Key result
Ischaemic myocardial fibrosis is associated with sudden coronary death, presenting pathologically with archipelago-like fibrotic spots and zig-zag electric impulse transmission.
Highlights the pathological finding of ischaemic myocardial fibrosis and abnormal electrical transmission in a case of sudden coronary death.
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May inform autopsy review in unexplained sudden death; leaves open validation of conduction patterns for risk stratification.
Sudden death in a 43 years-old man with archipelago-like spots of myocardial fibrosis (A) and “zig-zag” electric impulse transmission (B). (A, B) From Thiene G, Rizzo S, Basso C. Pathology of sudden death, cardiac arrhythymias, and conduction system. In: Maximilian Buja L, Butany J (Eds.), Cardiovascular Pathology. Chapter 11. Academy Press, January 2022, 447–534. ISBN: 9780128222249, modified.
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Gaetano Thiene (2022) studied this question. Ischaemic myocardial fibrosis is associated with sudden coronary death, presenting pathologically with archipelago-like fibrotic spots and zig-zag electric impulse transmission.
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