دورية أكاديمية
Sudden death due to spontaneous rupture of the right atrium in the setting of chronic lung disease: A case report and review.
| العنوان: | Sudden death due to spontaneous rupture of the right atrium in the setting of chronic lung disease: A case report and review. |
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| المؤلفون: | Tomar JS; Department of Forensic Medicine & Toxicology, MGM Medical College, Indore, India., Singh BK; Department of Forensic Medicine & Toxicology, MGM Medical College, Indore, India., Prakash S; Department of Forensic Medicine & Toxicology, MGM Medical College, Indore, India., Thakur PS; Department of Forensic Medicine & Toxicology, MGM Medical College, Indore, India. |
| المصدر: | The Medico-legal journal [Med Leg J] 2024 Apr 15, pp. 258172231225915. Date of Electronic Publication: 2024 Apr 15. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Country of Publication: England NLM ID: 0412004 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2042-1834 (Electronic) Linking ISSN: 00258172 NLM ISO Abbreviation: Med Leg J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Dec. 2012- : London : Sage Original Publication: Cambridge, Heffer. |
| مستخلص: | Sudden death from haemopericardium as a result of a right atrial rupture is uncommon, most particularly when this occurs spontaneously without any prior trauma or evidence of atrial wall pathology. The deceased was a 32-year-old man. At lunchtime his symptoms of unease, giddiness and unconsciousness began and within 45 minutes he arrived at the hospital. His vitals could not be recorded in the emergency department, and after CPR, he was pronounced dead. At autopsy, an isolated right atrial rupture, without any disease of the heart wall, was discovered. The right atrium has the weakest wall and is frequently the site of spontaneous rupture brought on by increased intraluminal pressure. Both liquid blood and clotted blood were found in the pericardial cavity. Low atrial pressure encourages clot formation because it causes considerably slower blood entry into the pericardium at the time of atrial rupture compared with entry at the time of ventricular rupture. Evidence of chronic lung disease was found which explains the raised intraluminal pressure of the heart chambers. Even with no history of trauma or myocardial infarction, the Beck triad - an engorged neck vein, a muffled heart sound, and low blood pressure - should alert the emergency room staff to the possibility of cardiac tamponade because, in a very unlikely scenario, spontaneous cardial wall rupture might occur. |
| فهرسة مساهمة: | Keywords: Cardiac tamponade; haemopericardium; rupture of right atrium; sudden death |
| تواريخ الأحداث: | Date Created: 20240415 Latest Revision: 20240415 |
| رمز التحديث: | 20240415 |
| DOI: | 10.1177/00258172231225915 |
| PMID: | 38619161 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2042-1834 |
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| DOI: | 10.1177/00258172231225915 |