Guidelines for autopsy investigation of sudden cardiac death
Athough sudden cardiac death is one of the most important mode of death in Western Countries, pathologists and public health physicians have not given this problem the attention it deserves. New methods of preventing potentially fatal arrhythmias have been developed, and the accurate diagnosis of the causes of sudden cardiac death is now of particular importance. Pathologists are responsible for determining the precise cause of sudden death but there is considerable variation in the way in which they approach this increasingly complex task. The Association for European Cardiovascular Pathology developed guidelines, which represent the minimum standard that is required in the routine autopsy practice for the adequate assessment of sudden cardiac death, including not only a protocol for heart examination and histological sampling, but also for toxicology and molecular investigation. Our recommendations apply to university medical centres, regional and district hospitals and all types of forensic medicine institutes. If a uniform method of investigation is adopted throughout the European Union, this will lead to improvements in standards of practice, allow meaningful comparisons between different communities and regions and, most importantly, permit future trends in the patterns of disease causing sudden death to be monitored.
Key words:
Autopsy – Guidelines – Protocol – Sudden cardiac death
Autoři:
Cristina Basso 1; Margaret Burke 2; Paul Fornes 3; Patrick J Gallagher 4; Rosa Henriques De Gouveia 5; Mary Sheppard 6; Gaetano Thiene 1; Allard Van Der Wal 7
Působiště autorů:
University of Padua Medical School, Padua, Italy
1; Department of Histopathology, Harefield Hospital, UK
2; Department of Pathology, Hopital Européen G. Pompidou, Paris, France
3; Department of Pathology, Southampton University Hospital, UK
4; Department of Pathology, Hospital de Santa Cruz, Lisbon, Portugal
5; Department of Pathology, Royal Brompton Hospital, London, UK
6; Pathology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
7
Vyšlo v časopise:
Čes.-slov. Patol., 46, 2010, No. 2, p. 43-48
Kategorie:
Články
Souhrn
Athough sudden cardiac death is one of the most important mode of death in Western Countries, pathologists and public health physicians have not given this problem the attention it deserves. New methods of preventing potentially fatal arrhythmias have been developed, and the accurate diagnosis of the causes of sudden cardiac death is now of particular importance. Pathologists are responsible for determining the precise cause of sudden death but there is considerable variation in the way in which they approach this increasingly complex task. The Association for European Cardiovascular Pathology developed guidelines, which represent the minimum standard that is required in the routine autopsy practice for the adequate assessment of sudden cardiac death, including not only a protocol for heart examination and histological sampling, but also for toxicology and molecular investigation. Our recommendations apply to university medical centres, regional and district hospitals and all types of forensic medicine institutes. If a uniform method of investigation is adopted throughout the European Union, this will lead to improvements in standards of practice, allow meaningful comparisons between different communities and regions and, most importantly, permit future trends in the patterns of disease causing sudden death to be monitored.
Key words:
Autopsy – Guidelines – Protocol – Sudden cardiac death
Zdroje
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Štítky
Patológia Súdne lekárstvo ToxikológiaČlánok vyšiel v časopise
Česko-slovenská patologie
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