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Sudden natural death at the wheel — a particular problem of the elderly?

✍ Scribed by P. Schmidt; K. Haarhoff; W. Bonte

Publisher: Elsevier Science
Year: 1990
Tongue: English
Weight: 574 KB
Volume: 48
Category: Article
ISSN: 0379-0738
DOI: 10.1016/0379-0738(90)90108-b

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✦ Synopsis

Thirty-nine autopsy cases of sudden natural death at the wheel were analysed with special respect to the questions if this is a peculiar problem of the elderly and if there are particular pathological features in the elderly. The ages ranged from 33 through 83 years and the median age was 56.4 years. 97% of the deaths were attributable to cardiovascular diseases, about 90% to coronary heart disease. People older than 60 years of age tended to exhibit severe chronical arterio-sclerotic changes of the coronary arteries, especially multiple calcified stenoses and myocardial scars, but there was a low percentage of recent thrombotic occlusion of a coronary artery.

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## Abstract Can a parent adjust to the idea that its child is at risk for a sudden death? This question is raised by a diagnostic procedure in which children were tested for an inherited Long QT Syndrome (LQTS). This potentially life‐threatening but treatable cardiac arrhythmia syndrome may cause s