IN CASES OF YOUTH SUDDEN CARDIAC DEATHS
Sari H, Koc S,
Albek E, Asirdizer M, Cetin G.
2nd Congress of Forensic Science, Uludag University
Medical School, Bursa-1996, Summary Book of Congress.
In 1986 of 15184 autopsies performed m the Mortuary Section of the Council of
Forensic Medicine in the years 1983-1992 death was attributed to cardiovascular disease in 323 cases (17, 12 %) The victims
were at or below 35 years of age. Only 16 individuals (4,95 %) were younger than 16 years of age 287 subjects (88,85 %) were
males and 36 (l 1,15 %) females.
In addition to numerous macroscopic findings observed in these 323 cases, the
following microscopic alterations were detected on Hematoxylin - Eosin- staining performed in 246 cases, hypertrophy m 130
(52,84 %), scars in 53 (21,54 %), interstitial fibrosis m 15 (6,09 %), myocarditis in 10 (4,06 %) and fresh myocardial infarction
in 5 (2,03 %), pericarditis in 5 (2,03 %) cases as well as other findings in 53 cases (21 54 %) pathologic alterations were
present on macroscopic examination, microscopic diagnosis, however, was not possible due to autolytic changes and putrefaction.
In our study, nearly all childhood cases of death were attributed to congenital
heart disease or valvular defects in young individuals the lethal outcome was precipitated by strenuous efforts, where as
in the age group of 30 to 35 years, sudden cardiac death was mainly due to coronary disease. These results support other studies
on this subject.
Further important details of these cases with medico-legal relevance are also
Key words: Sudden cardiac death, medico-legal autopsy.