Mete K. GÜLMEN, Necmi ÇEKİN, Ahmet HİLAL, Ramazan KARANFİL

Ani ölüm olgularında kardiyak ileti sisteminin değerlendirilmesi

Amaç: Bu çalışmada, ani kardiyak ölüm vakalarında kardiyak ileti sistemi patolojilerinin bölgesel özelliklerinin ortaya konması amaçlandı. Ayrıca bu çalışma, kardiyak ileti sistemi patolojileri konusunda Adana bölgesindeki adli olgularda yapılan ilk çalış- madır. Yöntemler: Yirmi yedi ani-beklenmedik ölüm olgusu ile ölüm nede- ni bilinen 4 olgu kontrol grubu olarak çalışmaya alındı. Toplam 31 olguda, sinoatrial nod ve at- rioventriküler nod bölgelerinden örnekler alındı. Örnekler histo- kimyasal boyama yöntemleri ile boyanarak ışık mikroskobunda incelendi. Bulgular: Ani-beklenmedik ölüm olgula- rının 10unda sinoatrial nod ve atrioventriküler nodda belirgin patolojik bulgular saptandı. Tüm olguların 3ünde (%11,1), ileti sistemi anomalilerinin ölüme neden olabileceği düşünüldü. Sonuç: Ani beklenmedik ölüm olgula- rında kardiyak ileti sistemi de- ğerlendirmesinin önemli olduğu ve adli patolojide bu konunun göz önünde bulundurulması ge- rektiği sonucuna vardık.

Evaluatıon of cardıac conductıon system ın sudden death cases

Objective: In this study, revealing the regio- nal characteristics of the cardiac conduction system pathologies in sudden death cases is aimed. Besides, this is the first study of Adana region forensic cases re- lated to the cardiac conduction system pathologies. Methods: Twenty seven cases of sudden unexpected death and 4 cases with known causes of death as a control group have been included in the study. Samples from sino- atrial node and atrioventicular node were taken in total 31 cases. Samples were evaluated with light microscope after staining through histochemical staining methods. Results: There were significant pathological changes of the sinoatrial node and atrioventricular node in 10 of the cases. And in 3 of all cases (11.1%), the abnormalities of the conduction system were considered to have the possibility for causing death. Conclusion: We have concluded that it is of importance to evaluate the cardiac conduction system in sudden unexpected death cases and this topic should be kept in sight in forensic pathology.

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