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Cited by 401

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Sudden and Rapid Death During Psychological Stress: Folklore or Folk Wisdom?

ENGEL, GEORGE L.·1971·Annals of Internal Medicine
DOI 10.7326/0003-4819-74-5-771
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Abstract

The life settings in which sudden death may occur can be classified into eight categories: [1] on the impact of the collapse or death of a close person; [2] during acute grief; [3] on threat of loss of a close person; [4] during mourning or on an anniversary; [5] on loss of status or self-esteem; [6] personal danger or threat of injury; [7] after the danger is over; [8] reunion, triumph, or happy ending. Common to all is that they involve events impossible for the victims to ignore and to which their response is overwhelming excitation or giving up, or both. It is proposed that this combination provokes neurovegetative responses, involving both the flight-fight and conservation-withdrawal systems, conducive to lethal cardiac events, particularly in individuals with preexisting cardiovascular disease; other modes of death, however, were also noted. Better understanding of the potentially lethal life situations and identification of individuals at risk may lead to the development of practical prophylactic measures.

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Metadata

Authors
ENGEL, G. L.
Venue
Annals of Internal Medicine
Publisher
American College of Physicians
Published
1971-05-01
Volume
74
Issue
5
Pages
771-783
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
DOI
10.7326/0003-4819-74-5-771
OpenAlex
W2074275256
Cited by
401
References
26
FWCI
8.81
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Sudden and Rapid Death During Psychological Stress: Folklore or Folk Wisdom? https://app.cochat.ai/papers/10.7326/0003-4819-74-5-771
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ENGEL, G. L. (1971). Sudden and Rapid Death During Psychological Stress: Folklore or Folk Wisdom? Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-74-5-771

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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