Mondello Cristina, Ventura Spagnolo Elvira, Cardia Luigi, Ventura Spagnolo Orazio, Gualniera Patrizia, Argo Antonina
1 Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
2 Legal Medicine Section - Department for Health Promotion and Mother-Child Care, University of Palermo, Palermo, Italy.
Med Leg J. 2018 Dec 1;86(4):188-192. doi: 10.1177/0025817218759630.
The most common cause of sudden death during sexual intercourse in adults is heart disease, and it is usually the male, whereas the death of the woman is unusual. Generally, in these cases, death occurs as a result of cardiovascular disease. The authors report an unusual case of the sudden death of a young woman during sexual intercourse. The post-mortem investigations (autopsy, cardiac nuclear magnetic resonance and cardiac histology) demonstrated a previously undiagnosed arrhythmogenic right ventricular cardiomyopathy. The terminal cause of death was a malignant arrhythmia from arrhythmogenic right ventricular cardiomyopathy. This is the first report of a case in which sexual activity can be regarded as the triggering factor combined with cardiac disease to the woman's death.
成年人在性交过程中猝死的最常见原因是心脏病，且通常是男性，而女性死亡则较为罕见。一般来说，在这些病例中，死亡是由心血管疾病导致的。作者报告了一例年轻女性在性交过程中猝死的罕见病例。尸检调查（尸检、心脏核磁共振和心脏组织学检查）显示存在一种此前未被诊断出的致心律失常性右室心肌病。死亡的最终原因是致心律失常性右室心肌病引发的恶性心律失常。这是首例将性活动视为与心脏病共同导致女性死亡的触发因素的病例报告。
