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Ann Thorac Surg 1977;24:337-345
© 1977 The Society of Thoracic Surgeons

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Articles

Management of Sudden Coronary Death

Department of Thoracic and Cardiovascular Surgery and the Division of Cardiology, The Medical College of Wisconsin and Milwaukee County Medical Center, Milwaukee, WI.

^* Address reprint requests to Dr. Bonchek, Professor and Chairman, Department of Thoracic and Cardiovascular Surgery, The Medical College of Wisconsin, 8700 W Wisconsin Ave, Milwaukee, WI 53226

Twenty-three survivors of out-of-hospital sudden coronary death (SCD) have been followed subsequent to initial hospitalization, cardiac catheterization and coronary angiography, and ultimate coronary revascularization (11 patients) or medical treatment (12 patients). All were treated at the Milwaukee County Medical Center. History of previous myocardial infarction (10 patients) and predominance of triple coronary artery disease (20 patients) with associated ventricular dysfunction (21 patients) demonstrated advanced coronary disease in both groups. Selection for revascularization (mean, 3 grafts per patient) was not randomized, but was based on precarious coronary anatomy and was reinforced by post-SCD ventricular dysrhythmias and angina. During an average follow-up of 13 months, there were 2 perioperative surgical deaths (1 recurrent SCD) and 3 medical deaths (2 recurrent SCDs), giving a mortality rate of 22%. This is an improvement over reported post-SCD natural history and may support a policy of offering revascularization to all SCD patients who have precarious coronary anatomy.

This article has been cited by other articles:

				D. D. Tresch, J. R. Grove, R. Siegal, M. H. Keelan, and H. L. Brooks Survivors of Prehospitalization Sudden Death: Characteristic Clinical and Angiographic Features Arch Intern Med, August 1, 1981; 141(9): 1154 - 1157. [Abstract] [PDF]