Early repolarization, acute emotional stress and sudden death

Palmiere, Cristian;Lesta, Maria del Mar;Vanhaebost, Jessica;Mangin, Patrice;Vogt, Pierre;et.al.
(2014) Journal of Forensic Sciences — Vol. 59, n° 3, p. 836-840 (2014)

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Authors
  • Palmiere, Cristian
    Author
  • Lesta, Maria del Mar
    Author
  • Vanhaebost, Jessicaorcid-logoUCLouvain
    Author
  • Mangin, Patrice
    Author
  • Vogt, Pierre
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Abstract
We herein report the case of a 36-year-old man who died suddenly after a fight with another man. Forensic investigations included unenhanced computed tomography, postmortem angiography, autopsy, histology, neuropathology, toxicology, and biochemistry and allowed a traumatic cause of death to be excluded. An electrocardiogram recorded some years prior to death revealed the presence of an early repolarization pattern. Based on the results of all investigations, the cause of death was determined to be cardiac arrhythmia and cardiac arrest during an emotionally stressful event associated with physical assault. Direct third party involvement, however, was excluded, and the manner of death was listed as natural. The case was not pursued any further by the public prosecutor.
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Citations

Palmiere, C., Lesta, M. d. M., Vanhaebost, J., Mangin, P., Augsburger, M., & Vogt, P. (2014). Early repolarization, acute emotional stress and sudden death. Journal of Forensic Sciences, 59(3), 836-840. https://doi.org/10.1111/1556-4029.12362 (Original work published 2014)