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Heart Health

Sudden Death


Author:

Anthony Magnano, MD, MPH

Columbia University College of Physicians and Surgeons

Medically Reviewed On: September 24, 2004

Introduction
How Does Sudden Death Occur?
Do All Types of Arrhythmias Cause Sudden Death?
Do All Cardiac Arrests Lead to Sudden Death?
Who is at Risk for Sudden Cardiac Death?
Treatment to Prevent Sudden Cardiac Death
What Can Society Do to Prevent Sudden Death?
Summary
 

Introduction

Sudden death is generally considered any "natural," unexpected death that occurs within one hour after symptoms begin. Sudden death is one of the leading causes of death in the United States, accounting for 300,000 to 500,000 deaths each year. While the threat of sudden death is certainly a frightening prospect, open discussion of the risk factors for sudden death is a crucial step in preventing this all too common problem. It is extremely important for doctors and patients to understand and identify those at risk for sudden death because many actions can be taken to minimize this risk.

The vast majority of sudden death is caused by heart disease, although other illnesses such as massive bleeding, strokes, and pulmonary emboli (a blood clot traveling to the lung) may also cause this problem. Sudden cardiac death frequently occurs in people with known or suspected heart disease, but it may rarely occur in people with no known cardiac abnormalities.

Many sudden deaths occur quite rapidly, oftentimes within seconds or minutes. The choice of one hour between onset of symptoms and death is rather arbitrary. However, this has been adopted as the standard definition. Furthermore, the term "natural" is sometimes included to emphasize that deaths caused by accidents, murder, suicide, or other external circumstances may occur suddenly, but are not considered “sudden deaths” because the cause of death is known and does not directly reflect the individual's pre-existing health condition.
 

How Does Sudden Death Occur?

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