Instantaneous and sudden deaths. Clinical and pathological differentiation in coronary artery disease.
Instantaneous and sudden deaths. Clinical and pathological differentiation in coronary artery disease.
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瞬时死亡和突然死亡。
DOI：
10.1001/jama.1973.03220390021005
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发表时间：
1973
期刊：
影响因子：
--
通讯作者：
S. M. Grube
中科院分区：
文献类型：
--
作者：
M. Friedman;J. Manwaring;R. Rosenman;G. Donlon;P. Ortega;S. M. Grube
一项对59名冠心病死亡者的研究表明，瞬间死亡者与突然死于冠状动脉疾病的人的不同之处在于：(1)他们在死前很少出现急性症状或急性体征；(2)超过一半的人在体力消耗期间或紧接着死亡；(3)他们的死亡似乎是由原发性心律失常引起的；(4)他们的心脏很少显示任何类型的急性病变，经常表现为两支陈旧的闭塞冠状动脉或一支陈旧的闭塞的左前降支。这些后一种差异应该可以使血管造影术检测到许多容易瞬间死亡的人。
A study of 59 persons dying of coronary artery disease revealed that persons dying instantaneously differed from persons dying suddenly of coronary artery disease in that (1) they rarely experienced acute symptoms or exhibited acute signs before death; (2) more than one half died during or immediately after physical exertion; (3) their deaths appeared to result from a primary arrhythmia; and (4) their hearts rarely showed an acute lesion of any kind and frequently exhibited two old occluded coronary arteries or one old occluded, left anterior descending artery. These latter differences should permit angiographic detection of many persons prone to instantaneous death.