Catellier M J, Waller B F, Clark M A, Pless J E, Hawley D A, Nyhuis A W
Department of Pathology, Methodist Hospital of Indianapolis, Inc., IN.
J Forensic Sci. 1990 Sep;35(5):1042-54.
Cardiovascular disease continues to be the single most common generic cause of sudden and unexpected deaths. Atherosclerotic coronary heart disease and acute myocardial infarction are the most prevalent forms of fatal cardiac disease observed at autopsy. Other cardiac lesions are frequently listed as causes of death, but the prevalence of such lesions as incidental findings in the general population is unknown. In this study, 470 consecutive forensic autopsies were evaluated for minor and major anomalies. The most frequently observed major congenital finding was floppy mitral valve (5%). Tunneled coronary arteries, considered minor congenital findings, were seen in 29%. Atherosclerotic coronary heart disease was the most common major acquired finding, observed in 16% of cases. Of the 470 hearts, only 8% were considered normal.
心血管疾病仍然是突发和意外死亡最常见的单一总体原因。动脉粥样硬化性冠心病和急性心肌梗死是尸检中观察到的最常见的致命性心脏病形式。其他心脏病变经常被列为死亡原因，但作为一般人群中的偶然发现，此类病变的发生率尚不清楚。在本研究中，对470例连续的法医尸检进行了轻微和重大异常评估。最常观察到的主要先天性发现是二尖瓣脱垂（5%）。被视为轻微先天性发现的隧道状冠状动脉在29%的病例中可见。动脉粥样硬化性冠心病是最常见的主要后天性发现，在16%的病例中观察到。在470颗心脏中，只有8%被认为是正常的。
