Symptoms preceding sudden cardiac death in the young are common but often misinterpreted.
2005 (English)In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, Vol. 39, no 3, 143-149 p.Article in journal (Refereed) Published
OBJECTIVES: To identify patients at risk of sudden cardiac death (SCD) by analysis of clinical history. DESIGN: A retrospective study of the Swedish cohort of 15-35 year olds having suffered an SCD during 1992-1999 and having undergone a forensic autopsy (162 individuals). We sought information in forensic, police and medical records and from interviews with family members. RESULTS: Syncope/presyncope, chest pain, palpitations or dyspnoea were present in 92/162, unspecific symptoms such as fatigue, influenza, headache or nightmares in 35/162. Syncope/presyncope was most common (42/162). In 74 seeking medical attention, 32 had an ECG recorded (24 pathological). In 26 subjects there was a family history of SCD. CONCLUSIONS: The patient seeking medical advice before suffering an SCD is characterized by one to three of the following: 1) cardiac-related symptoms or non-specific symptoms often after an infectious disease, 2) a pathological ECG, 3) a family history of SCD. In 6 out of 10 a cardiac diagnosis was not considered. We conclude that symptoms preceding SCD were common but often misinterpreted.
Place, publisher, year, edition, pages
2005. Vol. 39, no 3, 143-149 p.
Adolescent, Adult, Age Factors, Databases, Death; Sudden; Cardiac/etiology/*prevention & control, Female, Forensic Medicine, Humans, Interviews, Male, Questionnaires, Registries, Risk Assessment, Risk Factors, Sweden, Syncope/diagnosis/genetics
IdentifiersURN: urn:nbn:se:umu:diva-15043DOI: 10.1080/14017430510009168PubMedID: 16146977OAI: oai:DiVA.org:umu-15043DiVA: diva2:154715