Key result
Cardiovascular disease accounts for ~52% of sudden natural deaths, driven primarily by CAD.
Why the study?
This study aimed to analyze the medico-legal and epidemiological aspects of sudden natural deaths, with a special reference to cardiac causes.
Observational (n=221)
No
This autopsy study confirms that cardiovascular disease, predominantly coronary artery disease, is the leading cause of sudden natural death, especially in middle-aged males.
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Autopsy series on sudden natural deaths support targeted prevention research; leaves open whether findings alter clinical screening in living populations.
Introduction: The present study is carried out on cases died due to sudden natural causes which were brought for medico-legal autopsy to our institute.The study was aimed at analyzing the medico-legal and epidemiological aspects in cases of sudden natural deaths with special reference to cardiac causes.Material & methods: Total 2088 autopsies were conducted, out of which, 221 cases (10.58%) were of sudden natural death.Various factors like age, sex, time of incident, survival period, occupation, marital status, month wise distribution, seasonal variations, locality, religion, nourishment, habits, injuries, system wise affection, disease and sex wise distribution, cases of MI, distribution of coronary artery block, location of coronary artery block, cut section of ventricular wall, multisystem involvement to the body were studied.Results: Amongst these 221 cases, 195 cases (88.23%) were male and 26 (11.76%) were female.The male to female ratio was 7.5:1.It was observed that cardiovascular system was the most vulnerable to sudden death contributing to 114 (51.59%) deaths.Conclusion: Among cardiovascular causes, maximum deaths (96.49%) were due to coronary artery disease followed by mitral stenosis 2 cases, cardiac tamponade and Ventricular heart disease 1 case each.Most commonly affected age group was 41-50.
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Jambure et al. (2023) conducted an observational in Sudden natural death (n=221). Cardiovascular disease vs. Non-cardiovascular causes was evaluated on Proportion of sudden natural deaths due to cardiovascular causes. Cardiovascular diseases were the leading cause of sudden natural death, accounting for 51.59% of cases, with coronary artery disease responsible for 96.49% of these cardiovascular deaths.
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