Strukov A I, Kakturskiĭ L V, Kop'eva T N, Svishchev A V
Kardiologiia. 1981 Jan;21(1):34-41.
The epidemiology, risk factors, pathological anatomy, and pathogenesis of sudden cardiac death are characterized on the grounds of literature data and the results of the authors own study. The main attention was focused on sudden death in ischemic heart disease. Information on acute and chronic morphological changes in the coronary arteries of the heart, the myocardium, and the conducting system is given. The pathogenic importance of myocardial ischemia, local metabolic damages, and microcirculatory disorders in the heart muscle is discussed. It is indicated that the principal role in thanatogenesis is played by the electrical instability of the myocardium and disorders of cardiac rhythm caused to a definite measure by the structural and functional changes in the conducting system of the heart.
基于文献数据和作者自身的研究结果，对心脏性猝死的流行病学、危险因素、病理解剖和发病机制进行了阐述。主要关注的是缺血性心脏病中的猝死。文中给出了关于心脏冠状动脉、心肌和传导系统急性和慢性形态学变化的信息。讨论了心肌缺血、局部代谢损伤和心肌微循环障碍的致病重要性。结果表明，心肌电不稳定性以及心脏传导系统结构和功能变化在一定程度上导致的心律失常在死亡发生过程中起主要作用。
