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Chen-Xiang
AWARENESS
OF
SUDDEN DEATH
-
PAY SPECIAL
ANENTION
TO
MIDDLE-AGED
AND OLD
PEOPLE
Sudden
death
is
virtually
instan-
taneous and unwitnessed cardiovascu-
lar collapse,
and
most of
these
deaths
are
unexpected. However, approxi-
mately one-half the victims have previ-
ously
known heart disease and an ad-
ditional quarter have hypertension or
diabetes. ln the vast majority of
such
patients
sudden
death is primarily
a
complication of coronary atherosclero-
sis
(more than
two-thirds
of
the
cases
resulting from this disorder). Thus, mid-
dle-aged and
old
populations are obvi-
ously
a
group of people with increased
risk of
sudden death
in
nonhospitalized
persons.
Therefore, providing
instruc-
tions to this susceptible group of
per-
sons on how to seek medical care on a
regular or emergency basis
upon
the
development
of
symptoms
of myocar-
dial
infarction is of
great
importance
in
the prevention of sudden death. This
strategy includes educating the patient
to the fact that prompt
entry
into an ef-
fective emergency care system is
not
only correct
but also
what the physician
expects of
the patient,
regardless of
whether symptoms suggestive of myo-
cardial infarction occur
during
the day
or
night.
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