Taner Daş1, Aytül Buğra2, Abdul Kerim Buğra3. 1. Morgue Department, Histopathology Unit, The Council of Forensic Medicine, Istanbul, Turkey. tanerdas@hotmail.com. 2. Morgue Department, Histopathology Unit, The Council of Forensic Medicine, Istanbul, Turkey. 3. Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training And Research Hospital, University Of Health Sciences, Istanbul, Turkey.
Abstract
BACKGROUND: The vast majority of sudden and unexpected natural deaths are related to cardiovascular diseases, especially coronary artery diseases. AIMS: In this study, we aimed to reveal the epidemiological differences between men and women and to investigate the most common pathologies that cause cardiac deaths. METHODS: Five thousand seven hundred sixty-eight autopsy cases that were done in 2016 were reviewed for the autopsy information and histopathological findings. Of the 5768 autopsies performed, 866 were due to cardiac causes. Eight hundred thirty-two cases were reviewed due to lack of autopsy information in 34 cases. RESULTS: One hundred sixteen (13.9%) were female, and 716 (86.1%) were male. Coronary artery disease was detected in 760 of 832 cases. There were findings of acute or previous myocardial infarction in 595 (71.5%), perivascular and interstitial fibrosis in 159 (19.1%), myocardial rupture and tamponade in 31 (%3.7), valvular disease in 6 (0.7%), cardiomyopathy in 4 (0.5%), and congenital heart disease in 3 (0.4%). In the study, it was observed that the mean age of death due to cardiac pathology other than coronary artery disease was significantly lower than deaths due to coronary artery disease (p < 0.05). The presence of coronary artery disease in men was found to be significantly higher than in women (p < 0.001). CONCLUSION: In our study, it was found that deaths due to coronary artery disease are seen at an older age than cardiac deaths other than coronary artery disease. In addition, in line with current knowledge, it has been confirmed that the mortality rate of coronary artery disease is higher in men than in women.
BACKGROUND: The vast majority of sudden and unexpected natural deaths are related to cardiovascular diseases, especially coronary artery diseases. AIMS: In this study, we aimed to reveal the epidemiological differences between men and women and to investigate the most common pathologies that cause cardiac deaths. METHODS: Five thousand seven hundred sixty-eight autopsy cases that were done in 2016 were reviewed for the autopsy information and histopathological findings. Of the 5768 autopsies performed, 866 were due to cardiac causes. Eight hundred thirty-two cases were reviewed due to lack of autopsy information in 34 cases. RESULTS: One hundred sixteen (13.9%) were female, and 716 (86.1%) were male. Coronary artery disease was detected in 760 of 832 cases. There were findings of acute or previous myocardial infarction in 595 (71.5%), perivascular and interstitial fibrosis in 159 (19.1%), myocardial rupture and tamponade in 31 (%3.7), valvular disease in 6 (0.7%), cardiomyopathy in 4 (0.5%), and congenital heart disease in 3 (0.4%). In the study, it was observed that the mean age of death due to cardiac pathology other than coronary artery disease was significantly lower than deaths due to coronary artery disease (p < 0.05). The presence of coronary artery disease in men was found to be significantly higher than in women (p < 0.001). CONCLUSION: In our study, it was found that deaths due to coronary artery disease are seen at an older age than cardiac deaths other than coronary artery disease. In addition, in line with current knowledge, it has been confirmed that the mortality rate of coronary artery disease is higher in men than in women.
Authors: Christopher X Wong; Alex Brown; Dennis H Lau; Sumeet S Chugh; Christine M Albert; Jonathan M Kalman; Prashanthan Sanders Journal: Heart Lung Circ Date: 2018-09-24 Impact factor: 2.975
Authors: Antonio Oliva; Ramon Brugada; Ernesto D'Aloja; Ilaria Boschi; Sara Partemi; Josep Brugada; Vincenzo L Pascali Journal: Am J Forensic Med Pathol Date: 2011-03 Impact factor: 0.921
Authors: Olallo Sanchez; Oscar Campuzano; Anna Fernández-Falgueras; Georgia Sarquella-Brugada; Sergi Cesar; Irene Mademont; Jesus Mates; Alexandra Pérez-Serra; Monica Coll; Ferran Pico; Anna Iglesias; Coloma Tirón; Catarina Allegue; Esther Carro; María Ángeles Gallego; Carles Ferrer-Costa; Anna Hospital; Narcís Bardalet; Juan Carlos Borondo; Albert Vingut; Elena Arbelo; Josep Brugada; Josep Castellà; Jordi Medallo; Ramon Brugada Journal: PLoS One Date: 2016-12-08 Impact factor: 3.240