Ungermann E M, Balikowski M, Hemker J, Feld K
Institute of Forensic and Legal Medicine, University Hospital Heidelberg, Vossstrasse 2, 69115, Heidelberg, Germany.
Zero Praxen Ludwigshafen, Erzbergerstraße 113, 67063, Ludwigshafen, Germany.
Forensic Sci Med Pathol. 2025 Jun;21(2):768-772. doi: 10.1007/s12024-024-00869-6. Epub 2024 Aug 12.
A 48-year-old woman was found hanged in the bathroom. She was wearing a Holter monitor, which was later analysed by a cardiologist. During autopsy, findings congruent with atypical hanging were collected. The ECG showed a 20 s asystole and four minutes later bradycardia, which progressed to a second-degree AV-block Mobitz I, then Mobitz II, then to a third-degree AV-block. Finally, only P waves could be observed, before heart action ceased. This is one of few cases reporting ECG-changes during hanging and might give further insight into the complex pathophysiology of this type of death.
一名48岁女性被发现吊死在浴室。她当时佩戴着动态心电图监测仪，后来由心脏病专家进行了分析。尸检期间，收集到了与非典型绞死相符的结果。心电图显示有20秒心脏停搏，4分钟后出现心动过缓，进而发展为二度Ⅰ型房室传导阻滞，然后是二度Ⅱ型，再发展为三度房室传导阻滞。最后，在心跳停止前仅能观察到P波。这是少数几例报告绞死期间心电图变化的病例之一，可能会为这类死亡的复杂病理生理学提供进一步的见解。
