Bajanowski T, Püschel K, Dettmeyer R
Institut für Rechtsmedizin, Universitätsklinikum Essen, Hufelandstr. 55, 45122 Essen.
Pathologe. 2012 May;33(3):217-27. doi: 10.1007/s00292-011-1556-6.
Sudden cardiac death is one of the most common causes of death and a significant number of sudden deaths occurs especially in young people. Sudden cardiac death is also frequently represented in forensic autopsy practice. In such cases pathological findings in the heart can often explain the reason for the acute death. These pathological changes include not only myocardial infarction, coronary thrombosis and all forms of myocarditis/endocarditis but also rare diseases, such as hereditary structural or arrythmogenic anomalies, lesions of the cardiac conduction system or primary cardiac tumors.
心脏性猝死是最常见的死亡原因之一,大量猝死尤其发生在年轻人中。心脏性猝死在法医尸检实践中也很常见。在这类病例中,心脏的病理发现往往可以解释急性死亡的原因。这些病理变化不仅包括心肌梗死、冠状动脉血栓形成以及各种形式的心肌炎/心内膜炎,还包括罕见疾病,如遗传性结构或致心律失常异常、心脏传导系统病变或原发性心脏肿瘤。