Abstract
Coronary care unit and out-of-hospital resuscitation experience have made it clear that ventricular fibrillation (VF) is the main mechanism for sudden cardiac death. Since prolonged survival is possible after resuscitation, this lethal arrhythmia represents an electrical accident rather than the end-product of far advanced, irreversible structural disease of the heart (1). In most cases of sudden death, acute pathologic lesions either in the coronary arteries or in the myocardium are absent or inadequate to account for the fatal event. How, then, is the derangement in electrical activity of the heart precipitated?
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Verrier, R.L. (1980). Neural Factors and Ventricular Electrical Instability. In: Kulbertus, H.E., Wellens, H.J.J. (eds) Sudden Death. Developments in Cardiovascular Medicine, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-8834-7_8
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