H. Hennekens, J. N. Ruskin, A. H. Lichtenstein, R. Bhopal, M. L. Daviglus, J. Stamler, and P. Greenland Fish Consumption and the Risk of Myocardial Infarction N. Engl. J. Med., August 14, 1997; 337(7): 497 - 499. [Full Text] |
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A. J. Moss, W. J. Hall, D. S. Cannom, J. P. Daubert, S. L. Higgins, H. Klein, J. H. Levine, S. Saksena, A. L. Waldo, D. Wilber, et al. Improved Survival with an Implanted Defibrillator in Patients with Coronary Disease at High Risk for Ventricular Arrhythmia N. Engl. J. Med., December 26, 1996; 335(26): 1933 - 1940. [Abstract] [Full Text] [PDF] |
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J. T. Bigger Jr, R. C. Steinman, L. M. Rolnitzky, J. L. Fleiss, P. Albrecht, and R. J. Cohen Power Law Behavior of RR-Interval Variability in Healthy Middle-Aged Persons, Patients With Recent Acute Myocardial Infarction, and Patients With Heart Transplants Circulation, June 15, 1996; 93(12): 2142 - 2151. [Abstract] [Full Text] |
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C. M. Pratt, P. S. Greenway, M. H. Schoenfeld, M. L. Hibben, and J. A. Reiffel Exploration of the Precision of Classifying Sudden Cardiac Death : Implications for the Interpretation of Clinical Trials Circulation, February 1, 1996; 93(3): 519 - 524. [Abstract] [Full Text] |
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A. R. R. Misier, T. Opthof, N. M. van Hemel, J. T. Vermeulen, J. M.T. de Bakker, J. J.A.M. Defauw, F. J.L. van Capelle, and M. J. Janse Dispersion of `Refractoriness' in Noninfarcted Myocardium of Patients With Ventricular Tachycardia or Ventricular Fibrillation After Myocardial Infarction Circulation, May 15, 1995; 91(10): 2566 - 2572. [Abstract] [Full Text] |
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J. D. Curb, B. L. Rodriguez, C. M. Burchfiel, R. D. Abbott, D. Chiu, and K. Yano Sudden Death, Impaired Glucose Tolerance, and Diabetes in Japanese American Men Circulation, May 15, 1995; 91(10): 2591 - 2595. [Abstract] [Full Text] |
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J. W. Mason and The Electrophysiologic Study versus Electrocardiog A Comparison of Electrophysiologic Testing with Holter Monitoring to Predict Antiarrhythmic-Drug Efficacy for Ventricular Tachyarrhythmias N. Engl. J. Med., August 12, 1993; 329(7): 445 - 451. [Abstract] [Full Text] |
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A. J. Moss, R. E. Goldstein, W. J. Hall, J. T. Bigger Jr, J. L. Fleiss, H. Greenberg, M. Bodenheimer, R. J. Krone, F. I. Marcus, F. J. Th. Wackers, et al. Detection and Significance of Myocardial Ischemia in Stable Patients After Recovery From an Acute Coronary Event JAMA, May 12, 1993; 269(18): 2379 - 2385. [Abstract] [PDF] |
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B. H. Lorell, P. Dorian, D. Newman, R. Muller, H. M. Steffen, W. Krone, C. D. Furberg, R. W.F. Campbell, B. Pitt, M. A. Pfeffer, et al. ACE Inhibitors after Myocardial Infarction N. Engl. J. Med., April 1, 1993; 328(13): 966 - 969. [Full Text] |
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R. C. Baron, S. B. Thacker, L. Gorelkin, A. A. Vernon, W. R. Taylor, and K. Choi Sudden Death Among Southeast Asian Refugees: An Unexplained Nocturnal Phenomenon JAMA, December 2, 1983; 250(21): 2947 - 2951. [Abstract] [PDF] |
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M. MIROWSKI, P. R. REID, R. A. WINKLE, M. M. MOWER, L. WATKINS Jr., E. B. STINSON, L. S. C. GRIFFITH, C. H. KALLMAN, and M. L. WEISFELDT Mortality in Patients with Implanted Automatic Defibrillators Ann Intern Med, May 1, 1983; 98(5_Part_1): 585 - 588. [Abstract] [PDF] |
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Cardiovascular Diseases: An Annotated Bibliography of Recent Literature: References to Journal Articles and Other Papers Ann Intern Med, May 1, 1983; 98(5_Part_1): 679 - 685. [Abstract] [PDF] |
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