Sudden Death Due to Association between NAFLD and Cardiovascular Changes in a 37-Year-Old Man: a Case Report.
Fatty liver disease (FLD) is the most prevalent form of liver disease worldwide. Overnutrition can induce nonalcoholic fatty liver disease (NAFLD), a spectrum of conditions ranging from simple steatosis [or nonalcoholic fatty liver (NAFL)] to nonalcoholic steatohepatitis and cirrhosis. Some of the epidemiological and pathological studies have also suggested an association between the presence of fatty liver and sudden death. A 37-year-old man was found dead when he was asleep in the bed at home. According to his family, he was single and a costermonger. He was not an athlete, and there was no history of any physical and mental disorder. He was not addicted and did not use any drugs or alcohol. The positive points, in this case, were: a large heart with mild coronary stenosis and steatohepatitis in autopsy and sudden death. Since steatohepatitis did not have any complication such as fat embolism, it can be concluded that the combination of steatohepatitis and cardiovascular disorder led to sudden unexpected death. Heart more than 450 gr is susceptible to arrhythmia, and fatty liver disease can cause cardiovascular changes.
Department of Forensic Medicine and Toxicology, Iran University of Medical Sciences, Tehran, Iran.
Maryam
M
Ameri
Department of Neonatology, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran.
Shahrokh
S
Mehrpisheh
Department of Forensic Medicine and Toxicology, Iran University of Medical Sciences, Tehran, Iran.
Azadeh
A
Memarian
Department of Pathology, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran.
Payam
P
Balvayeh
D000328:Adult; D002318:Cardiovascular Diseases / Q000150:complications*; D003645:Death, Sudden / Q000209:etiology*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D065626:Non-alcoholic Fatty Liver Disease / Q000150:complications*; D015995:Prevalence
Cardiovascular; Steatohepatitis; Sudden death