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Article |

Syncopal Attacks and Sudden Death

Karl Otto Schwarz, MD
Arch Intern Med. 1977;137(11):1640. doi:10.1001/archinte.1977.03630230108035.
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To the Editor.—  Dr Bharati and associates described in the Archives (136:224-228, 1976) a case of sudden death caused by benign tumor (mesothelioma) of the atrioventricular node in a 16-year-old girl.In the article there is an exhaustive list of references about the subject. From this list it is evident that the number of cases in which the diagnosis has been made is extremely small. One of the most enigmatic problems in forensic pathology is sudden unexpected death in teenagers and young adults, and many such cases remain without a satisfactory solution. In some of these cases there is an anamnesis of a few syncopal attacks during the years that have preceded the sudden death. When the medical files of these cases are reexamined, the diagnosis is often epileptic attack, but without sound clinical basis. In many cases in the above-mentioned age group, the clinical examination has been neurologically and


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