病例报告：悬吊过程中的心电图（ECG）记录。

IF 1.5 4区医学 Q2 MEDICINE, LEGAL

Forensic Science, Medicine and Pathology Pub Date : 2024-08-12 DOI:10.1007/s12024-024-00869-6

E M Ungermann, M Balikowski, J Hemker, K Feld

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引用次数: 0

摘要

一名 48 岁的妇女被发现吊死在浴室里。她当时佩戴了一个 Holter 监测器，随后由一名心脏病专家对该监测器进行了分析。在尸检过程中，收集到了与非典型上吊一致的结果。心电图显示，20 秒后出现心跳停止，四分钟后出现心动过缓，随后发展为二度房室传导阻滞 Mobitz I，接着是 Mobitz II，然后是三度房室传导阻滞。最后，在心脏停止跳动之前，只能观察到 P 波。这是为数不多的报告绞刑期间心电图变化的病例之一，可能会让人们进一步了解这种死亡类型的复杂病理生理学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Case report: Electrocardiographic (ECG) recording during the hanging process.

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Case report: Electrocardiographic (ECG) recording during the hanging process.

A 48-year-old woman was found hanged in the bathroom. She was wearing a Holter monitor, which was later analysed by a cardiologist. During autopsy, findings congruent with atypical hanging were collected. The ECG showed a 20 s asystole and four minutes later bradycardia, which progressed to a second-degree AV-block Mobitz I, then Mobitz II, then to a third-degree AV-block. Finally, only P waves could be observed, before heart action ceased. This is one of few cases reporting ECG-changes during hanging and might give further insight into the complex pathophysiology of this type of death.

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来源期刊

Forensic Science, Medicine and Pathology MEDICINE, LEGAL-PATHOLOGY

CiteScore

3.90

自引率

5.60%

发文量

114

审稿时长

6-12 weeks

期刊介绍： Forensic Science, Medicine and Pathology encompasses all aspects of modern day forensics, equally applying to children or adults, either living or the deceased. This includes forensic science, medicine, nursing, and pathology, as well as toxicology, human identification, mass disasters/mass war graves, profiling, imaging, policing, wound assessment, sexual assault, anthropology, archeology, forensic search, entomology, botany, biology, veterinary pathology, and DNA. Forensic Science, Medicine, and Pathology presents a balance of forensic research and reviews from around the world to reflect modern advances through peer-reviewed papers, short communications, meeting proceedings and case reports.