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Comment & Response
November 20, 2019

Silent Myocardial Infarction and Sudden Cardiac Death—Finding the Culprit

Author Affiliations
  • 1MedStar Health Research Institute, Division of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC
  • 2Department of Geriatrics, Vanderbilt University Medical Center, Nashville, Tennessee
  • 3MedStar Georgetown University Hospital, Washington, DC
JAMA Cardiol. Published online November 20, 2019. doi:https://doi.org/10.1001/jamacardio.2019.4377

To the Editor We read with great interest the case-control study report by Vähätalo et al1 in a bid to answer the question of the prevalence of undiagnosed or silent myocardial infarction (SMI) scars among individuals who experienced sudden cardiac death (SCD). We congratulate the authors for the work done using the database to investigate SCD in a multimodality fashion, considering most prior studies used autopsy alone.