Characteristics of cardiovascular deaths in forensic medical cases in Budapest, Vilnius and Tallinn.
Evaluation of the pathomorphological characteristics of cases involving natural and sudden cardiovascular death is essential for the determination of the cause of death. The main purpose of this study is to investigate sudden unexpected cardiovascular death and to study how different geographical climatic influences may affect cardiac mortality in three capitals: Budapest, Vilnius and Tallinn. There were 8482 (5753 male, 2729 female) cardiovascular deaths between 2005 and 2009. The highest rate was observed in the age group between 71 and 80 years (35.17%) and 51-60 years (24.45%). The highest number of cardiovascular deaths occur in January (805/9.49%) and December (770/9.07%). Seasonal distribution was observed, with winter prevalence in Tallinn (279/3.20%) and spring prevalence in Vilnius (760/8.90%). Though in Vilnius and Budapest a great number of deaths occurred in winter and spring, any correlation with other factors (e.g. age, gender, BAC) was not statistically significant. Based on our results we can conclude that environmental-geographical parameters may affect natural cardiovascular death. Examination of pathological patterns and predisposing environmental parameters may help to improve prevention strategies.
Department of Forensic and Insurance Medicine, Semmelweis University, Üllői út 93, Budapest 1091, Hungary. Electronic address: toro.klara@med.semmelweis-univ.hu.
Klara
K
Törő
Marika
M
Väli
Delia
D
Lepik
Jana
J
Tuusov
György
G
Dunay
Boglarka
B
Marcsa
Alvydas
A
Pauliukevicius
Romas
R
Raudys
Marija
M
Caplinskiene
D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000401:mortality; D002492:Central Nervous System Depressants / Q000097:blood; D016757:Death, Sudden, Cardiac / Q000453:epidemiology*; D004957:Estonia; D000431:Ethanol / Q000097:blood; D005260:Female; D005554:Forensic Medicine; D006801:Humans; D006814:Hungary; D008097:Lithuania; D008297:Male; D008875:Middle Aged; D012621:Seasons; D017678:Sex Distribution
D002492:Central Nervous System Depressants; D000431:Ethanol
Age distribution; Cardiac death; Forensic autopsy; Risk factors; Seasonal distribution