by Regional Office for Europe, World Health Organization in Copenhagen .
Written in English
|Contributions||World Health Organization. Regional Office for Europe.|
Prodromal symptoms and signs of sudden death. Prodromal symptoms and signs of sudden death Circulation. Dec;52(6 Suppl):III Authors M Feinleib, A B Simon, R F Gillum, J R Margolis. PMID: No abstract available Myocardial Infarction / diagnosis* Cited by: Prodromal Symptoms Although the final event may be defined as sudden, many SCD victims have had unheeded symptoms well prior to their demise. Up to 50% suffer from prior angina in the preceding y14 and most have sentinel symptoms such as angina, dyspnea, and : Hillel A Steiner, Yonathan Hasin. RESULTS: Most of the patients reported prodromal symptoms. depressed mood and somatic anxiety were the most common prodromal symptoms. The results also show that the number of DCPR diagnoses was higher than the number of DSM-IV diagnoses. At least one DCPR diagnosis was found in all patients, whereasCited by: Patients were carefully instructed in the identification and importance of possible prodromal symptoms and the availability of a mobile intensive-care ambulance service and a 24 h hospital control centre. Horizontal ST-segment depression or anginal pain on an exercise test done within 6 weeks of infarction was a useful predictor of late death.
The review suggests that prodromal myocardial infarction symptoms are prevalent in almost all women prior to MI. The most common prodromal symptom appears to be fatigue, though other symptoms are also prevalent. Further, prodromal symptoms may be . Introduction. Sudden cardiac death (SCD) is defined as a sudden and unexpected non-traumatic death caused by cardiac or unknown cause. 1 A Danish nationwide study 2 from reported that approximately 11% of deaths in the age group 1–49 years were SCD and the annual rate of SCD in this age group was per persons (∼ SCD events per year). Myocardial infarction is defined as sudden ischemic death of myocardial tissue. In the clinical context, myocardial infarction is usually due to thrombotic occlusion of a coronary vessel caused by rupture of a vulnerable plaque. Ischemia induces profound metabolic and ionic perturbations in the affe . Of particular interest was that necropsy evidence of old infarction was more common and recent infarction less common in victims who apparently had had no prodromal symptoms before death (70% and 11%) than in the who had had prodromal chest pain (45% and 29%) (p.
The definition of a recognizable prodromal syndrome in myocardial infarction (MI) and sudden death (SD) could have important implications for clinical practice. Data concerning possible prodromata experienced by patients hospitalized with acute MI or dying suddenly in Framingham, Massachusetts, were collected for a month period. Prodromal symptoms include low-grade fever, malaise, anorexia, and headache. Within 48 to 72 hours, parotid gland enlargement and tenderness could be appreciated. Occasional earache can precede the parotid enlargement. On examination, the enlarged parotid gland . One hundred and twenty-two (68%) admitted to such symptoms. Ninety-nine (55% of the total) said they had experienced either the onset or an intensification of attacks of pain in the chest. Twenty-three (13%) described other symptoms, particularly tiredness or breathlessness. As blood flow slows, the heart begins to “spasm.” The sequence in most cases is: chest discomfort which leads to chest pain, which leads to unstable angina, which leads to damaging myocardial infarction, which leads to sudden death.