Detailed examination of the cardiac conduction system is crucial in forensic autopsies of sudden cardiac death victims without gross structural heart disease.
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May warrant detailed conduction system examination in forensic SCD autopsies without gross pathology; leaves open need for standardized prospective protocols.
Forensic pathologists may occasionally encounter cases of apparent sudden cardiac death without gross cardiac abnormality. In some of these cases, evaluation of the cardiac conduction system may reveal pathologic lesions which may act as the substrates for ventricular tachyarrhythmias and sudden death. Sample case studies are used to illustrate the suggested criteria and techniques for examination, and commonly-encountered pathologic lesions and normal variants are discussed.
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Sam P. Gulino (2003) studied this question.
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