A sudden death due to cardiac conduction system injury from a blunt chest impact

Bao Li Zhu, Masaki Q. Fujita, Li Quan, Kaori Ishida, Shigeki Oritani, Kazunori Fukita, Yasunobu Kamikodai, Hitoshi Maeda

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

We report a case of sudden death due to cardiac conduction system injury from a blunt chest impact. A 20 year old male, kicked in the precordial region, lost consciousness, and was confirmed dead on arrival at a hospital emergency care unit. According to his friend, they played a golf competition accompanied with a physical punishent. The victim, losing the game, allowed the winner to give him several kicks in the chest. Although well prepared against each kick, he fell down instantaneously after the final impact, and death was confirmed at a hospital. There was no apparent sign of injury on the body surface. At autopsy, there was no evident subcutaneous or intramuscular hemorrhages, rib or sternum fracture. Subendocardial hemorrhage in the region of the atrioventricular node and a contusion extending from the posterior wall of the left ventricle to the upper ventricular septum were observed. Histological examination revealed injury of atrioventricular node and His' bundle. Although the cardiac injury including contusion of the myocardium itself was not so extensive, it was considered that arrhythmia was induced by the cardiac conduction system failure, which was considered to be the cause of death.

Original languageEnglish
Pages (from-to)266-269
Number of pages4
JournalLegal Medicine
Volume1
Issue number4
DOIs
Publication statusPublished - 1999 Jan 1
Externally publishedYes

Keywords

  • Cardiac conduction system
  • Cardiac contusion
  • Forensic pathology
  • Sudden death

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Issues, ethics and legal aspects

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  • Cite this

    Zhu, B. L., Fujita, M. Q., Quan, L., Ishida, K., Oritani, S., Fukita, K., Kamikodai, Y., & Maeda, H. (1999). A sudden death due to cardiac conduction system injury from a blunt chest impact. Legal Medicine, 1(4), 266-269. https://doi.org/10.1016/S1344-6223(99)80049-2