Shanmugam Janani, Kumar Paranthaman Sampath, Panicker Vinod Kumar, Duvooru Prathiba
Department of Forensic Medicine & Toxicology, Sri Ramachandra Medical College & Research Institute, Sri Ramachandra University, Chennai, Tamil Nadu, India.
Department of Transfusion Medicine, Sri Ramachandra Medical College & Research Institute, Sri Ramachandra University, Chennai, Tamil Nadu, India.
Cardiol Res. 2015 Dec;6(6):372-375. doi: 10.14740/cr446e. Epub 2015 Dec 16.
The definition of sudden death is variable and there has been no single all-purpose definition. Sudden death can be defined as sudden or unexpected death in an otherwise healthy individual who is not known to have been suffering from any dangerous disease, injury or poisoning and is found dead or dies within 24 hours after the onset of terminal illness. Some authorities limit the duration to 1 hour. Because of the sudden and unexpected nature of death, inquest is conducted in such cases to rule out foul play and ascertain the cause of death. A vast majority of cases are due to cardiac origin followed by respiratory, neurological, gastrointestinal and genitourinary causes. The most common cardiac disease to cause sudden death is ischemic heart disease as a result of coronary atherosclerosis. Coronary artery disease, cardiomyopathies and electrophysiologic abnormalities are the common causes of sudden cardiac deaths. We present a rare case of sudden death in a healthy adult male due to giant cell myocarditis.
猝死的定义并不统一，尚无一个通用的定义。猝死可定义为原本健康、无已知危险疾病、损伤或中毒的个体突然或意外死亡，且在终末期疾病发作后24小时内被发现死亡或死亡。一些权威机构将这一期限限定为1小时。由于死亡的突发性和意外性，此类案件需进行死因调查，以排除谋杀并确定死因。绝大多数病例源于心脏问题，其次是呼吸、神经、胃肠和泌尿生殖系统问题。导致猝死最常见的心脏病是冠状动脉粥样硬化引起的缺血性心脏病。冠状动脉疾病、心肌病和电生理异常是心源性猝死的常见原因。我们报告一例健康成年男性因巨细胞性心肌炎导致猝死的罕见病例。
