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Adenosine-sensitive syncope
Adjudicated etiologies of autopsied WHO-defined SCDs from the POST SCD StudyThe Postmortem Systematic Investigation of Sudden Cardiac Death (POST SCD) Study prospectively identified all incident deaths attributed to out-of-hospital cardiac arrest (emergency medical services primary impression, cardiac arrest) from February 1, 2011, and March 1, 2014 of persons between 18 and 90 years of age in San Francisco County for autopsy, toxicology, and histology via medical examiner surveillance of consecutive out-of-hospital deaths. This figure shows adjudicated etiologies of autopsied World Health Organization (WHO)-defined sudden cardiac deaths from this cohort after review of comprehensive medical records, emergency medical services runsheets, complete autopsy, toxicology, and postmortem chemistries. Autopsy-defined SAD required the absence of extra-cardiac (eg, pulmonary embolism, hemorrhage, lethal toxicology) or non-arrhythmic (tamponade, acute heart failure) cause of death. First % is of total WHO-defined SCDs, second % is of cause of death category. Overall autopsy-defined SAD accounted for 56% of all WHO-defined SCDs, 4% non-arrhythmic cardiac causes, and 40% noncardiac causes.
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