Death caused by cardioinhibitory reflex cardiac arrest - a systematic review of cases
| Autor: | Patrice Mangin, Marc Bollmann, Paul Vaucher, Bettina Schrag |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Baroreflex/physiology Neck Injuries/physiopathology Poison control Syncope Pathology and Forensic Medicine Neck Injuries Death Sudden/etiology Death Sudden Injury prevention medicine Humans Myocardial infarction Intensive care medicine Cause of death ddc:613 Asphyxia Carotid Sinus/physiopathology business.industry Cerebral hypoxia Cardiac arrhythmia Baroreflex Forensic Medicine Syncope/physiopathology medicine.disease humanities Heart Arrest Surgery Heart Arrest/physiopathology Carotid Sinus Reflex medicine.symptom business Law |
| Zdroj: | Forensic Science International, Vol. 207, No 1-3 (2011) pp. 77-83 |
| ISSN: | 0379-0738 |
| Popis: | Forensic pathologists often refer to the cardioinhibitory reflex cardiac arrest (CiRCA) following short neck trauma as a mechanism of death. We sought via a systematic review of the literature to identify circumstances under which carotid bifurcation stimulation could lead to death. Two independent reviewers selected case studies or reports from Medline, ISI Web of Knowledge, and Embase. Circumstances and contributory factors were extracted for each case. From the available data, authors independently assessed whether CiRCA was highly probable (no alternative explanation possible), probable (alternative explanation possible), or unlikely (alternative explanation highly probable). A narrative approach was used to define circumstances in which CiRCA remained possible. From the 48 published cases evoking CiRCA as a possible cause of death between 1881 and 2009, 28 were most likely to result of other mechanism of death (i.e., cerebral hypoxia due to carotid compression, mechanical asphyxia, myocardial infarction). CiRCA remained possible for 20 cases (including five based on anecdotal evidence only) with only one case with no alternative explanation other than CiRCA. Our findings support the presumption that reflex cardiac arrhythmia due to carotid bifurcation stimulation cannot provoke death alone. Actual state of knowledge suggests CiRCA might be contributory to death in the presence of drug abuse and/or cardiac pathology, often associated with physical and/or mental excitation. |
| Databáze: | OpenAIRE |
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