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A 65 year old man admitted to hospital for investigation of pleural thickening was found to have carcinoma of the prostate with metastases. Before investigations were completed the patient collapsed unexpectedly with hypotension. A post mortem examination revealed tuberculosis of both adrenal glands without evidence of tuberculosis in any other organ. 相似文献
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Coronary artery anomalies that may be an isolated defect or part of complex congenital malformations of the heart are also often associated with a high risk of sudden death. A 19-year-old woman lost consciousness in the night. She was taken to hospital where she was treated. However, she died on the same day. The prosecutor considered the death suspicious, and the victim was taken to the morgue department for further examination and autopsy. On macroscopical examination, both coronary arteries originated from the left aortic sinus with the left one being dominant. The orifice of the sinus coronarius in the right atria was covered with a fenestrated membrane. Demonstration of coronary artery pathologies and associated anomalies in autopsies is vital for the elucidation of sudden death cases related to these lesions and for the development of new treatment approaches. The purposes of this case report are to characterise and identify markers of the coronary artery anomalies and to highlight their medicolegal importance in sudden death cases. 相似文献
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Sudden cardiac death and acute coronary thrombosis 总被引:1,自引:0,他引:1
S M Cobbe 《British medical journal (Clinical research ed.)》1985,290(6462):93-94
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1 临床资料病例1 男,23岁。因活动后心慌气短2月、加重2周于2001年4月12日9时30分入院。发病后曾在当地医院诊断为“风湿性心脏病,主动脉瓣关闭不全”,行保守治疗,效果不佳,病情进行性加重。入院前2周,心慌气短加重,常在静息时出现,平卧困难,双下肢明显水肿。入院查体:体温36.7 ℃,脉搏85次/min,呼吸16次/min,血压16/0 kPa。平卧位,无口唇紫绀,未见颈静脉怒张,可见颈动脉搏动,无肝颈静脉返流征。气管居中,胸廓无畸形,双肺呼吸音清晰,未闻及罗音。未见心尖搏动,未触及震颤,心浊音界无扩大,心率85次/min,律齐,于主… 相似文献
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To the editor: Myocardial bridging (MB) is anatomically defined as a segment of a major epicardial coronary artery, which goes through the myocardium. It occurs most frequently in the midportion of the left anterior descending coronary artery. Although traditionally considered as a congenital and benign anatomic variant of the coronary artery, this condition is now associated with angina, 相似文献
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Sudden cardiac death 总被引:1,自引:0,他引:1
This article reviews the epidemiology of sudden cardiac death, and outlines suggested management of patients who are successfully resuscitated from cardiac arrest. Emphasis is placed on the favorable impact of newer means of therapy on the very high recurrence rate using empiric antiarrhythmic treatment. 相似文献
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QIN Xu-guang XIONG Wei-guo LU Chun-peng GONG Cheng-jie SHANG Li-hua 《中华医学杂志(英文版)》2010,123(7):972-973
Single coronary artery (SCA), defined as an artery that arises from the arterial trunk and nourishes the entire myocardium, is rare. We report two cases of SCA, one is the fight coronary artery (RCA) originating from the middle of left descending artery (LAD), and the other is the left main coronary artery (LMCA) arising from the proximal fight coronary artery. 相似文献
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SinglecoronaryarteryisararecongenitalanomalyOnlyfewcasesofischemicdiseasewithsinglecoronaryarteryanomalythatunderwentcoronar... 相似文献
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