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Autopsy Profile of Sudden Cardiac Deaths Reported in Mumbai Region of Maharashtra

Madhusudan R. Petkar, Sanjay D. Gaiwale, Vandana S. Gundla3, Ashwinikumar B. Sapate, Ajay L. Ghangale

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Indian Journal of Forensic Medicine and Pathology 12(1):p 25-28, January-March 2019. | DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.12119.5

How Cite This Article:

Gaiwale SD, Petkar MR, Gundla VS, et al. Autopsy profile of sudden cardiac deaths reported in Mumbai region of Maharashtra. Indian J Forensic Med Pathol. 2019;12(1):25-28.

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Received : February 26, 2019         Accepted : March 06, 2019          Published : March 30, 2019

Abstract

The study was conducted with an aim to find out the prevalence of cardiac pathology with its correlation to age, gender, occupation, risk factors and survival time in sudden cardiac deaths. 112 cases of sudden natural deaths due to cardiac and coronary pathology were reported, out of which 75% were male and 25% were female of which 45.5% were occupied with sedentary work. 42.0% cases were of lower middle class, followed by the upper middle class i.e. 29.5%. Peak incidence of sudden cardiac death was seen in the age group of 51-60 years. Maximum number of sudden deaths due to cardiac and coronary pathology were seen in obese individuals i.e. 55.4%. In these sudden deaths hypertension was seen in 29.5% cases, followed by Diabetes mellitus and Smoking in 25% and 9.8% cases respectively. Majority of sudden deaths i.e. 63.4%, occurred within 6 hours of onset of symptoms, 28% occurred within 6-12 hours and in 4% cases death occurred within 12-24 hours of onset of symptoms. Histroy of previous myocardial infarction was present in 31.2% cases. Sudden deaths due to cardiac and coronary pathology showed that 90 % of cases died due to coronary artery disease out of which 44.64% had acute coronary insufficiency while 33.9 % succumbed due to acute coronary insufficiency with Old Myocardial Infarction and 11.6 % due to Acute Myocardial Infarction.


References

  • 1.   Apurba Nandy. Principles of Forensic Medicine including Toxicology. 3rd Edition, New Central Book Agency (P) Ltd: Kolkata, 2010.pp.226-29.
  • 2.   Goldberger JJ, Basu A, Boineau R, Buxton AE, Cain ME, Canty JM. et al. Risk stratification for sudden cardiac death a plan for the future. Circulation. 2014;129(4):516-26.
  • 3.   Harmon KG, Asif IM, Klossner D, Drezner JA. Incidence of sudden cardiac death in national collegiate athletic assoc-iation athletes. Circulation. 2011;123(15):1594-600.
  • 4.   Reddy KS. Cardiovascular disease in non-Western countries. N Engl J Med. 2004 June 10;350:2438-40.
  • 5.   Pouleur AC, Barkoudah E, Uno H, Skali H, Finn PV, Zelenkofske SL, et al. Pathogenesis of sudden unexpected death in a clinical trial of patients with myocardial infarction and left ventricular dysfunction, heart failure, or both clinical perspective. Circulation. 2010;122(6):597-602.
  • 6.   Sapate AB, Petkar MR, Ghangale AL, Arora PK, Datir SB. Autopsy profile of natural causes of sudden deaths and survival time. International J. of Healthcare and Biomedical Research. 2015;3(4):126- 134.
  • 7.   Goldstein S. The necessity of a uniform definition of sudden coronary death: witnessed death within 1 hour of the onset of acute symptoms. Am Heart J. 1982;103(1):156-9.
  • 8.   Matoba R, Shikata I, Iwai K, Onishi S, Fujitani N, Yoshida K, et al. An epidemiologic and histopathological study of sudden cardiac death in Osaka Medical Examiner's office. JpnCirc J. 1989;53(12):1581-8.
  • 9.   World Health Organization. Myocardial infarction community registers: results of a WHO international collaborative study coordinated by the Regional Office for Europe. Public Health in Europe 5. Copenhagen: Regional Office for Europe, World Health Organization, 1976.
  • 10.   Kuppuswamy B. Manual of socioeconomic status (Urban), 1st ed. Delhi: Manasayan; 1981.pp.66-72.
  • 11.   Kumar V, Abbas AK, Fausto N, Aster, Robbin’s and Cotran. Pathological basis of disease. 7th ed. Noida: Elsevier, Health sciences Education, Marketing: 2008.
  • 12.   Sarkioja T. Hirvoven J. Causes of sudden unexpected deaths in young and middle aged persons. FSI 1984;24(4):247-261.
  • 13.   Zanjad NP, Nanadkar SD. Study of Sudden Unexpected Deaths In Medico-Legal Autopsies. JIAFM. 2006;28(1):27-30.
  • 14.   Azmak AD. Sudden deaths in Edirne, Turkey, from 1984 to 2005. Med. Sci. Law 20007;47(2):147-155.
  • 15.   Garg S, Hasija S, Sharma P, Kalhan S, Saini N, Khan A. A histopathological analysis of prevalence of various heart diseases: an autopsy study.Int J Res Med Sci. 2018 Apr;6(4):1414-1418
  • 16.   PJ Manvar, DK Vadgama, HM Mangal, PR Varu, RD Vaghela. Autopsy study of coronary artery atherosclerosis in Rajkot Region. Indian Journal of Forensic and Community Medicine, 2016 OctDec;3(4):251-253
  • 17.   Kuller L, Lilienfeld A, Fisher R,Sudden and Unexpected Deaths in Young Adults An Epidemiological Study. JAMA. 1966;198(3):248-252.
  • 18.   Jousilahti P, Vartiainen E, Tuomilehto J, Puska P. Sex, Age, Cardiovascular Risk Factors, and Coronary Heart Disease A Prospective Follow-Up Study of 14786 Middle-Aged Men and Women in Finland. Circulation. 1999;99(9):1165-72. PMID:10069784
  • 19.   Spain DM, Bradess VA, Matero A, Tarter R. Sudden Death Due to Coronary Atherosclerotic Heart Disease: Age, Smoking Habits, and Recent Thrombi. JAMA. 1969;207(7):1347–49.
  • 20.   Papadodima SA, Sakelliadis EI, Kotretsos PS, Athanaselis SA, Spiliopoulou CA. Cardiovascular disease and drowning: autopsy and laboratory findings.Hellenic J Cardiol. 2007 JulAug;48(4):198-205.
  • 21.   Joshi C. Postmortem study of histopathological lesions of heart in cases of sudden death - an incidental findings. J Evid Based Med Healthc. 2016;3(6):184-86.

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Cite this article

Gaiwale SD, Petkar MR, Gundla VS, et al. Autopsy profile of sudden cardiac deaths reported in Mumbai region of Maharashtra. Indian J Forensic Med Pathol. 2019;12(1):25-28.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
February 26, 2019 March 06, 2019 March 30, 2019

DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.12119.5

Keywords

Sudden Cardiac DeathCoronary PathologyHypertensionAcute Myocardial Infarction

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Received February 26, 2019
Accepted March 06, 2019
Published March 30, 2019

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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