Can a person be scared to death?

A 79-year-old North Carolina woman dies after a heart attack brought on by terror















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What is an example of one of these deadly heart rhythms?
In most cases, it's probably ventricular fibrillation that causes these sudden deaths from fear. Ventricular fibrillation basically causes the ventricles (lower chambers of the heart) to vibrate in a way that hampers their ability to deliver blood to the body.

What other emotional states besides fear could lead to these fatal heart rhythms?
Any strong positive or negative emotions such as happiness or sadness. There are people who have died in intercourse or in religious passion. There was a case of a golfer who hit a hole in one, turned to his partner and said, "I can die now"—and then he dropped dead. A study in Germany found an increase of sudden cardiac deaths on the days that the German soccer team was playing in the World Cup. For about seven days after the 9/11 terrorists attacks on the World Trade Center and Pentagon there was an increase of sudden cardiac death among New Yorkers.

Who is most likely to suffer from sudden death?
A predisposition to heart disease would probably increase your risk of sudden death, but it happens at all ages and can happen to otherwise healthy people.



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  1. 1. Dolmance 10:12 AM 1/31/09

    It's called a, "Tingler."

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  2. 2. MeBeDavis 11:54 AM 1/31/09

    SciAm, I'm disappointed with you for possibly the first time. You can't "interview" or "ask" a dead person anything. If you're quoting their writings, just say so. Walter Cannon died in 1945, and your own link refers to him as a "notable Unitarian" http://www.harvardsquarelibrary.org/unitarians/cannon_walter.html.

    I have no opinion on his religious affiliation, but I'd rather get my science advice from a notable PHYSIOLOGIST, and it's just as easy to call him that http://the-aps.org/about/pres/introwbc.htm

    Furthermore (and not surprisingly, since your "interviewee's" understanding of the science would be at least 64 years out-of-date), it's the adrenal glands, not the nervous system, that release significant amounts of adrenaline (now called epinephrine) to begin the fight-or-flight set of responses. http://en.wikipedia.org/wiki/Epinephrine

    Your dead "interviewee" didn't even get the vocabulary right. I'm sure there are abundant resources available to demonstrate a current and accurate scientific opinion regarding death from fright.

    Please get the science right.

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  3. 3. MeBeDavis 12:08 PM 1/31/09

    Oops. You did interview a different source, but it's still the adrenal glands that provoke the fight-or-flight response.

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  4. 4. danny in reply to MeBeDavis 04:51 PM 1/31/09

    "The autonomic nervous system uses the hormone ADRENALINE, a neurotransmitter, or chemical messenger, to send signals to various parts of the body to activate the fight-or-flight response."

    The article mentions adrenaline clearly in referance to the trigger for the flight or fight reflex try to read before you complain

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  5. 5. danny in reply to danny 04:53 PM 1/31/09

    the nervous system uses it it never said it releases it

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  6. 6. Archimedes 07:54 AM 2/1/09

    Under tort law, in order to prove responsibility for damages, you must show: 1. Duty; 2. Breech of duty; 3. Causation; and 4. Damages
    The threshold of proof requisite of proving a case in tort law is the "preponderance of the evidence".
    Causation in tort law must be inclusive of "proximate" cause. That is, the plaintiff must show, by the preponderance of the evidence, that the defendants actions causing the damages in question were the "reasonably foreseeable" consequences of his actions.
    The standard of proof in a criminal case, as in this one, is much higher such that all of the elements of the crime must be proven "beyond a reasonable doubt." Further, the Eighth Amendment to the US Constitution forbids cruel and unusual punishment implying that this amendment may nullify the First Degree Murder charge in this instance as "cruel and unusual punishment." The URL for the Wikipedia article discussing the Eighth Amendment is:
    http://en.wikipedia.org/wiki/Eighth_Amendment_to_the_United_States_Constitution
    To me, in this particular instance, First Degree Murder, implying a specific and contemplative intent to comment homicide, is an patently inappropriate criminal charge that is unsupported by the evidence. A charge of manslaughter might be supported by the evidence, however.
    With regard to scaring a person to death. The same may certainly occur. It doesn't have to be an elderly person either. I do not have the specific results of studies inclusive of the same. However, as I remember it, Vietnam veterans exposed to combat have a significantly higher rate of cardiovascular disease than non-combat veterans indicating that even amongst healthy courageous young men, fright and stress can litterally "scare you to death."

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  7. 7. MeBeDavis in reply to danny 10:54 AM 2/1/09

    Danny, the article says "Adrenaline from the nervous system".

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  8. 8. Acertaindoubt 05:37 AM 2/2/09

    Wait a minute... panic attacks, we have been assured, are not dangerous at all. That being (never simply: "that said...") said, if this article is to be believed then panic attacks are, in reality, dangerous; as all the effects described which may damage the body in its 'fight or flight' response are exactly those which are brought on by panic attacks. So panic attacks are potentially very dangerous and not ,as thought before, harmless. I must admit being previously sceptical about panic attacks being harmless. And now that I've read that one can be literally scared to death, I'll not be so complacent about panic attacks any more.

