Sudden cardiac death in young adults represents a worldwide health risk, sometimes producing deaths within minutes after the onset of the symptoms. The purpose of our study is to establish population aspects of sudden cardiac death in young adults, in Bihor County, Romania, to evaluate concordance and discordance between macroscopic and microscopic aspects of the heart and to offer a possible solution for diagnosing acute cardiovascular pathology. All consecutive cases were collected from Forensic County Bihor, Romania. To confirm the cause of death sample heart fragments were collected from all suspected sudden cardiac death, 40 years old and below adults, who represented the subject of forensic domain. 90% of the subjects included in our study were males, 19% of males having blood alcohol higher than 1 g‰. In 23% cases macroscopic changes susceptible for myocardial infarction, myocardial dystrophy and myocardosclerosis were observed. Coronary atherosclerosis was noticed in 57,5% individuals.
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