Why the study?
What is the frequency of acute asymptomatic myocardial infarction and the estimated infarct age in cases of abrupt sudden death?
Population
30 cases of unexpected, abrupt deaths from a forensic autopsy material
Comparison
Complete autopsy with blinded histological… vs Cases with preliminary diagnosis not involving…
Design
Cross-sectional, Examiner blinded to gross findings and group assignment
Authors
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May link silent MI to sudden coronary death; hypothesis-generating observation needing prospective confirmation before guiding prevention.
What is the frequency of acute asymptomatic myocardial infarction and the estimated infarct age in cases of abrupt sudden death?
Abrupt coronary death is frequently preceded by an extensive asymptomatic myocardial infarction occurring within the preceding 5-6 hours.
Mortensen et al. (2008) studied this question.
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