Kouno A, Matoba R, Shikata I
Acta Med Leg Soc (Liege). 1989;39(1):205-15.
From 1982 to 1986, there were 1230 sudden death cases autopsied in Osaka Medical Examiner's Office. Among them, 810 cases were classified cardiac deaths (SCDs) such as coronary heart disease (77%), cardiomyopathy (7%), valvular disease (3%). All SCD cases were dead within 24 hours after the appearance of the fatal symptoms, and most of them (72%) were supposed to be instantaneous death. Many of the fatal symptoms began in bed (31%), at bath (17%), at toilet (8%) or at work (8%). 34% of them were thought to be healthy by themselves or by their family members before their deaths. Hypertension (38%), coronary heart disease (13%) and diabetes mellitus (11%) were their major past histories recorded. Cardiac lesions such as myocardial hypertrophy, fibrosis and atherosclerosis of coronary artery were frequently admitted in SCD. SCD has been vigorously studied for a long time in various fields including legal medicine, and it has also attracted a great deal of public attention recently. To clarify the causes and the mechanisms of SCD, investigations of the actual situation of SCD cases is essential. Therefore, 1230 autopsy cases of SCD in Osaka Medical Examiner's Office for recent five years were statistically investigated.
1982年至1986年期间，大阪法医办公室对1230例猝死病例进行了尸检。其中，810例被归类为心源性死亡（SCD），如冠心病（77%）、心肌病（7%）、瓣膜病（3%）。所有SCD病例均在出现致命症状后的24小时内死亡，其中大多数（72%）被认为是猝死。许多致命症状始于床上（31%）、洗澡时（17%）、上厕所时（8%）或工作时（8%）。其中34%的人在死前被自己或家人认为是健康的。高血压（38%）、冠心病（13%）和糖尿病（11%）是记录的主要既往病史。SCD患者经常出现心肌肥大、纤维化和冠状动脉粥样硬化等心脏病变。长期以来，SCD在包括法医学在内的各个领域都受到了广泛研究，最近也引起了公众的极大关注。为了阐明SCD的病因和机制，对SCD病例的实际情况进行调查至关重要。因此，对大阪法医办公室最近五年的1230例SCD尸检病例进行了统计调查。
