Skip to main content

Table 2 Circumstances of sudden death

From: Comparison of conventional autopsy and magnetic resonance imaging in determining the cause of sudden death in the young

Patient

Sex/Age (yrs)

Circumstances of death

Place & time of death

Documented arrhythmia

Preexisting condition

MRI diagnosis

CT diagnosis

Autopsy diagnosis

1

F/28

Found semiconscious in bed by sisters, moaned “ambulance” then lost consciousness.

Home 2330 pm

No

Hypertrophic cardiomyopathy, last follow up 5 yrs prior

Hypertrophic cardiomyopathy

Unexplained

Hypertrophic cardiomyopathy

2

M/28

Brother heard loud bang overnight, found deceased on floor next morning.

Home Overnight

No

No

ARVC

Unexplained

ARVC

3

M/35

Complained of chest and arm pain earlier in day. Went to bed as felt unwell later found dead.

Home 0600-1200 pm

No

No

Acute myocardial infarction

Unexplained

Acute myocardial infarction

4

M/29

Found slumped over toilet seat at home, last seen 12 hours prior.

Home 1930 pm

No

Epilepsy, Alagille Syndrome

SUDEP (Grey matter heterotopia)

Unexplained

SUDEP

5

M/31

Went for evening jog (usual for him), found by passers by prone on grass footpath.

Outdoors 1945 pm

No

No

Ruptured aortic aneurysm

Ruptured aortic aneurysm

Ruptured aortic aneurysm

6

M/1.5

NOK put deceased to bed on his back, found short time later cyanosed and not breathing with vomit near mouth

Home 1940 pm

No

Febrile convulsions

Pneumonia

Unexplained

Unexplained

7

M/16

Complained of flu-like symptoms for preceding 24 hours. Went to bed as felt unwell, found by NOK not breathing in bed.

Home 1720 pm

Asystole

No

Hypertrophic cardiomyopathy

Unexplained

Unexplained

8

M/32

Collapsed unconscious while dancing in a salsa club.

Hospital 0000-0600 am

No

Type II DM, hypertension, hypercholesterolaemia

Coronary artery disease

Perforated viscus

Coronary artery disease

9

M/17

Found deceased in bed.

Home Overnight

No

No

ARVC

Unexplained

Unexplained

10

F/35

Collapsed in bathroom, found by husband not breathing.

Home 1900 pm

No

No

ARVC

Pulmonary haemorrhage

ARVC

11

F/17

Found deceased in bed.

Home Overnight

No

No

ARVC

Unexplained

ARVC

12

M/26

Complained of nausea and breathlessness then noted to lose consciousness. Had noticed breathlessness and leg pain previous 3–4 days.

Hospital 0249 am

No

No

Pulmonary embolus

Pulmonary embolus

Pulmonary embolus

13

F/26

Presented to hospital with chest pain, nausea and chills. Rapid deterioration and cardiac arrest

Hospital 0645 am

No

No

Myocarditis

Unexplained

Myocarditis

14

M/4

Diarrhoea and vomiting day prior to death. Then noted to be lethargic, taken to hospital but deteriorated.

Hospital 1735 pm

No

No

Unexplained

Intraabdominal bleed

Unexplained

15

M/27

Found unconscious on roadside whilst out jogging.

Hospital 1200 pm

VF

No

ARVC

Unexplained

ARVC

16

M/5

Found in bed not breathing after vomiting. Had been complaining of headaches for 2 week.

Home 0320 am

No

No

Intracranial tumour

Intracranial tumour

Intracranial tumour

17

M/29

Complained of nausea, went to sleep and found deceased by friends following morning.

Home Overnight

No

No

Unexplained

Unexplained

Unexplained

  1. NB: M = male; F = female; ARVC = arrhythmogenic right ventricular cardiomyopathy; SUDEP = sudden unexplained death in epilepsy; VF = ventricular fibrillation.