Analysis of cardiac symptoms preceding cardiac arrest.


Prodromal symptoms and cardiac history were examined in 227 patients with coronary artery disease who were successfully resuscitated after out-of-hospital cardiac arrest. Cardiac arrest was sudden--with either no symptoms or symptoms for less than 1 hour--in 71% of the patients. Nonsudden death--death occurring after more than 1 hour of symptoms--occurred in 29% of the patients. A history of cardiovascular disease was present in 85% of patients with sudden cardiac arrest and in 83% with nonsudden arrest. Cardiac arrest occurred without symptoms in 38% of the patients with sudden cardiac arrest and was the first expression of coronary artery disease in 4% of the entire study group. This study indicates that cardiac arrest usually occurs with symptoms and almost always in the setting of a history of cardiovascular disease.


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@article{Goldstein1986AnalysisOC, title={Analysis of cardiac symptoms preceding cardiac arrest.}, author={Sidney Goldstein and Sharon Medendorp and J . Richard Landis and Robert A. Wolfe and Richard F. Leighton and Gerhardt Ritter and Chembumkara Vasu and A Acheson}, journal={The American journal of cardiology}, year={1986}, volume={58 13}, pages={1195-8} }