By far the most common cause of sudden cardiac death is ischemic heart disease (IHD), which is most frequently related to atherosclerosis of the coronary arteries

• kills 10 times more women than breast cancer in the U.S

Risk factors:

• DM (single worst or most dangerous)
• HTN 20-25%
• Tobacco use 17%
• Hyperlipidemia 30-40%
• PAD
• Obesity
• Inactivity
• Family history (female relatives < 65, male relatives < 55) (patient's age is <45 for men, <55 for women)

1. Hyperlipidemia  30~40%

2. Hypertension 20~25%

3. Smoking 17%

Chest Pain:

Myocardial Ischemia / Myocardial Infarction: Substernal squeezing chest pain [not reproduce by palpation, not change with change in position, not pleuritic]

Pericarditis: chest pain [relieved by leaning forward]

Costochondritis: chest pain [reproduced by palpation]