心脏性猝死：2001年至2015年间7200例尸检结果

Sudden Cardiac Death: Autopsy Findings in 7200 Cases Between 2001 and 2015.

作者信息

Ifteni Petru, Barabas Barna, Gavris Claudia, Moga Marius, Burtea Victoria, Dracea Laura

机构信息

From the *Psychiatry and Neurology Hospital; †Faculty of Medicine, Transilvania University of Brasov; ‡Brasov County Forensic Department; §Brasov County Emergency Hospital; ∥Clinical Hospital of Obstetrics and Gynecology; ¶Clinical Hospital for Children, Brasov, Romania.

出版信息

Am J Forensic Med Pathol. 2017 Mar;38(1):49-53. doi: 10.1097/PAF.0000000000000274.

DOI:10.1097/PAF.0000000000000274

PMID:27973393

Abstract

BACKGROUND

Sudden cardiac death (SCD) is a sudden unexpected event, from a cardiac cause, that occurs in less than 1 hour after the symptom onset in a person without any previous condition that would seem fatal or who was seen without any symptoms 24 hours before being found dead.

OBJECTIVE

The aims of the study were to describe the features of SCD in Brasov County, Romania (400,000 inhabitants) according to local forensic department autopsy files.

METHODS

We retrospectively chart reviewed a number of 7200 autopsy reports between 2001 and 2015 to identify cases of SCD. Data included cause of death, demographics, location of the event, prior known illnesses, as well as psychiatric comorbidities.

RESULTS

Of 7200 autopsies effectuated during the 15-year period, we excluded 276 cases with incomplete data. The rest of the 6924 cases included 3000 autopsies (43.3%) of individuals with a violent death: accidents, suicides, and homicides. In 3924 cases (56.7%), the death was nonviolent. Of 3924 nonviolent deaths, based on the registry of Forensic department, we identified 1085 cases of SCD (749 males [69%]; mean age, 56 ± 17.4 years).

CONCLUSION

Sudden death with a cardiac etiology remained a major cause of unexpected end of life in the vast majority of cases autopsied during the study period.

摘要

背景

心源性猝死（SCD）是一种由心脏原因导致的意外突发情况，发生在没有任何先前看似致命疾病的人身上，或在被发现死亡前24小时没有任何症状的人身上，症状出现后不到1小时内死亡。

目的

本研究旨在根据罗马尼亚布拉索夫县（40万居民）当地法医部门的尸检档案描述SCD的特征。

方法

我们回顾性查阅了2001年至2015年间7200份尸检报告，以确定SCD病例。数据包括死因、人口统计学信息、事件发生地点、既往已知疾病以及精神疾病合并症。

结果

在15年期间进行的7200例尸检中，我们排除了276例数据不完整的病例。其余6924例包括3000例（43.3%）暴力死亡个体的尸检：事故、自杀和他杀。在3924例（56.7%）中，死亡为非暴力性。在3924例非暴力死亡中，根据法医部门的登记，我们确定了1085例SCD病例（749例男性[69%]；平均年龄，56±17.4岁）。