Gulino Sam P
Hillsborough County Medical Examiner Department, 401 S. Morgan Street, Tampa, FL 33602, USA.
Am J Forensic Med Pathol. 2003 Sep;24(3):227-38. doi: 10.1097/01.paf.0000083453.43318.74.
Forensic pathologists may occasionally encounter cases of apparent sudden cardiac death without gross cardiac abnormality. In some of these cases, evaluation of the cardiac conduction system may reveal pathologic lesions which may act as the substrates for ventricular tachyarrhythmias and sudden death. Sample case studies are used to illustrate the suggested criteria and techniques for examination, and commonly-encountered pathologic lesions and normal variants are discussed.
法医病理学家偶尔会遇到一些看似心脏突然死亡但无明显心脏大体异常的病例。在其中一些病例中,对心脏传导系统的评估可能会发现病理病变,这些病变可能是室性快速心律失常和猝死的基础。本文通过实例研究来说明推荐的检查标准和技术,并讨论常见的病理病变和正常变异。