TY - JOUR AU - Gulino, Sam P. AB - REVIEW Examination of the Cardiac Conduction System Forensic Application in Cases of Sudden Cardiac Death Sam P. Gulino, MD myocardial oxygen supply and demand, thereby increasing the Abstract: Forensic pathologists may occasionally encounter cases likelihood of ischemia and sudden death. of apparent sudden cardiac death without gross cardiac abnormality. In hearts without significant coronary atherosclerosis, a In some of these cases, evaluation of the cardiac conduction system variety of other cardiac diseases may provide the anatomic may reveal pathologic lesions which may act as the substrates for 3,4 substrate for sudden death (Table 1). Most practicing fo- ventricular tachyarrhythmias and sudden death. Sample case studies are used to illustrate the suggested criteria and techniques for rensic pathologists are, by necessity, part-time cardiac pathol- examination, and commonly-encountered pathologic lesions and ogists and are comfortable diagnosing diseases of the heart normal variants are discussed. muscle (hypertensive heart disease, cardiomyopathies, myo- carditis) and cardiac valves (mitral valve prolapse, aortic Key Words: heart, pathology, conduction system, sudden death stenosis). Many engage the assistance of a cardiac pathologist (Am J Forensic Med Pathol 2003;24: 227–238) when dealing with subtle cardiomyopathies, congenital dis- ease, and cases with no apparent morphologic findings. Examination of the cardiac TI - Examination of the Cardiac Conduction System Forensic Application in Cases of Sudden Cardiac Death JF - The American Journal of Forensic Medicine and Pathology DO - 10.1097/01.paf.0000083453.43318.74 DA - 2003-09-01 UR - https://www.deepdyve.com/lp/wolters-kluwer-health/examination-of-the-cardiac-conduction-system-forensic-application-in-XwPn92qOFj SP - 227 EP - 238 VL - 24 IS - 3 DP - DeepDyve ER -