Different Factors in Death from Coronary Disease
It might be thought easy to determine the mechanism of death in a particular case, but reflection will reveal that one’s belief as to the cause of death depends upon one’s discipline and, indeed, one’s philosophy. Thus, the answer will differ depending on whether one is a biochemist, physiologist, physicist, pathologist, clinician or, indeed, a psychologist, priest or astrologer. My view will be that of a clinician who has observed many patients dying of coronary disease and who has had the opportunity, in association with his pathological colleagues of studying the macroscopic and microscopic features visible after death. The clinician is at a disadvantage insofar as he cannot observe the fundamental biochemical or biophysical abnormalities in the myocardium; on the other hand, he may be able to observe the electrical phenomena of the heart and its haemodynamic performance immediately prior to, and at the time of, death.
KeywordsVentricular Fibrillation Coronary Artery Occlusion Coronary Care Unit Coronary Artery Spasm Trial Research Group
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