Autopsy study on subendocardial haemorrhage in fatal non cardio-thoracic trauma cases

N. G. Rao

Research output: Contribution to journalArticle

Abstract

852 Medico-legal autopsies undertaken in the Department of Forensic Medicine, Kasturba Medical College Manipal, during a period of recent 5 years (1992-1997). Of these, there were 33 non-cardio-thoracic trauma cases with a distinct zone of Subendocardial haemorrhage in the septal wall of the left ventricle. Among these, 17 cases (51,5%) died of head injuries. Regarding other injuries resulting in death 21.2% were due to multiple injuries (excluding cardio-thoracic injuries). Drug or chemical intoxication death constituted 12.1%. Miscellaneous causes including bums and hanging in this study accounted for 15.2%. The time between injury and death varied considerably. In 12 cases (36:4%) the interval was 10 hours, while in two cases (6.1%) it was less than 01 hour. Among the drug/or chemical related fatalities there were 2 cases of insecticide poisoning and 1 case of Barbiturate poisoning. Among the miscellaneous causes there were 4 cases of fatal burns and 2 case of hanging. The results of the study are consistent with the hypothesis that cardiac lesion could be secondary to non- cardiovascular injuries, especially with the head injuries, which are perhaps mediated by hypersecretion of catacholamines. It also adds to the fact that the cardiac lesions are likely to be the part of mechanism of death. Secondary cardiac lesions are also important with reference to heart transplantation, as these lesion, especially when the donor is a victim of head injury via catacholamine hypersecretions, may act adversely in transplant recipient.

Original languageEnglish
Pages (from-to)14-18
Number of pages5
JournalJournal of Forensic Medicine and Toxicology
Volume15
Issue number2
Publication statusPublished - 01-12-1998
Externally publishedYes

Fingerprint

trauma
Autopsy
Thorax
Craniocerebral Trauma
Hemorrhage
death
Transplants
Wounds and Injuries
Insecticides
Pharmaceutical Preparations
Poisoning
Medicine
drug
forensic medicine
Thoracic Injuries
Forensic Medicine
cause
Multiple Trauma
intoxication
Heart Transplantation

All Science Journal Classification (ASJC) codes

  • Pathology and Forensic Medicine
  • Toxicology

Cite this

@article{00600cb2934145b4ab138748c44f8a62,
title = "Autopsy study on subendocardial haemorrhage in fatal non cardio-thoracic trauma cases",
abstract = "852 Medico-legal autopsies undertaken in the Department of Forensic Medicine, Kasturba Medical College Manipal, during a period of recent 5 years (1992-1997). Of these, there were 33 non-cardio-thoracic trauma cases with a distinct zone of Subendocardial haemorrhage in the septal wall of the left ventricle. Among these, 17 cases (51,5{\%}) died of head injuries. Regarding other injuries resulting in death 21.2{\%} were due to multiple injuries (excluding cardio-thoracic injuries). Drug or chemical intoxication death constituted 12.1{\%}. Miscellaneous causes including bums and hanging in this study accounted for 15.2{\%}. The time between injury and death varied considerably. In 12 cases (36:4{\%}) the interval was 10 hours, while in two cases (6.1{\%}) it was less than 01 hour. Among the drug/or chemical related fatalities there were 2 cases of insecticide poisoning and 1 case of Barbiturate poisoning. Among the miscellaneous causes there were 4 cases of fatal burns and 2 case of hanging. The results of the study are consistent with the hypothesis that cardiac lesion could be secondary to non- cardiovascular injuries, especially with the head injuries, which are perhaps mediated by hypersecretion of catacholamines. It also adds to the fact that the cardiac lesions are likely to be the part of mechanism of death. Secondary cardiac lesions are also important with reference to heart transplantation, as these lesion, especially when the donor is a victim of head injury via catacholamine hypersecretions, may act adversely in transplant recipient.",
author = "Rao, {N. G.}",
year = "1998",
month = "12",
day = "1",
language = "English",
volume = "15",
pages = "14--18",
journal = "Indian Journal of Forensic Medicine and Toxicology",
issn = "0973-9122",
publisher = "Indian Journal of Forensic Medicine and Toxicology",
number = "2",

}

Autopsy study on subendocardial haemorrhage in fatal non cardio-thoracic trauma cases. / Rao, N. G.

