Pathological characteristics of sudden death caused by coronary thrombosis.
- Author:
Xiao-Jie ZHAO
1
;
Ling-Yun YANG
;
Yu-Jie YANG
;
Jie BAI
;
Shuan-Liang FAN
;
Zhen-Yuan WANG
Author Information
1. Department of Forensic Science, Medical College, Xi'an Jiaotong University, Xi'an 710061, China. ZXJ2010@stu.xjtu.edu.cn
- Publication Type:Research Support, Non-U.S. Gov't
- MeSH:
Adult;
Age Factors;
Aged;
Autopsy;
Cause of Death;
Coronary Artery Disease/pathology*;
Coronary Thrombosis/pathology*;
Coronary Vessels/pathology*;
Death, Sudden, Cardiac/pathology*;
Female;
Forensic Pathology;
Humans;
Male;
Middle Aged;
Myocardial Infarction/pathology*;
Myocardium/pathology*;
Risk Factors
- From:
Journal of Forensic Medicine
2011;27(6):434-437
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore medico-legal characteristics of sudden death caused by coronary heart disease combined with coronary thrombosis.
METHODS:Ninety-six cases of sudden death caused by coronary heart disease were collected and divided into two groups: thrombus positive and thrombus negative groups. The time onset, induction and pathological features of coronary artery disease were analyzed.
RESULTS:Two groups showed man-dominant population. There were no statistical significant differences in season, circadian rhythm and induction factor. The thrombus positive group (age < 40) showed a higher disease incidence. Heart weight and degree of coronary stenosis were lower in thrombus positive group. However, there was no statistical difference in the number of atherosclerotic coronary arteries (> or = 2), the length of coronary lesions and myocardial infarct. But thrombosis positive group showed lower tendency.
CONCLUSION:Two groups are man-dominant population and similar induction factor, lesion position, mechanism of death. But thrombus positive group appeared more in a younger population and the degree of coronary stenosis is milder than thrombus negative group. Forensic pathologists should pay more attention to these characteristics in death investigation.