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  9. 9. SpoonmanWoS in reply to Archimedes 10:04 AM 2/2/09

    @Archimedes: your analysis of the legal aspects miss the important part of the article: the discussion of the felony murder rule, a rule in practice in most states. The concept of the felony murder rule is to help discourage even non-violent felonies as such crimes CAN, in extreme circumstances such as this, lead to the death of an innocent. As the saying goes, if you can't do the time, don't do the crime. That all being said, typically felony murder charges are plead down to manslaughter.

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  10. 10. ZenaV 07:00 PM 2/2/09

    Thank GOD science is finally proving the spiritual truths. Lot's of people have died from a broken heart and words can hurt and bruise like a fist. And leave scars. Ask the children whose parents told them they wish they had never been born....

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  11. 11. ZenaV in reply to MeBeDavis 07:02 PM 2/2/09

    Gee, nobody is smert as you are they??

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  12. 12. torresfer98 in reply to MeBeDavis 10:19 PM 2/2/09

    The interview was to a Martin Samuels, not Walter Cannon. I guess your comment is a joke.

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  13. 13. msouter 01:52 AM 2/3/09

    There's much more convincing literature than this - there's a phenomenon called Tako-tsubo cardiomyopathy which induces sudeen heart failure and arrhythmia from catecholamine secretion (epinephrine). This is typically reported as the person who gets a surprise party or bad news and drops with a cardiac arrest. Fascinating case literature on this. Typically seen in postmenopausal women. The bottom line is that there are genetic predispositions (polymorphisms) that produce more epinephrine in response to stimuli and also make the receptors in the body more sensitive - around 4 fold if memory serves me. Combine the stimulus, and aging heart and the host reponse and - bingo....

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  14. 14. w.john 03:02 AM 2/3/09

    There's enough trouble with this already. As we all know in the UK a person has be scared on THREE occasions, no less than that before they die.

    Robbery - Guilty. Murder - Not guilty. ( I'll health in the victim commutates the sentence)

    Don't tell me this man gets a 'restraining order'.

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  15. 15. w.john 03:04 AM 2/3/09

    The man clearly needs a 'restraining order'.

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  16. 16. Xina 08:32 AM 2/3/09

    If a person gets a shock due to fright, it will occur in less then even three seconds.Then how can adrenaline get released so quickly and then flood the heart in this less time?

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  17. 17. taffazull in reply to MeBeDavis 11:20 PM 2/4/09

    The adrenal medulla which secretes adrenaline is an extension(ganglion) of a nerve so adrenaline is from the nervous system

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  18. 18. NateC 09:50 PM 2/5/09

    Just wondering, can the same thing happen if an older person with some heart desease jumps into a freezing pool? I've heard that it was healthy but god only knows now adays

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  19. 19. NateC 09:52 PM 2/5/09

    i'm just wondering, can the same thing happen if lets say an older person with some heart desease jumps into a pool of freezing water?

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  20. 20. NateC 09:53 PM 2/5/09

    wow i didn't know the first worked sorry haha

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  21. 21. poosta7 12:03 PM 6/4/09

    Scared to death? I think easily. An airplane at 30,000 feet is almost six miles high....even in free fall it takes some time to hit ground. I read that many people on that airplane will be dead before they hit ground because of heart arrythmia....I think I would be one of them.

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  22. 22. eriks 01:40 PM 6/4/09

    While I agree someone can be "scared" to death, the problem is proving that "beyond a reasonable doubt" in a court of law. First-degree murder is also a questionable charge for something of this manner.

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  23. 23. jackerman 01:29 PM 10/11/09

    Interesting natural facts. Does the same chemical action take place in the wild when the prey gives up the fight?

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  24. 24. ShelleyL in reply to MeBeDavis 01:28 AM 12/1/11

    HAHAHA. Oh my goodness me. I am disappointed with YOUR reading comprehension skills! Wouldn't you at least take the time to double-check before you launch into a prolonged attack? Some people just jump at any opportunity to prove someone wrong. Hilarious!

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  25. 25. Jamie.sem 12:47 PM 9/10/12

    Although this article had been quite a while ago, I thought I would point out a few errors.

    Tachyarrhythmias can indeed be triggered by fear, which can in some cases lead to death, but the person who has them would usually either have a cardiac channelopathy (such as long QT syndrome or Catecholaminergic polymorphic ventricular tachycardia ) would have an acute coronary event of some sort such as a an event triggered by atherosclerosis some other kind of acute coronary event such as a vasospasm, or a mechanical issue involving hypertrophy, or dilation (I might add that these are usually caused by underlying physiological mechanisms, and are rarely deemed "idiopathic") There are people with panic disorders who live the majority of their lives without suffering from a cardiac arrest as a result of their panic disorder (which involves copious amounts of adrenaline being dumped into the body frequently.)

    If none of these were present, and the person were to die, with a structurally and electrophysiologically normal heart and normal coronary arteries. I would be impressed, as it is quite a rare event. Something a long the lines of 3 in 100,000 or 0.003% (which is assumed to be caused by subtle sub-clinical physiological or structural abnormalities)

    This article comes across as misleading, as it forgets to mention the plethora of underlying abnormalities that would create a substrate for "fear" to kill.
    Maybe we should test the effects of "N-rays" as well on cardiac arrest, we might find some interesting results.
    *sigh*

    Poor show sci-am.

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