Sudden Death Precipitated by Psychological Stress: A Case Report
Abstract
A 70-year-old man, taking part in a post infarction study, died suddenly out of hospital while Holter-monitored. Death was preceded by immediate major psychological stress but there were no cardiac symptoms. ECG showed a 15 min period of sinus tachycardia with increased ventricular ectopic activity prior to the initiation of ventricular fibrillation. There were no signs of recent myocardial damage at autopsy. It is proposed that an increased catecholamine stimulation due to psychologic stress, in combination with myocardial ischemia, may have precipitated the fatal arrhythmia.
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Depression is the most common mental health issue among older adults, contributing to increased medical morbidity and mortality, reduced quality of life, and elevated healthcare costs.
“Depression is the most common mental health issue among older adults, contributing to increased medical morbidity and mortality, reduced quality of life, and elevated healthcare costs.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [111]
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Shchaslyvyi, A. Y., Antonenko, S. V., & Telegeev, G. D. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21081077 · Cited by 73 · see citing works
- Authors
- Olsson, G., & Rehnqvist, N.
- Affiliations
- Danderyds sjukhus (SE)
- ORCID
- Olsson, Gunnar
- Venue
- Acta Medica Scandinavica
- Publisher
- Wiley
- Published
- 1982-01-12
- Volume
- 212
- Issue
- 6
- Pages
- 437-441
- ISSN
- 0001-6101 (ISSN-L)
- OpenAlex
- W1488036599
- Cited by
- 12
- References
- 17
- Citations by year
- 2024: 1
- FWCI
- 0.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Medica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Takotsubo Cardiomyopathy and Associated Phenomena
- Keywords
- sudden cardiac death, psychological stress, ventricular fibrillation, catecholamines, myocardial ischemia, sinus tachycardia, ventricular ectopic activity, Holter monitoring, elderly man
- MeSH terms
- Aged, Death, Sudden, Electrocardiography, Humans, Male, Myocardial Infarction, Stress, Psychological, Tachycardia, Ventricular Fibrillation
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