在法医解剖中使用心脏植入式电子设备是被低估的资源吗?
Philipp Lacour1, Claas Buschmann2, Christian Storm3
1Charité-Universitaetsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Cardiology (P.L., A.S.P., M.H., P.A., L.-H.B., B.P., W.H., F.B.).
Circulation
|June 20, 2018
概括
心脏植入式电子设备 (CIED) 的尸检帮助法医确定死亡原因和时间. 这种分析还有助于识别潜在的CIED安全问题.
科学领域:
- 法医病理学
- 心脏病学
- 医疗器械分析
背景情况:
- 在疑似心脏突然死亡的情况下,建议对心脏植入式电子设备 (CIED) 进行死后检查,但很少进行.
- 在法医病理学中缺乏系统的死后CIED分析数据.
研究的目的:
- 为法医病理学家确定非选择性死后CIED审讯和数据分析的实用性.
- 评估CIED分析在确定死亡原因,机制和时间方面的作用.
- 确定与CIED相关的潜在安全问题.
主要方法:
- 在5368次尸检期间,共从150名受试者中取出了151个CIED并进行了审讯 (2012-2017).
- 其中包括起器,除器和可植入的循环记录器.
主要成果:
- 在最初无法确定的案件中,CIED询问有助于确定70%的死亡时间和60.8%的死亡原因.
- 在6.0%的案例中发现了设备问题,包括硬件,编程和算法问题.
- 一个CIED经过制造商分析进行技术评估.
结论:
- 在法医中,系统的死后CIED审讯对于准确确定死亡原因和时间至关重要.
- CIED分析是检测潜在的CIED相关安全问题的关键工具.
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