Sudden death from coronary heart disease. Survival time, frequency of thrombi, and cigarette smoking.
Sudden death from coronary heart disease. Survival time, frequency of thrombi, and cigarette smoking.
复制标题
因冠心病猝死。
作者：
David M. Spain;V. A. Bradess
一项关于冠心病突发和意外死亡病例中近期冠状动脉血栓数量的尸检研究再次揭示了它们的罕见发生。同样，研究表明，随着急性冠状动脉心脏病发作后生存时间的增加，近期冠状动脉血栓的发生频率也在增加。这倾向于支持这样的概念，即当在这些急性事件中发现近期冠状动脉血栓时，通常不会触发发作，而是在急性事件过程中作为次要现象发展。此外，吸烟不仅与这些突发急性冠状动脉死亡具有异常密切的统计相关性，而且似乎与这些急性发作的生存时间缩短有关。从这些病例中选择的尸检人群的性质决定了在将其推广到整个人群时要谨慎。
An autopsy study on the number of recent coronary thrombi present in sudden and unexpected fatalities from coronary heart disease again reveals their infrequent occurrence. Also again, it is shown that there is an increase in the frequency of recent coronary thrombi with increasing survival time from the onset of the acute coronary heart attack. This tends to support the concept that recent coronary thrombi, when found in these acute events, do not usually trigger the onset of the attack but develop as a secondary phenomenon during the course of the acute event. Furthermore, cigarette smoking was noted not only to have an exceptionally close statistical correlation with these sudden acute coronary deaths, but also appeared to be associated with a shorter survival time of these acute episodes. The nature of the autopsy population from which these cases were selected dictates caution in generalizing to the population at large.