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Sudden Death and Coronary Heart Disease

Delon Wu, MD
Arch Intern Med. 1975;135(12):1625-1626. doi:10.1001/archinte.1975.00330120103023.
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Once every few years, the medical profession develops new insight into an old problem. Sudden death has been known to be a manifestation of coronary artery disease for many centuries. Only in the last two decades has myocardial infarction dominated the medical literature and become analogous to coronary artery disease. Despite tremendous advances in coronary care, the overall cardiac mortality remains high. Many patients die instantaneously, before any help can be reached. It is obvious that if mortality is to be reduced in the future, factors predisposing to sudden cardiac death must be identified and preventive programs must be developed.

Dr Goldstein's monograph provides an extensive review of the literature, defining what is already known and what remains unknown. He begins with an historical review and follows with ample discussion in every aspect of sudden death and coronary artery disease, including epidemiology, pathology, pathophysiology, electrophysiology, neuropsychology, and therapeutic approaches. The


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