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[An autopsy case of a pacemaker implanted patient]

K Haga1, K Terazawa, N Ishimori

  • 1Department of Legal Medicine, Hokkaido University School of Medicine, Japan.

Nihon Hoigaku Zasshi = the Japanese Journal of Legal Medicine
|October 1, 1995
PubMed
Summary

A pacemaker removal before autopsy complicated death investigation. Proper medical examiner protocols are crucial for accurate cause of death determination in implanted device cases.

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Area of Science:

  • Forensic Pathology
  • Medical Device Analysis

Background:

  • Sudden death in patients with implanted cardiac devices necessitates thorough investigation.
  • Autopsies play a critical role in determining the cause of death, especially in cases involving medical devices.

Observation:

  • A 78-year-old female pacemaker patient was found deceased and underwent judicial autopsy.
  • A physician removed the pacemaker prior to the postmortem examination.

Findings:

  • The premature removal of the pacemaker by a physician presented significant challenges.
  • Difficulties were encountered in coordinating between medical examiners and police personnel.
  • Determining the precise cause of death was complicated by the device's removal.

Implications:

  • Highlights the need for standardized protocols regarding medical devices during postmortem examinations.
  • Emphasizes the importance of interdisciplinary communication between medical and law enforcement agencies.
  • Underscores the potential for device removal to impede accurate forensic investigations.

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