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

Tatsuya Murai, Mineko Baba, Ayako Ro, Naoko Murai, Yoshihiro Matsuo, Aya Takada, Kazuyuki Saito

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

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 usually 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 intracerebral hemorrhage, acute myocarditis and cardiomyopathies and aortic dissection/aneurysm as well as pulmonary thromboembolism are frequent causes of death in medical examiner cases. Both pathological and socio-medical problems associated with these diseases are discussed.

Original languageEnglish
Pages (from-to)175-181
Number of pages7
JournalKeio Journal of Medicine
Volume50
Issue number3
Publication statusPublished - 2001 Sep

    Fingerprint

Keywords

  • Cardiovascular disease
  • Medical examiner
  • Medico-legal autopsy
  • Sudden death
  • Unexpected death

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Murai, T., Baba, M., Ro, A., Murai, N., Matsuo, Y., Takada, A., & Saito, K. (2001). Sudden death due to cardiovascular disorders: A review of the studies on the medico-legal cases in Tokyo. Keio Journal of Medicine, 50(3), 175-181.