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Suspiciuos But Sudden Cardiovascular Deaths
Medrech
Abstract:
Aim: To determine the causes of sudden deaths while asleep and in motion (activity).
Materials & Method: Two cases of middle aged male Negroid adults were autopsied and
analyzed in the department of anatomic pathology for the cause of sudden death at rest and in
activity-while eating.
Results: They were both found to be class 1(one) and 3(three) obsessed with estimated BMIs of
43.5kg/m2 and 50.6kg/m2 respectively. The major features were on the cardiovascular as both
had a massive cardiomegaly of 900 gm/500gms respectively. ( Normal for normal adult male of
75kg weight:300-350gms). This feature was compromised with other lesions like florid
arteriomatous plaques.
Conclusion: We found to our opinion that both died of hypertensive cardiovascular diseases
following long standing hypertension though with good management but lack of compliance on
the patients side.
Keywords: Suspected poisoned, cardiovascular death, autopsy.
Introduction:
deaths as they noted that most death peaks
In USA, Cardiovascular disease appears to
up at 7am and 9 am respectively. They
be common cause of deaths; as it is a major
further found that most deaths from
cause of deaths of men within the ages of
cardiovascular ailment peaks up to 70 %
20-65 years. Zipes and wallen ( 1988),
during the day than at night (rest periods).2
found that 80% of patients that died of
Deaths resulting from cardiovascular causes
sudden cardiac deaths are mainly due to
are often natural and unexpected as the
diseases of coronary artery like in built
occur within 60minutes of onset of final
arteriomatous plaques narrowing the
symptoms.3 At times, there will be need for
1
lumen. Willich et al 1987, attributed this
a
detailed
forensic
autopsy
with
deaths to circadian variation in the time of
toxicological analysis especially like in our
Nnoli M.A. et al., Med. Res. Chron., 2015, 3 (1), 59-63
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Figure 1: Depicts A section of abdominal aorta with Shinny areas of fatty flakes and
arteriomatous plaques with distinct obliteration of vessel lumen with various sizes.
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Figure 3: Depicts a section of heart with enlarged chambers, concentric hypertrophy and focal
areas of hemorrhages.
Autopsy Findings: Case A: The finding was
of class 1 obese Negroid middle aged man
with displaced apical heart and massive
Figure 2: Depicts a massive cardiomegaly weighing 900g with areas of bulging epicardial fat on
the anterior wall.
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