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Forensic perspectives on postmortem CIED interrogation: A systematic review and meta-analysis.

Maria Sofia Fede¹, Paolo Compagnucci², Angelo Montana¹

¹Department of Excellence of Biomedical Science and Public Health - Section of Legal Medicine - University Politecnica delle Marche of Ancona, Via Tronto 10/A, Ancona, Italy.

Forensic Science International

|May 7, 2024

Summary

Postmortem interrogation of cardiac implantable electronic devices (CIED) is a valuable forensic tool. This systematic review highlights its utility in determining cause of death, complementing autopsy findings.

Keywords:

Post-mortem defibrillator analysis Post-mortem pacemaker analysis Postmortem cardiac implantable electronic devices (CIED) interrogation

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Area of Science:

Forensic Pathology
Cardiology
Medical Device Technology

Background:

Cardiac implantable electronic devices (CIED) possess advanced diagnostic capabilities relevant to forensic investigations.
Current guidelines lack specific recommendations for postmortem CIED interrogation.
This review assesses the role of postmortem CIED interrogation and provides practical recommendations.

Conclusions:

Postmortem CIED interrogation is a valuable tool that complements autopsy in determining cause of death.
Forensic pathologists must understand the utility, pitfalls, and limitations of this diagnostic examination.
Practical recommendations are provided for reliable application in daily practice.