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Cardiac disease and probable intent after drowning.
Andreas Claesson1, Henrik Druid, Jonny Lindqvist
1Kungälv Ambulance Service, SE-442 40 Kungälv, Sweden. andreas.claesson@telia.com
Cardiac disease was a potential factor in 14% of accidental drowning deaths but absent in suicides. Ventricular fibrillation rates were similar regardless of cardiac disease presence in drowning victims.
Area of Science:
- Forensic pathology
- Cardiology
- Public health
Background:
- Drowning is a significant cause of death globally.
- Cardiac arrest is a critical event in drowning fatalities.
- Understanding contributing factors to drowning deaths is crucial for prevention.
Purpose of the Study:
- To investigate the prevalence of cardiac disease in drowning fatalities.
- To explore the relationship between cardiac disease and the intent (accidental vs. suicidal) of drowning.
- To identify cardiac disease as a potential contributing factor in drowning deaths.
Main Methods:
- Retrospective analysis of autopsied drowning cases (1990-2010) from the Swedish National Board of Forensic Medicine.
- Inclusion of out-of-hospital cardiac arrest cases due to drowning from the Swedish registry.
- Correlation of cardiac disease findings with drowning intent and cause of death.
Main Results:
- Cardiac disease was identified as a possible contributor in 9% of all drowning autopsies.
- Cardiac disease was present in 14% of accidental drowning cases, but 0% of suicidal drownings (P = .05).
- Coronary artery sclerosis and myocardial infarction were the most frequent cardiac conditions found.
Conclusions:
- Cardiac disease is a relevant factor in a subset of accidental drowning deaths.
- The absence of cardiac disease in suicidal drowning cases suggests different underlying mechanisms.
- Ventricular fibrillation prevalence did not significantly differ based on the presence of cardiac disease in drowning victims.
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