February 08, 2021
Healed myocardial infarction is common among people who suffer sudden death, far outnumbering acute MI, Norwegian autopsy data show. This distribution pattern is most apparent in men.
“It was not a surprise for us that myocardial infarcts explained a large proportion of sudden and unexpected deaths [43%], but it was a surprise that the proportion of healed infarcts (75% to 80%) was much higher than acute ones both in men and women,” lead author Bjørn O. Mæhle, MD, PhD (Gade Laboratory for Pathology, University of Bergen, Norway), writing on behalf of the team, told TCTMD via email.
Sumeet S. Chugh, MD (Smidt Heart Institute at Cedars-Sinai, Los Angeles, CA), said the study adds incremental support to what’s known about the causes of cardiac arrest and sudden death. “It’s good to get autopsy data,” he agreed.
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For at least 20 years, the Skeptical Cardiologist has been trying to communicate the current paradigm of coronary heart disease to his patients.
My job has been to translate the physician/scientific description of atherosclerosis: what happens to the arteries in the heart over time, how this results in heart attacks and angina, and what we can do to prevent symptoms, heart attacks, and death.
This description, written 8 years ago in a
Circulation editorial by Michael B. Rothberg, MD, of the Cleveland Clinic, is still a good scientific summary of the process of atherosclerosis: [W]e know that the interactions between dietary fat, serum cholesterol, and arterial endothelium are complex and dynamic. Although high-grade stenoses can cause chronic angina, most cardiac events occur at lesions that appeared mild on previous angiography. These plaques contain a lipid-rich core covered by a thin fibromatous cap. Inflammatory cells (eg, macrophages and mast cells) wi
Zap Inflammation, Heart Disease Risk With Yellow Vegetables
Diet plays a crucial role in causing inflammation and offers delicious ways to reverse it
Certain diets have been shown to increase inflammation in your body, which then sets the stage for heart disease and stroke later in life. Yet there are also diets that can save the day, including those rich in yellow vegetables, red wine, and coffee, according to research published in the Journal of the American College of Cardiology in November 2020
.
Chronic inflammation has been shown to play a role in the development of heart disease and stroke as well as insulin resistance and Type 2 diabetes.
In-hospital Hemoglobin Drop Tied to 1-Year Mortality After ACS medscape.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from medscape.com Daily Mail and Mail on Sunday newspapers.