In: Journal of Forensic Medicine and Toxicology, Vol. 15, No. 2, 01.12.1998, p. 14-18.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Autopsy study on subendocardial haemorrhage in fatal non cardio-thoracic trauma cases

AU - Rao, N. G.

PY - 1998/12/1

Y1 - 1998/12/1

N2 - 852 Medico-legal autopsies undertaken in the Department of Forensic Medicine, Kasturba Medical College Manipal, during a period of recent 5 years (1992-1997). Of these, there were 33 non-cardio-thoracic trauma cases with a distinct zone of Subendocardial haemorrhage in the septal wall of the left ventricle. Among these, 17 cases (51,5%) died of head injuries. Regarding other injuries resulting in death 21.2% were due to multiple injuries (excluding cardio-thoracic injuries). Drug or chemical intoxication death constituted 12.1%. Miscellaneous causes including bums and hanging in this study accounted for 15.2%. The time between injury and death varied considerably. In 12 cases (36:4%) the interval was 10 hours, while in two cases (6.1%) it was less than 01 hour. Among the drug/or chemical related fatalities there were 2 cases of insecticide poisoning and 1 case of Barbiturate poisoning. Among the miscellaneous causes there were 4 cases of fatal burns and 2 case of hanging. The results of the study are consistent with the hypothesis that cardiac lesion could be secondary to non- cardiovascular injuries, especially with the head injuries, which are perhaps mediated by hypersecretion of catacholamines. It also adds to the fact that the cardiac lesions are likely to be the part of mechanism of death. Secondary cardiac lesions are also important with reference to heart transplantation, as these lesion, especially when the donor is a victim of head injury via catacholamine hypersecretions, may act adversely in transplant recipient.

AB - 852 Medico-legal autopsies undertaken in the Department of Forensic Medicine, Kasturba Medical College Manipal, during a period of recent 5 years (1992-1997). Of these, there were 33 non-cardio-thoracic trauma cases with a distinct zone of Subendocardial haemorrhage in the septal wall of the left ventricle. Among these, 17 cases (51,5%) died of head injuries. Regarding other injuries resulting in death 21.2% were due to multiple injuries (excluding cardio-thoracic injuries). Drug or chemical intoxication death constituted 12.1%. Miscellaneous causes including bums and hanging in this study accounted for 15.2%. The time between injury and death varied considerably. In 12 cases (36:4%) the interval was 10 hours, while in two cases (6.1%) it was less than 01 hour. Among the drug/or chemical related fatalities there were 2 cases of insecticide poisoning and 1 case of Barbiturate poisoning. Among the miscellaneous causes there were 4 cases of fatal burns and 2 case of hanging. The results of the study are consistent with the hypothesis that cardiac lesion could be secondary to non- cardiovascular injuries, especially with the head injuries, which are perhaps mediated by hypersecretion of catacholamines. It also adds to the fact that the cardiac lesions are likely to be the part of mechanism of death. Secondary cardiac lesions are also important with reference to heart transplantation, as these lesion, especially when the donor is a victim of head injury via catacholamine hypersecretions, may act adversely in transplant recipient.

UR - http://www.scopus.com/inward/record.url?scp=0032454314&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032454314&partnerID=8YFLogxK

M3 - Article

VL - 15

SP - 14

EP - 18

JO - Indian Journal of Forensic Medicine and Toxicology

JF - Indian Journal of Forensic Medicine and Toxicology

SN - 0973-9122

IS - 2

ER -