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(Chest. 1970;58:107-110.)
© 1970 American College of Chest Physicians

Sudden Death from Coronary Heart Disease

Survival Time, Frequency of Thrombi, and Cigarette Smoking

David M. Spain M.D., F.C.C.P.1 and Victoria A. Bradess M.D.2

1 Brookdale Hospital Center, Brooklyn, New York
2 Medical Examiners Office of Westchester Country, Valhalla, New York

An autopsy study on the number of recent coronary thrombi present in sudden and unexpected fatalities from coronary heart disease again reveals their infrequent occurrence. Also again, it is shown that there is an increase in the frequency of recent coronary thrombi with increasing survival time from the onset of the acute coronay heart attack. This tends to support the concept that recent coronary thrombi, when found in these acute events, do not usually trigger the onset of the attack but develop as a secondary phenomenon during the course of the acute event. Furthermore, cigarette smoking was noted not only to have an exceptionally close statistical correlation with these sudden acute coronary deaths, but also appeared to be associated with a shorter survival time of these acute episodes. The nature of the autopsy population from which these cases were selected dictates caution in generalizing to the population at large.




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