By Brooks S. Edwards
Pathology of surprising Cardiac demise presents a entire evaluate of cardiovascular problems. whereas surprising cardiac demise may essentially be noticeable as an arrhythmogenic occasion, this really represents the minority of circumstances. For the overwhelming majority, there's an underlying anatomic disease of the cardiovascular process liable for the last word hemodynamic cave in referred to as unexpected cardiac demise. even though an expanding array of non-invasive diagnostic instruments proceed to strengthen, many physicians and operators of those new diagnostic modalities have by no means truly obvious specimens which show the elemental pathologic abnormalities. through supplying an atlas sort assessment of ischemic and non-ischemic etiologies of surprising cardiac loss of life, this booklet opens a window to work out the underlying pathology first hand.
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Pathology of unexpected Cardiac loss of life presents a entire assessment of cardiovascular issues. whereas unexpected cardiac dying may well essentially be noticeable as an arrhythmogenic occasion, this really represents the minority of instances. For the overwhelming majority, there's an underlying anatomic illness of the cardiovascular method chargeable for the last word hemodynamic cave in referred to as surprising cardiac dying.
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Extra resources for Pathology of Sudden Cardiac Death: An Illustrated Guide
Spontaneous tear of the ascending aorta. (b) The tear in the aorta has been reﬂected showing the site of origin of the left coronary artery. (c) Catheter-related coronary artery complications. Dissection of coronary artery during cardiac catheterization showing separation of the medial and partial compression of the true lumen by a false channel. (d) Dissemination of talcum powder during cardiac catheterization. Photomicrograph of myocardium showing particles of talcum powder with an associated inﬂammatory reaction with giant cell enveloping the talc.
A) Coronary artery containing some atherosclerosis. Obstruction of the lumen by emboli composed of cholesterol crystals. (b) Cholesterol crystals of coronary embolism in small vessels of myocardium. (c,d) Left atrial myxoma as a source of coronary embolism. (c) Surgical specimen of a left atrial myxoma. (d) Low power photomicrograph of tumor, a potential for embolism. 38 CHAPTER 2 (b) (a) (d) (c) Figure 31 Nonatherosclerotic coronary arterial disease – calciﬁed aortic sinotubular ridge. (a) Photomicrograph.
A,b) Elastosis of the walls associated with intimal ﬁbrosis. The major intimal reaction with associated luminal narrowing is typical of chronic cocaine arteropathy. In some cases of cocaine-related deaths, there may be coronary spasm without associated structural changes. (c,d) Elastosis and intimal ﬁbrosis from cocaine. Illustrations courtesy of William D. Edwards. NONATHEROSCLEROTIC CORONARY DISEASE (a) (b) Figure 34 Myocardium in pheochromocytoma. (a) Photomicrograph of adrenal pheochromocytoma.
Pathology of Sudden Cardiac Death: An Illustrated Guide by Brooks S. Edwards