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Open Access Sudden Cardiac Death in Adult Patients with Stable Ischemic Heart Disease

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This article is Open Access under the terms of the Creative Commons CC BY-NC licence.

There are approximately one half million patients with stable ischemic heart disease (SIHD) in the United States. Patients with stable ischemic heart disease who die suddenly do not maintain a Stable Ischemic profile. Benchimol, et al., reported 319 consecutive stable angina patients without clinical heart failure or a recent myocardial infarction but who had multiple risk factors and proven coronary disease which made them more prone to acute myocardial infarction or unstable angina. In the APSIS (angina prognosis in Stockholm) study, Hjemdahl reported that signs of ischemia or previous manifestations of coronary artery disease, i.e., myocardial infarction or revascularization, were found in 69% of both male and female patients at baseline. Little, retrospectively reported that minor plaques may disrupt and result in unstable angina or occlusive coronary disease which then may result in acute myocardial infarction. Stable angina patients, by definition, are stable and are not high risk unless they have multiple factors or which may make them prone to evolve an acute coronary syndrome or develop a serious arrhythmia but sudden death does occur in some patients.
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Keywords: stable angina; stable ischemic heart disease; sudden cardiac death

Document Type: Research Article

Publication date: 01 January 2019

More about this publication?
  • Cardiovascular Innovations and Applications (CVIA) publishes focused articles and original clinical research that explore novel developments in cardiovascular disease, effective control and rehabilitation in cardiovascular disease, and promote cardiovascular innovations and applications for the betterment of public health globally. The journal publishes basic research that has clinical applicability in order to promote timely communication of the latest insights relating to coronary artery disease, heart failure, hypertension, cardiac arrhythmia, prevention of cardiovascular disease with a heavy emphasis on risk factor modification. Cardiovascular Innovations and Applications is the official journal of the Great Wall International Congress of Cardiology (GW-ICC). It aims to continue the work of the GW-ICC by providing a global scientific communication platform for cardiologists that bridges East and West.

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