Difference between revisions of "Sudden natural death"

From Libre Pathology
Jump to navigation Jump to search
Line 28: Line 28:
**[[Arrhythmogenic right ventricular cardiomyopathy]] (ARVCM).
**[[Arrhythmogenic right ventricular cardiomyopathy]] (ARVCM).
**[[Dilated cardiomyopathy]] (DCM).
**[[Dilated cardiomyopathy]] (DCM).
*Lymphocytic myocarditis.  
*[[Lymphocytic myocarditis]].  
*Floppy mitral valve (MV).
*Floppy mitral valve (MV).
*Aortic valve stenosis.
*[[Aortic valve stenosis]].
*Congenital cardiac abnormality.
*Congenital cardiac abnormality.
*Coronary artery dissection.  
*Coronary artery dissection.  
*Aortic dissection.
*[[Aortic dissection]].
*Arrhythmia.<ref>URL: [http://www.sads.org.uk/causes_of_sads.htm http://www.sads.org.uk/causes_of_sads.htm]. Accessed on: 29 September 2010.</ref>  
*Arrhythmia.<ref>URL: [http://www.sads.org.uk/causes_of_sads.htm http://www.sads.org.uk/causes_of_sads.htm]. Accessed on: 29 September 2010.</ref>  
**Long QT syndrome.  
**Long QT syndrome.  

Revision as of 22:25, 29 January 2012

Sudden natural death happens. It must be differentiated from other ways of dying (suicide, homicide, accidental).

By system

Respiratory[1]

Cerebral

  • SUDEP (sudden unexpected death in epilepsy).

Cardiac

Older

  • Atherosclerotic heart disease (ASHD); AKA coronary artery disease (CAD).
  • Hypertensive heart disease - a heart > ~400 g is considered good enough if nothing else is present.[2]

Younger

Notes:

  • The mechanism is usually arrhythmia; this is usually not provable at autopsy.

Detailed cardiac[1]

Post-mortem (molecular) testing for arrhythmias:[4]

  • CPVT.
  • Sodium channel disease.
  • Brugada syndrome.

By mechanism

Hemorrhagic[1]

  • Ruptured AAA.
  • Peptic ulcer.
  • Cerebral aneurysm.

See also

Reference

  1. Jump up to: 1.0 1.1 1.2 de la Grandmaison GL (January 2006). "Is there progress in the autopsy diagnosis of sudden unexpected death in adults?". Forensic Sci. Int. 156 (2-3): 138–44. doi:10.1016/j.forsciint.2004.12.024. PMID 16410164.
  2. MSP. 29 September 2010.
  3. URL: http://www.sads.org.uk/causes_of_sads.htm. Accessed on: 29 September 2010.
  4. MSP. 29 September 2010: