Browsing by keyword "Death, Sudden"

Now showing items 1-3 of 3

    • Declining out-of-hospital sudden coronary death rates. Additional pieces of the epidemiologic puzzle
      Goldberg, Robert J. (1989-06-01)

    • Duration of the QT interval and total and cardiovascular mortality in healthy persons (The Framingham Heart Study experience)
      Goldberg, Robert J.; Bengtson, J.; Chen, Z. Y.; Anderson, K. M.; Locati, E.; Levy, Daniel (1991-01-01)
      The baseline electrocardiograms of 5,125 original subjects of the Framingham Heart Study were measured to examine the relation of the QT interval corrected for heart rate (QTc) to risk of total mortality, sudden cardiac death, and death due to coronary artery disease over a 30-year follow-up period. Quintiles of QTc (seconds) less than or equal to 0.36, 0.36 to 0.38, 0.39 to 0.40, 0.41 to 0.43 and greater than or equal to 0.44 were studied in relation to these outcomes. There were no significant differences in the risk of total mortality, sudden cardiac death or death due to coronary artery disease according to QTc. A similar lack of significant association between QTc and these 3 outcomes was observed among all persons studied and in the 2 sexes after using a multiple regression analysis to control for several potentially confounding characteristics including age, gender, cigarette smoking, serum total cholesterol, systolic systemic blood pressure and Framingham relative weight. The results of this study fail to demonstrate an association between baseline QTc and overall mortality, and deaths due to sudden cardiac events or coronary artery disease in a large population-based cohort of essentially healthy persons in whom pathologic forms of QTc prolongation are uncommon.

    • Privilege and discharge decisions for psychiatric inpatients with dysphagia
      Appelbaum, Kenneth L.; Bazemore, Patricia H.; Tonkonogy, Joseph; Ananth, Rajoo; Shull, Stephen (1992-10-01)
      Psychiatric patients have an increased risk for choking compared with the general population because of risk factors such as medication side effects and food gorging. A state hospital program for managing patients with dysphagia, or difficulty swallowing, includes interventions such as modified diets, mealtime monitoring, and adjusting psychotropic medications. Clinicians may find it difficult to make decisions about privileges and placement for dysphagic patients who do not comply with dietary modifications in unsupervised settings. For many such patients, close supervision and even placement on a locked ward may seem necessary. The authors recommend a risk-benefit approach: clinicians must balance the safety afforded by restrictions against the benefits of increased privileges or placement in a less restrictive setting. Quality of life and patients' preferences must also be considered.