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

Détails

Ressource 1Télécharger: 26098688.pdf (560.28 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_A473048EE872
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Sudden cardiac death in forensic medicine - Swiss recommendations for a multidisciplinary approach.
Périodique
Swiss Medical Weekly
Auteur⸱e⸱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
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
145
Pages
w14129
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
24/06/2015 14:22
Dernière modification de la notice
27/09/2021 11:15
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