Death caused by cervical spine trauma from a car accident, secondary to ventricular arrhythmia recorded by implantable cardioverter-defibrillator

Janowski, Marcin; Chan, Chia-En; Poleszak, K; Kozak, Mariusz; Wysocka, Anna; Główniak, Andrzej

doi:10.20452/pamw.16414

Cited by 1 publication

(1 citation statement)

References 3 publications

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“…In addition, reading a time-correlated heart rate record from the CIED allows a reliable determination of the sequence of events and the cause of death in cases, where potentially fatal events occur suddenly, e.g. a car accident or a fall due to loss of consciousness resulting from cardiac arrhythmias [54][55][56]. Moreover, the analysis of the record allows to determine the patient's condition in the period immediately prior to death and determine whether the death was sudden or preceded by agony and to determine the manner of death [57].…”

Section: Forensic Medicinementioning

confidence: 99%

Remember by heart – the importance of post-mortem cardiac implantable electronic device analysis

Rzepczyk,

Migiel,

Bijata

et al. 2023

Eur J Trans Clin Med

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In recent years, the number of patients with a cardiac implantable electronic device (CIED) has been steadily increasing. Implantable cardioverter-defibrillators (ICDs) are currently one of the primary methods of preventing sudden cardiac death (SCD) in patients at risk. A post-mortem CIED examination, which these days is performed very rarely, as well as the analysis of the recordings may provide key information regarding the circumstances of the patient's death. This applies to both the potential impact of a defect or damage to the device in an event of the owner's death and the forensic analysis of the circumstances of death, especially when traditional post-mortem diagnostics do not provide a clear diagnosis. In addition, using the data stored on the device, it is possible to identify the corpse and precisely determine the time of death, which is crucial for the conducted expertise. Since it is a quick, cheap and widely available procedure, CIED analysis should be incorporated as a routine element of post-mortem diagnostics.

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