Sudden death due to cardiovascular disorders: a review of the studies on the medico-legal cases in Tokyo

The Tokyo Metropolitan Government has a medical examiner system, in which all cadavers classified as “unusual death” in the city of Tokyo should be examined, and if necessary, autopsied to determine the cause of death. Of about 10, 000 unusual deaths examined per year, two thirds are usu-ally determ...

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Veröffentlicht in:Keio journal of medicine 2001, Vol.50(3), pp.175-181
Hauptverfasser: Murai, Tatsuya, Baba, Mineko, Ro, Ayako, Murai, Naoko, Matsuo, Yoshihiro, Takadaz, Aya, Saito, Kazuyuki
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container_end_page 181
container_issue 3
container_start_page 175
container_title Keio journal of medicine
container_volume 50
creator Murai, Tatsuya
Baba, Mineko
Ro, Ayako
Murai, Naoko
Matsuo, Yoshihiro
Takadaz, Aya
Saito, Kazuyuki
description The Tokyo Metropolitan Government has a medical examiner system, in which all cadavers classified as “unusual death” in the city of Tokyo should be examined, and if necessary, autopsied to determine the cause of death. Of about 10, 000 unusual deaths examined per year, two thirds are usu-ally determined to have died of natural causes. The most common cause of sudden natural death is ischemic heart disease, especially acute myocardial infarction. Pathological examination, however, proves acute myocardial ischemia in only one third of autopsies. Subarachnoid hemorrhage and intra-cerebral hemorrhage, acute myocarditis and cardiomyopathies and aortic dissection/aneurysm as well as pulmonary thromboembolism are frequent causes of death in medical examiner cases. Both patholog-ical and socio-medical problems associated with these diseases are discussed. (Keio J Med 50 (3): 175-181, September 2001)
doi_str_mv 10.2302/kjm.50.175
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source MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; Open Access Titles of Japan; EZB-FREE-00999 freely available EZB journals
subjects Aortic Aneurysm - mortality
Autopsy
Cardiomyopathies - mortality
cardiovascular disease
Cardiovascular Diseases - mortality
Cerebrovascular Disorders - mortality
Death, Sudden - epidemiology
Death, Sudden - etiology
Humans
medical examiner
medico-legal autopsy
Pulmonary Embolism - mortality
sudden death
Tokyo - epidemiology
unexpected death
title Sudden death due to cardiovascular disorders: a review of the studies on the medico-legal cases in Tokyo
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