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ARTICLE |

THE SUDDEN DEATH OF PATIENTS WITH FEW SYMPTOMS OF HEART DISEASE

GEORGE V. LeROY, M.D.; S. SINCLAIR SNIDER, M.D.
JAMA. 1941;117(24):2019-2024. doi:10.1001/jama.1941.02820500001001.
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The sudden death of a patient with disease of the coronary arteries is rarely instantaneous in the sense that the person appears perfectly well one minute and is dead the next. It is instantaneous in the sense that a person with few or many symptoms suddenly ceases to live. The absence of a gradual decline in strength that might indicate a fatal outcome contributes to the unexpectedness of this type of death. In the first few hours or days after the appearance of symptoms that should suggest interference with the coronary blood supply, myocardial insufficiency is seldom severe enough to cause fatal congestive failure, and warning of impending difficulty that is obvious to the casual observer is often lacking. The type of patient we wish to discuss belongs in a strictly limited group: He does not have the dramatically severe syndrome of excruciating thoracic and brachial pain with shock and

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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