Sudden cardiac death in forensic medicine - Swiss recommendations for a multidisciplinary approach.

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State: Public
Version: Final published version
Serval ID
serval:BIB_A473048EE872
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Sudden cardiac death in forensic medicine - Swiss recommendations for a multidisciplinary approach.
Journal
Swiss Medical Weekly
Author(s)
Wilhelm M., Bolliger S.A., Bartsch C., Fokstuen S., Gräni C., Martos V., Medeiros Domingo A., Osculati A., Rieubland C., Sabatasso S., Saguner A.M., Schyma C., Tschui J., Wyler D., Bhuiyan Z.A., Fellmann F., Michaud K.
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
145
Pages
w14129
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Sudden cardiac death (SCD) is by definition unexpected and cardiac in nature. The investigation is almost invariably performed by a forensic pathologist. Under these circumstances the role of the forensic pathologist is twofold: (1.) to determine rapidly and efficiently the cause and manner of death and (2.) to initiate a multidisciplinary process in order to prevent further deaths in existing family members. If the death is determined to be due to "natural" causes the district attorney in charge often refuses further examinations. However, additional examinations, i.e. extensive histopathological investigations and/or molecular genetic analyses, are necessary in many cases to clarify the cause of death. The Swiss Society of Legal Medicine created a multidisciplinary working group together with clinical and molecular geneticists and cardiologists in the hope of harmonising the approach to investigate SCD. The aim of this paper is to close the gap between the Swiss recommendations for routine forensic post-mortem cardiac examination and clinical recommendations for genetic testing of inherited cardiac diseases; this is in order to optimise the diagnostic procedures and preventive measures for living family members. The key points of the recommendations are (1.) the forensic autopsy procedure for all SCD victims under 40 years of age, (2.) the collection and storage of adequate samples for genetic testing, (3.) communication with the families, and (4.) a multidisciplinary approach including cardiogenetic counselling.
Keywords
Age Factors, Autopsy/methods, Cause of Death, Communication, Death, Sudden, Cardiac/etiology, Family, Forensic Pathology/methods, Genetic Predisposition to Disease, Genetic Testing/methods, Humans, Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
24/06/2015 13:22
Last modification date
20/08/2019 15:09
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