Karthikeyan, S (2017) A Study of Sudden Death Cases with No Known History of Pre-Existing Diseases. Masters thesis, Kilpauk Medical College, Chennai.
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Abstract
AIM : To find out the incidence of various diseases that causes sudden death in individuals who have no history of any pre-existing diseases. OBJECTIVES : To identify Various Causes, Risk factors, age and sex distribution associated with sudden death cases with no history of any pre-existing diseases. METHODOLOGY : The present work will include study of brought dead cases with no history of any known preexisting disease autopsied in the Department of Forensic Medicine & Toxicology, Govt. Kilpauk Medical College and Hospital from September 2015 to August 2016. RESULTS : Out of the total 2911 number of Post Mortem conducted between 1-09-2015 to 31-8-2016. (100 cases) of deaths due to sudden death cases with no history of any pre-existing disease are taken up for study. Maximum number of deaths i.e., 42 Cases (42%) occurred in the age group of 36-40 Years, followed by 30-35 Years age group. Maximum number of cases who died due to sudden death, 81 cases (81%) was more in males when compared to that of females. Majority of the Sudden Death victims were belonging to Hindu religion. Majority (65%) of the victims of sudden death belongs to Urban area. Majority of the victims who succumbed to sudden death were married. Majority of the victims who succumbed to sudden death were Laborer’s by occupation. Majority of the victims who succumbed to sudden death have studied only up to Middle school education (51%), followed by High School Education (18%). Majority of the victims who succumbed to sudden death were addicted to Alcohol (32%). Maximum incidents of sudden death (34%) occurred during January to March. Maximum incidence of sudden death occurred between 12.00 P.M. to 06.00 A.M (34%), followed by 6.00 A.M. to 12.00 P.M. (28%). Maximum incidence of sudden death took place at home (46%). Maximum number of cases died due to sudden death presented with complaints of sudden unconsciousness (46%) as presenting complaints. Majority of the cases who died of sudden death was confined to the Cardio Vascular system (47%). Majority of the deceased died due to Coronary Arterial Heart Disease (35%) followed by Tuberculosis (10%) and Intracranial Haemorrhage (8%). CONCLUSION : 1. The above observations suggest that most of the Sudden Deaths were due to preventable causes including infections (Tuberculosis, Pneumonia, Bronchiectasis, Emphysema etc.). 2. Involvement of Cardio Vascular System which still appears to be the major risk factors of sudden death was mostly due to mismanaged blood pressure level. 3. Lack of patient awareness, timely seeking health care services and poverty still predominate the majority of deaths in our study population. 4. Before coming to the autopsy diagnosis of sudden death, reliable history along with detailed clinical history from hospital records and previously available health records must be retrieved from the police. 5. A meticulous post-mortem examination along with histo pathological study and detailed toxicological analysis can pinpoint the actual cause of death. 6. Inspite of meticulous post – mortem examination in certain sudden death cases the autopsy becomes negative, because to conclude through histo pathological examination also there is no sufficient time for the markers like inflammatory cells which can be interpreted through microscopic examination. Endocrine disturbances leading to sudden death also cannot be explained because of non-availability of postmortem sample data for comparison confined to that specific area.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Sudden ; unexpected ; death ; natural death autopsy ; coronary arterial disease ; young adults. |
| Subjects: | MEDICAL > Forensic Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 25 Dec 2017 15:34 |
| Last Modified: | 25 Dec 2017 15:34 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/4823 |
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