Reichenbach D D, Moss N S
Circulation. 1975 Dec;52(6 Suppl):III60-2.
Using morphologic criteria to distinguish between myocardial infarction and lesions that selectively involve myocardial cells, the authors found evidence of ongoing selective myocardial necrosis in 88% of 50 individuals dying suddenly. Acute coronary thrombosis was rare. Since the morphological characteristics of the cell injury differ significantly from that seen in infarction and since the lesion may occur in individuals without significant epicardial coronary disease, factors other than permanent vascular obstruction are indicated as having a role in sudden cardiac death. Some other yet-unidentified process may alter susceptible myocardial cells.
通过形态学标准来区分心肌梗死和选择性累及心肌细胞的病变，作者在50例猝死个体中发现，88%存在持续性选择性心肌坏死的证据。急性冠状动脉血栓形成很少见。由于细胞损伤的形态学特征与梗死所见有显著差异，且该病变可能发生在无明显心外膜冠状动脉疾病的个体中，提示除永久性血管阻塞外的其他因素在心脏性猝死中起作用。一些其他尚未明确的过程可能会改变易损心肌细胞。
