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NCJ Number: 236192 Find in a Library
Title: "Grown-Up" Congenital Heart Disease and Sudden Death in a Medical Examiner's Population
Journal: Journal of Forensic Sciences  Volume:56  Issue:5  Dated:September 2011  Pages:1206-1212
Author(s): Leslie E. Hamilton, M.D.; Emma O. Lew, M.D.; Evan W. Matshes, M.D., F.R.C.P.C.
Date Published: September 2011
Page Count: 7
Type: Report (Study/Research)
Format: Article
Language: English
Country: United States of America
Annotation: This retrospective descriptive study outlines the spectrum of congenital heart disease (CHD) presenting as sudden death in adults in a medical examiner’s population.
Abstract: Despite advances in the management of congenital heart disease (CHD), children with CHD who survive into adulthood are at increased risk of sudden death. Sudden death may also be the initial presentation of undiagnosed CHD in some adults. Despite its rarity (0.2 percent of all cases investigated between 1991 and 2007), CHD remains an important cause of sudden cardiac death to be recognized at adult autopsy. Bicuspid aortic valve and anomalous coronary anomalies were the most common malformations, comprising 36.9 percent and 26.2 percent of cases, respectively. However, a wide spectrum of simple to complex malformations can be seen, with or without prior surgery, and over a wide age spectrum. Once solely a pediatric entity, CHD is now “grown-up” and will likely be diagnosed by forensic pathologists with increased frequency in the future. (Published Abstract)
Main Term(s): Criminology
Index Term(s): Biological influences; Case studies; Death investigations; Forensic sciences; Investigative techniques
Note: Presented in the Stowell-Orbison Award Competition at the United States and Canadian Association of Pathologists (USCAP) Annual Meeting, March 22, 2010, in Washington, DC.
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