EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

SUDDEN NATURAL DEATH IN AN UNUSUAL SETTING FOLLOWING RUPTURE OF LEFT VENTRICULAR WALL

Dr. Sunil*, Dr. Sunil Kumar Duchania, Dr. Vivek Kumar Chouksey and Dr. Yashoda Rani

ABSTRACT

Objectives: Cardiac rupture as a complication of Acute myocardial infarction (AMI) has been described as occurring infrequently. In patients with AMI, left ventricular free wall rupture is an infrequent complication (2–4%) but it is associated with a high mortality from pericardial tamponade. It accounts for 5–24% of all in hospital deaths related to AMI. In all such cases with findings of cardiac rupture at autopsy, the forensic pathologist after meticulous autopsy, consider the relative significance of disease, trauma and toxicological findings when determining the cause of death. This requires a consideration of evidence beyond the autopsy including the history, scene and ancillary investigations. Methods: Heart retrieved and dissected along the great vessels by input output methods. Results: A case of an unknown about 40 year-old man who was found lying unconscious in a suspicious and isolated place who had findings of ventricular wall rupture complicated by pericardial tamponade. Anterior wall of left ventricle was found ruptured which is of size 3x0.5 cm through and through, 2cm above the apex. On further exploration, arterial walls were found to be thickened. Left anterior descending artery, right coronary artery and left circumflex showed about 80%, 70 % and 60% luminal narrowing respectively. There was slight increase in thickness of left ventricular wall that measured 1.2 cm whereas the right ventricular wall was 0.3 cm thick. Conclusions: The paper stresses the importance of meticulous autopsy in cases of cardiac rupture in unidentified individuals recovered from suspicious and isolated places with no antecedent history or previous treatment record of any heart related ailment such as myocardial infarct and differentiate sudden death from accidental or homicidal deaths in such cases.

Keywords: Post Myocardial Infarction, Ruptured Ventricle, Cardiac tamponade.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )