Cardiac Death due to Cardiomyophaties in Forensic Autopsies
DOI:
https://doi.org/10.17986/blm.2006112608Keywords:
autopsy, cardiac sudden death, cardiomyopathyAbstract
Cardiomyopathy is a group of myocardial muscle disease of unknown origin. Primary ones consist of dilated, hypertrophic, obliterative and ARVC subgroups. The aim of this study is to describe macroscopic and microscopic features of this pathologic entity that is a rare cause of death among young adult population. Eleven cases of cardiomyopathy were detected in autopsy population of the Council of Forensic Medicine between 2003 and 2006. Of these cases, 5 were male and 6 were female and age range was 15-35. After histopathologic examination of these cardiomyopathy cases, seven were detected to be hypertrophic, three dilated and one restrictive cardiomyopathy resulting from amyloid accumulation. No toxic substances were detected on routine toxicological analysis. The cause of death in these 11 sudden death cases was reported to be cardiac death resulting from cardiomyopathy. In order to support the legal investigation process in sudden deaths, it is crucial to establish the cause of death. Detailed macroscopic and microscopic examination of heart must be performed in order to detect cardiomyopathies during investigating the sudden death of young adults.
Key words: Autopsy, cardiac sudden death, cardiomyopathy
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References
Sheppard M, Davies MJ. Cardiac hypertrophy,myo- carditis and cardiomyopathy in Practical Cardiovascular Pathology lst.ed.Oxford University Pres. 1998: 103-148.
Silver MD, Gotlieb AI, Schoen FJ. Cardiomyopathies in Cardiovascular Pathology 3 rd edition. Churchill Livingstone Philadelphia, Pennsylvania. 2001; 285-325.
Maron BJ. Hypertrophic cardiomyopathy. Lancet 1997;350:127-33. DOI: https://doi.org/10.1016/S0140-6736(97)01282-8
Maron BJ, Casey SA, Almquist AK. Extreme hypertrophic cardiomyopathy. Heart 2004;90(1):24. DOI: https://doi.org/10.1136/heart.90.1.24
Pakiş I, Turan AA, Karayel F, Üzün İ. Hipertrofik kardiyomiyopatiye bağlı ani ölüm olgusu. Adli Tıp Derg 2004;18(3-4):13-15.
Ng Belinda, Connors LH, Davidoff R. Senile systemic amyloidosis presenting with heart failure. Arch Intern Med 2005;165:1425-29. DOI: https://doi.org/10.1001/archinte.165.12.1425
Johansson B,Westermark P. Senile systemic amyloidosis: A clinico-pathological study of twelve patients with massive amyloid infiltration. Int J Cardiol 1991;32:83-92. DOI: https://doi.org/10.1016/0167-5273(91)90047-S
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