SUDDEN DEATH OF MIDDLE AGED MALE DUE TO CARDIAC TAMPONADE
Keywords:
Myocardial rupture, pericardial effusion, sudden death, tamponadeAbstract
The “tamponade “ is a French word meaning “ to stop”, that is the closure or blockage of a wound or body cavity as if by a tampon especially to stop bleeding. The cardiac tamponade also known as pericardial tamponade, is an acute type of pericardial effusion in which fluid, pus, blood, clots or gas accumulates in the pericardium, resulting in slow or rapid compression of the heart leading on to the stoppage of heart functions. This commonly occurs as a result of chest trauma( both blunt and penetrating), but can also be caused by myocardial rupture. Myocardial rupture is a some what uncommon cause of pericardial tamponade and is more likely to happen in elderly individual. These deaths are vary rare and unusual in adults and middle aged individuals. We present a case of sudden death of a middle aged male person due to cardiac tamponade consequent to myocardial rupture secondary recent and old attacks of myocardial infarctions while executing his routine office work. It emphasizes on meticulous examination of vital organs like heart in cases of sudden deaths.
References
a b c Spodick, DH (Aug 14,2003). “Acute cardiac tamponade “. The New England journal of medicine 349 (7):684-90.PMID 12917306
a b c d Gwinnutt.CL,Driscoll PA (2003). Trauma Resuciation: The Team Approach (2nd ed). Oxford:BIOS. ISBN 1-85996-009-X.
a b c d e f Porth, Carol: Carol Mattson, PhD Porth (2005). Pathophysiology: concepts of altered health states (7th ed). Hagerstown, MD: Lippincott Williams & Wilkins. ISBN 0-7817-4988-3.
Isselbacher EM, Cigarroa JE, Eagle KA (Nov 1994). “Cardiac tamponade complicating proximal (retrograde) aortic dissection. Is pericardiocentesis harmful ?”. Circulation 90(5): 2375-8.doi:10.1161/ 01.CIR.90.5.2375.PMID 7955196.
a b c Longmore, J.M.: Murray Logmore: Wilknison, Ian: Supraj R. Rasjagopalan (2004). Oxford handbook of clinical medicine (6th ed). Oxford [Oxfordshire]: Oxford University Pres. ISBN 0-19-852558-3.
Meniconi,A:C H ATTENHOFFER JOST: R JENNI (Nov 2000) “How to survive myocardial rupture after myocardial infarction”. Heart 84(5):552.
Hudson B.E.Reginald, Cardiovascular Pathology vol I. Balimore. The Williams & Wilkins company.1965.p.711-714. 8. Willis’s Sydenham Society translation,1847. 9. Shabetal R. Diseases of pericardium. In Hurst JW.Schiant RC, Alexander RW, editor. The heart: arteries and veins. 8th ed. New York: McGraw Hill.1994.p.1654-62.
Pollak H, Nobis H, Miczoch J. Frequency of left ventricular frr wall rupture complicating acute myocardial infarction since the advent of thrombosis. Am J Cardiol 1994,74:184-6
Van Tssel RA. Edward JE. Rupture of heart complicating myocardial infarction. Analysis of 40 cases including nine examples of left ventricular false aneurysm. Chest 1972.61:104-16.
J Indian Acad Forensic Med. April –June 2011, vol.33,No.2