Background and objective Sudden cardiac death can be defined as a sudden, unexpected death caused by loss of heart function. Notwithstanding major developments in the diagnosis and treatment of heart disease, it remains the major contributing factor for deaths. This considers the pattern of sudden cardiac deaths. Methodology: This prospective study was conducted on all cases subjected to medico-legal autopsy in the forensic medicine department at a tertiary care hospital for a period of 18 months. All sudden cardiac deaths satisfying the WHO criteria were included. Unknown cases and bodies in advanced stage of decomposition were excluded. Results Sudden cardiac deaths accounted for 55% (82 cases) of 149 cases of sudden natural deaths and 6.5% of total autopsies conducted. The age group most commonly affected by sudden cardiac death ranged from 31 to 50 years. The majority of the cadavers had 90–95% degree of stenosis of left anterior descending artery, 70–80% of right coronary artery and 60–70% left circumflex artery. Coronary insufficiency was the major cause for sudden cardiac deaths with a total of 53 (64.63%) cases. Conclusion Sudden cardiac deaths accounted for 6.5% of all the autopsies conducted and males outnumbered females with M:F ratio of 10.7:1, with mean age of 44.5 ± 12.63 years. The largest number – 60.97% – were aged between 31 and 50 years. Coronary insufficiency accounted for 64.63% of sudden cardiac deaths.
Introduction- Determination of the identity is the determination of the individuality of a person. According to the Universal Declaration of Human Rights, everyone has the right of recognition everywhere as a person before the law either living or dead [1]. Identication in living and dead can be established by various data and examination but in rare cases of mutilated bodies, dismembered body parts or skeletonised body its get difcult to establish identity and cause of death. Main purpose of this study is to establish identity of person in relation toAim of study- age and sex, to know the cause of death and to recover evidential material samples from the corpse which may help further in crime investigation and reconstruction of crime scene. Method and Methodology- We analysed postmortem examination done at Mortuary of S. N. Medical College, Agra of 2 different cases brought here for medicolegal autopsy to be conducted by a panel of doctors including one Forensic expert. Postmortem examination of burned, mutilated, decomposedResult and Conclusion- or skeletonised remains raises several questions. Complete autopsy examination including a dental examination is very benecial in these cases. In few cases even a small postmortem nding alone proves benecial to derive the cause of death but sometimes autopsy examination alone is insufcient in establishing identication particularly in skeletonised and mutilated corpses. In such cases, collobaration of recent advanced technologies like Forensic DNA analysis, Forensic imaging and Facial recognition techniques with Forensic medicine may open the doors of hope to extract best possible information helpful in crime investigation.
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