Sajid Mushtaq, Sajid Mushtaq, Hamid Shafiq, Muhammad Ashraf Sharif, Nadira Mamoon, Tahir Khadim.
Sudden cardiac death - morphological changes in myocardium and coronaries.
Pak J Pathol Jan ;17(1):38-41.

Objective: To determine the changes in coronary arteries in patients of sudden cardiac death. Materials and Methods: Observational descriptive study was carried out at Armed Forces Institute of Pathology, Rawalpindi, in year 2000 on autopsy of 58 cases with sudden cardiac death. Results: Coronary arteries of 56 out of 58 cases revealed varying degree of atherosclerosis. 38 (65%) cases showed severe atherosclerosis. The percentage of cases below 40 years was 67% which is higher than the previous series on this subject. Left coronary artery remains the commonest artery showing significant atherosclerosis (84%) and left anterior descending coronary artery is the most frequent artery to be occluded by a thrombus. Conclusion: Coronary atherosclerosis was the major cause of sudden cardiac death. Decreasing age in incidence for sudden cardiac death is a worrisome cause and should be addressed with public health awareness.

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