What question did this study set out to answer?

To review the incidence, postmortem pathological findings, and socio-medical issues associated with sudden cardiovascular deaths investigated by a municipal medical examiner system.

January 1, 2001The Keio Journal of MedicineOpen Access

Sudden death due to cardiovascular disorders: a review of the studies on the medico-legal cases in Tokyo.

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Population

Cadavers classified as 'unusual death' in Tokyo, Japan, investigated by the Tokyo Medical Examiner's Office…

Design

Review

Authors

TMTatsuya MuraiSakakibara Hospital MBMineko BabaTokyo Medical University ARAyako RoSt. Marianna University School of Medicine

Discussion

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Implication

Informs sudden death etiology awareness for clinicians; leaves open prospective validation in broader cohorts.

Key Points

To review the incidence, postmortem pathological findings, and socio-medical issues associated with sudden cardiovascular deaths investigated by a municipal medical examiner system.
Reviewed medico-legal records from approximately 10,000 unusual deaths examined annually by the Tokyo Metropolitan Government medical examiner system.
Evaluated pathological autopsy findings across cases certified as natural deaths.
Natural causes accounted for two-thirds of approximately 10,000 annual unusual deaths, with ischemic heart disease, particularly acute myocardial infarction, identified as the most frequent cause.
Postmortem pathological examination demonstrated acute myocardial ischemia in only one-third of autopsied cases.
Other major causes of death included subarachnoid hemorrhage, intracerebral hemorrhage, acute myocarditis, cardiomyopathies, aortic dissection or aneurysm, and pulmonary thromboembolism.

Structured PICO

Population

Cadavers classified as 'unusual death' in Tokyo, Japan, investigated by the Tokyo Medical Examiner's Office, focusing on sudden natural deaths due to cardiovascular disorders.

Outcome

Cause of sudden unexpected deathhard clinical

Ischemic heart disease is the leading cause of sudden unexpected natural death in Tokyo medico-legal cases, though other cardiovascular and cerebrovascular conditions also contribute significantly.

Cite This Study

Murai et al. (2001) studied this question.

synapsesocial.com/papers/6a986453329299b5dce352c4 https://doi.org/10.2302/kjm.50.175

Topics

Cardiomyopathy Pulmonary embolism

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Sudden death due to cardiovascular disorders: a review of the studies on the medico-legal cases in Tokyo.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Sudden death due to cardiovascular disorders: a review of the studies on the medico-legal cases in Tokyo.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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