Forensic Analysis of 6 Cases of Sudden Death due to Hyperthyroid Heart Disease
10.3969/j.issn.1004-5619.2017.05.005
- VernacularTitle:6例甲状腺功能亢进性心脏病猝死法医学分析
- Author:
zhou Meng ZHANG
1
;
xuan Bing LI
;
Rui ZHAO
;
wei Da GUAN
;
hua Guo ZHANG
;
Xu WU
;
li Bao ZHU
;
bo Ru LI
Author Information
1. 中国医科大学法医学院法医病理学教研室
- Keywords:
forensic pathology;
death,sudden,cardiac;
hyperthyroidism;
blood chemical analysis;
case analysis
- From:
Journal of Forensic Medicine
2017;33(5):482-485
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the cases of sudden death due to hyperthyroid heart disease,and explore the general information of deaths and the forensic pathological characteristics to provide reference evidence for forensic identification of such cases.Methods Six cases of sudden death due to hyperthyroid heart disease between 2001 and 2016 were selected from School of Forensic Medicine,China Medical University.The general information (gender and age),clinical manifestations,medical history,anatomical and histopathological findings,biochemical parameters and cause of death were analysed retrospectively.Results Most of the 6 patients had definite history of hyperthyroidism,and they all showed certain degrees of symptoms of cardiovascular disease;had obvious incentive factors of death;histopathological examination of thyroid conformed to the performances of diffuse toxic goiter;with increase of cardiac weight,dilatation of cardiac chambers,myocardial hypertrophy and focal necrosis;postmortem biochemical analyses of pericardial fluid could be used as an additional method for diagnostic of sudden death due to hyperthyroid heart disease.Conclusion The identification of death due to hyperthyroid heart disease should be based on the clinical history and the results of autopsy,histopathological examination,postmortem toxicology tests.The postmortem biochemical detection of thyroid and cardiac function should be performed if necessary.
