A member asked:

How can someone be fine one night, then hours later die of heart attack?

3 doctors weighed in across 2 answers

Sudden death: Heart attacks are caused from a clot in the coronary artery. 10-25% of heart attack patients can develop ventricular fibrillation within the first 8 hours that causes the sudden death if not detected and shocked immediately.

Answered 10/11/2018

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Yes: A great number of heart attacks can be sudden and fatal. The incidence of sudden death is higher with age, with organic heart disease and ejection fraction <=35%, critical left main coronary artery stenosis, critical aortic stenosis, previous unrevascularized myocardial infarction territory, acute aortic dissection specially in patients with marfan's syndrome, pulmonary hypertension.

Answered 3/28/2012

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