1. Unexpected and Sudden Death Dr. Raid Jastania

2. Unexpected Sudden Death WHO definition of Sudden Death: – Death within 24 hours of the onset of Symptoms – In forensic medicine: it is usually death within minutes of symptoms or with no symptoms

3. Cardiovascular system Accounts for most sudden unexpected death Coronary artery disease/Ischemic heart disease – Sudden Cardiac death – Myocardial infarction – Atherosclerosis, Coronary stenosis, severe >75% of the lumen, complicated atheroma, ischemia, infarction, rupture, hemorrhage, perforation, aneurysm, tamponade – Arrhythmia

5. Cardiovascular system Hypertensive Heart disease: – LV hypertrophy – Heart weight >400g – Atherosclerosis – Arrhythmias

7. Cardiovascular system Aortic Stenosis: – Males >60 year Senile myocardial Degeneration: – Small heart – Soft myocardium

8. Cardiovascular system Myocardial Disease: – Young – middle age adult – Myocarditis – Cardiomyopathy – Right ventricular dysplasia

10. Cardiovascular system Aortic Aneurysm: – Elderly male – Abdominal Aorta – Saccular or fusiform – Rupture – Retroperitoneal hemorrhage Aortic Dissection: – Weak vessel – In media layer – Pressure – Common in thoracic aorta

11. Brain Ruptured Berry Aneurysm: – Young middle age – Sub arachnoid hemorrhage – Circle of Willis – Single or multiple – Severe headache, neck stiffness, paralysis, loss of consciousness – Death

13. Brain Cerebral Hemorrhage: – Old age – Hypertensive – Cerebral thrombosis – Cerebellum, midbrain Epilepsy

14. Respiratory System Pulmonary Thromboembolism: – DVT – Predisposing factors Hemorrhagic lung disease Bronchial Asthma

15. GIT Bleeding Peptic ulcer Perforated ulcer Intestinal infaction Mesenteric thrombosis

17. Gyencological Pregnancy complications Abortions Ectopic pregnancy