Pathology of the Heart and Sudden Death in Forensic Medicine

Fineschi, Vittorio; Baroldi, G; Silver, Malcolm D.

doi:10.1201/9781420006438

Cited by 50 publications

(53 citation statements)

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“…These all lead to a substrate for tachyarrhythmia, which may be fatal. Taken together, the existing data strongly suggest that very often SCD is related to an arrhythmic event (Fineschi et al 2006) with no underlying structural heart disease detectable at autopsy.…”

Section: Arrhythmic Sudden Deathmentioning

confidence: 90%

“…Ischaemic heart disease or coronary heart disease is the leading cause of morbidity and death in the world (Fineschi et al 2006). The majority of ischaemic cases have severe atherosclerosis of the extramural coronary arteries and their branches when an acute event occurs for the first time in an apparently healthy subject (first episode), or one develops in a patient with previous disease manifestations (second episode or chronic).…”

Section: Ischaemic Heart Diseasementioning

confidence: 99%

“…Other acute occlusions that are easily recognisable are the rare dissecting aneurysm, embolism and thrombotic arteritis, none of which are pertinent to the natural history of coronary heart disease. In the latter, when present, the thrombus, with or without plaque fissuring or rupture, is located mainly in an area of critical luminal stenosis (Fineschi et al 2006).…”

Section: Ischaemic Heart Diseasementioning

confidence: 99%

“…Recent research has shown that criteria based on this type of staining has greater sensitivity than the Dallas criteria and may have prognostic value (Kindermann et al 2008;Blauwet and Cooper 2010). In general, the different patterns of myocarditis are distinguished according to the type of inflammatory cell reaction elicited by the causal agent (Fineschi et al 2006) (Table 33.7).…”

Section: Myocarditismentioning

confidence: 99%

See 3 more Smart Citations

Natural Causes of Sudden Death

Turillazzi¹,

Bello²,

Fineschi³

2014

Handbook of Forensic Medicine

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Section: Arrhythmic Sudden Deathmentioning

confidence: 90%

Section: Ischaemic Heart Diseasementioning

confidence: 99%

Section: Ischaemic Heart Diseasementioning

confidence: 99%

Section: Myocarditismentioning

confidence: 99%

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Natural Causes of Sudden Death

Turillazzi¹,

Bello²,

Fineschi³

2014

Handbook of Forensic Medicine

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“…Con estas últimas se debe tener cuidado especial, dado que es importante informar a las familias de la posibilidad de la presencia de cardiomiopatías congénitas. Se pueden dar casos en los que la arterioesclerosis llega a tal afección del sistema cardiovascular que puede generar fallecimiento secundario a estenosis u oclusión de ramas importantes para la irrigación cardiaca [8,9].…”

Section: Muerte Súbita De Origen Cardiacounclassified

Muerte por establecer y muerte súbita

Villa

2017

Colomb. forense

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Resumen.Propósito: este artículo se elaboró para crear conciencia en el campo forense sobre la importancia de conceptualizar claramente las muertes por establecer, aportando diferentes artículos vigentes disponibles, tomando lo más relevante y llevándolo a un contexto real. Periodo que se abarcó, origen y tipos de publicaciones: se realizó una búsqueda en bases de datos y en literatura descrita en libros forenses con información relevante sobre las muertes por establecer, tomando en cuenta un periodo entre 1908 y la actualidad con temas referentes a la muerte sú-bita en el ámbito forense y en el ámbito clínico médico. Punto de vista: en medio de la investigación forense nos vemos enfrentados a las muertes por establecer, que muchas veces son el talón de Aquiles de los investigadores forenses; la concepción y el concepto de la muerte por establecer deben estar claros desde el inicio del abordaje de caso; e incluso desde la escena de los hechos se debe tener claridad acerca de cómo se debe abordar y así determinar las causas y la manera de muerte con base en un todo como contexto final. Conclusiones: la muerte por establecer es un tipo de muerte que debe ser abordado de lo general a lo particular con unas bases sólidas, partiendo de la concepción clara del forense que asume el caso, el abordaje con metodología y progresión en pasos ordenados descritos con detalle en el protocolo de autopsia, hasta la elaboración de una conclusión.Palabras clave: muerte súbita, forense, establecer, desconocido, no identificado.

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Cardiac and Natural Causes of Sudden Death

Karch

Fineschi

Riezzo

2009

Wiley Encyclopedia of Forensic Science

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In most jurisdictions of Western societies, sudden and unexpected deaths are mainly due to natural causes linked with heart diseases by an initiating factor triggering cardiac arrest. The aim is to provide a background of facts currently known or believed with a critical review to aid the reader in resolving cases for which he or she is responsible. In other words, we revisit pathologic findings versus etiopathogenetic hypotheses and theories and propose new ones substantiated by previously misinterpreted or ignored facts. In this article, detailed findings are presented along with overall interpretations in order to help the forensic pathologist in a court of law to act as interpreter of the sequence of events leading to death. Sudden death due to cardiovascular causes is uncommon among the young, yet we provide insight as to cause. The incidence of cardiovascular disease increases with increasing age, and, as indicated above, it is now the leading cause of morbidity and death in Western societies. In reaching conclusions, a forensic pathologist must correlate and discriminate between terminal events and pathological findings that denote preexisting cardiac disease. It is insufficient to rely upon the tendency to believe (erroneously) that current clinical imaging techniques are alone sufficient to provide evidence of the cause of a disease. Advances in technology will procure a histo‐ultrastructural view in living people. At present, however, the autopsy remains the gold standard, with the proviso that the diminishing requests for postmortem examination by clinicians may, in the future, confine autopsy investigation to forensic institutions. There is, therefore, a need to establish strict collaboration between clinicians and pathologists.

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Pathology of the Heart and Sudden Death in Forensic Medicine

Cited by 50 publications

References 0 publications

Natural Causes of Sudden Death

Natural Causes of Sudden Death

Muerte por establecer y muerte súbita

Cardiac and Natural Causes of Sudden Death

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