| Young adult survivors of sudden cardiac arrest: analysis of invasive evaluation of 22 subjects. | |
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MedLine Citation:
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PMID: 2750649 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Twenty-two young adult (mean age 27.8 +/- 5.3 years) survivors of sudden cardiac arrest underwent invasive cardiac assessment. Initial evaluation by cardiac catheterization, coronary angiography, and hemodynamic studies identified two groups of young survivors. The first consisted of 13 (60%) subjects who had definable structural cardiac or lung disease accountable for a cardiac arrest event. Dilated cardiomyopathy dominated this group. Mitral valve prolapse, hypertrophic cardiomyopathy, left ventricular hypertrophy, anomalous origin of the right coronary artery, and tetralogy of Fallot were also encountered. The second group included nine subjects (40%) with normal cardiac structure and normal hemodynamic parameters. Electrophysiologic testing demonstrated in three of these patients the presence of Wolff-Parkinson-White syndrome. The electrophysiologic studies had a higher yield in reproduction of life-threatening arrhythmias among the subjects in the second group as opposed to the first group. The observation that 10 subjects (45%) from both groups had preceding symptoms varying from palpitations and chest pain to syncope and recurrent cardiac arrest events, is in contradiction to previous findings in the literature and raises a question of appropriate evaluation of young adults with cardiac symptoms. |
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Authors:
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O Topaz; E Perin; M Cox; S M Mallon; A Castellanos; R J Myerburg |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: American heart journal Volume: 118 ISSN: 0002-8703 ISO Abbreviation: Am. Heart J. Publication Date: 1989 Aug |
Date Detail:
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Created Date: 1989-08-23 Completed Date: 1989-08-23 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370465 Medline TA: Am Heart J Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 281-7 Citation Subset: AIM; IM |
Affiliation:
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Division of Cardiology, University of Miami School of Medicine, FL 33101. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Cardiac Pacing, Artificial Coronary Angiography Electrocardiography Female Heart / radiography Heart Arrest / etiology, physiopathology* Heart Catheterization Heart Diseases / diagnosis, radiography Hemodynamics Humans Male Resuscitation |
| Grant Support | |
ID/Acronym/Agency:
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HL-07436/HL/NHLBI NIH HHS; HL-28130/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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