sudden unexplained death in adults

Massive haemorrhage into brain substance is characterised clinically by an abrupt onset and rapid evolution, Most large intracerebral haematomas occur in middle aged men with hypertension, or in the elderly. One of the most difficult problems for forensic pathologists is the diagnose of SD in subjects with acute cardiac processes that progress rapidly, with non-specific symptoms, leading to death without evident morphological alterations. Imaging and virtual autopsy: Looking back and forward. Van Niekerk C., Van Deventer B.S., Du Toit-Prinsloo L. Long QT syndrome and sudden unexpected infant death. Other authors have invoked hyperextension with some rotation and/or flexion of the neck. Rueda M., Wagner J.L., Phillips T.C., Topol S.E., Muse E.D., Lucas J.R., Wagner G.N., Topol E.J., Torkamani A. Molecular Autopsy for Sudden Death in the Young: Is Data Aggregation the Key? Carr G.E., Yuen T.C., McConville J.F., Kress J.P., VandenHoek T.L., Hall J.B., Edelson D.P. Sessa F., Salerno M., Di Mizio G., Bertozzi G., Messina G., Tomaiuolo B., Pisanelli D., Maglietta F., Ricci P., Pomara C. Anabolic Androgenic Steroids: Searching New Molecular Biomarkers. Sudden death and ion channel disease: Pathophysiology and implications for management. The site of bleeding cannot always be identified at necropsy. Indeed, as recently described, a primary myocardial fibrosis at autopsy is strictly related to variants in genes associated with arrhythmogenic right ventricular cardiomyopathy, dilated cardiomyopathy, and hypertrophic cardiomyopathy; when autopsy does not show these findings, primary myocardial fibrosis may represent an alternative phenotypic expression of structural disease-associated genetic variants, or that risk-associated fibrosis was expressing before the primary disease [37]. An extensive, multigenerational family history offers the potential to improve every aspect of care: from establishing a diagnosis, to developing a genetic testing approach, to interpreting genetic test results, to continuously assessing the risk of SCD. Sudden arrhythmic death syndrome ( SADS) is a sudden unexpected death of adolescents and adults, mainly during sleep. Moreover, as recently suggested by Paratz et al. Ingrassia, University of Catania, 95121 Catania, Italy; moc.liamg@19otisopse.onailimissam (M.E. 22,000% Increase in Deaths following COVID Vaccines for Adults Over 50 as FDA Authorizes 2nd Booster for this Age Group, COVID-19 Vaccine Massacre: 68,000% Increase in Strokes, 44,000% Increase in Heart Disease, 6,800% Increase in Deaths Over Non-COVID Vaccines, Moderna Seeks Approval from FDA and European Medicines Agency (EMA) to Start Injecting Children Under 6 with mRNA COVID-19 Vaccines, 41,834 DEAD 3.9 Million Injured Following COVID Vaccines in European Database as U.S. Military Deaths Soar 1100%, The Thousands of Fetal Deaths Recorded After COVID-19 Vaccines that Nobody Wants to Report and that Facebook is Trying Hard to Censor, 65,615 Deaths Now Reported in Europe and the USA Following COVID-19 Vaccines Corporate Media Refuses to Publish this Data, 2000% Increase in Fetal Deaths Following COVID-19 Vaccines but CDC Still Recommends Them for Pregnant Women, Official Government Data: Twice as Many Deaths Following COVID-19 Vaccines in 1 Year as Deaths Following All Vaccines for the Previous 30 Years, California Nurse: I Want People to Know What I Lost to this Vaccine I am Living a Nightmare, Its Not Worth it., German Health Insurance Claims Show 31,254 Deaths Following COVID-19 Vaccines While Official Government Stats Report Only 2,255, 68,000% Increase in Strokes as FDA and HIH Secretly Study Reports of Neurological Injuries After COVID-19 Vaccines, 40,000 Deaths Following COVID Shots in European Database as Life Insurance Death Claims Skyrocket, 34-Year-Old Canadian Father Drops Dead in Front of His Daughters After COVID-19 Vaccine, 6-Year-Old Minnesota Boy Develops Myocarditis And Becomes Severely Injured After Receiving Pfizer COVID-19 Vaccine, Double-Vaccinated 20-Year-Old Florida Model Develops Myocarditis, Suffers Heart Attack And Has Both Legs Amputated, Comedian Collapses on Stage During Joke: Im vaxxed, double vaxxed, boosted, and Jesus loves me most, GENOCIDE! Sudden unexplained death in childhood, (SUDC) is the sudden and unexpected death of a child 12 months or older that remains unexplained after a thorough case investigation, including review of the child's medical history, circumstances of death, a complete autopsy and ancillary testing ().It is the 5th leading category of death in children aged 1-4 years, and resulted in 243 . In a high proportion of the cases there are flame shaped subendocardial haemorrhages along the outflow tract of the left ventricle. Theyve lost all credibility long, long ago, if some anonymous, self-proclaimed arbiter of truth ever had any to begin with. Shirazi S., Mami S., Mohtadi N., Ghaysouri A., Tavan H., Nazari A., Kokhazadeh T., Mollazadeh R. Sudden cardiac death in COVID-19 patients, a report of three cases. Immunohistochemical Evaluation of Aquaporin-4 and its Correlation with CD68, IBA-1, HIF-1, GFAP, and CD15 Expressions in Fatal Traumatic Brain Injury. When the rise in intracranial pressure is less rapid, then there is a lateral shift of the midline structures and the appearance of internal herniae. Other theories include the effects of direct trauma,69 characterised by the triad of massive basal subarachnoid haemorrhage, the absence of a ruptured saccular aneurysm or vascular malformation, and the demonstration of blunt force injury to the lateral or ipsilateral portion of the neck. It also . In the last few years, the development of next-generation sequencing (NGS), which represents high-throughput genetic technology, has allowed the investigation of many candidate genes, reducing the bias of untested genomic regions [146]. Other recreational drugs such as heroin [114], marijuana [115], potent synthetic cannabinoids [116], as well as psychotropic drugs consumed by young people [117] may be related to SDs. Although the causes of SD in young subjects are scarce, the most prevalent cause of death is related to cardiovascular disease, with primary arrhythmogenic disorders, atherosclerotic events, cardiomyopathies, and myocarditis as the main contributors. Most sudden cardiac deaths are in older adults, particularly those with heart disease. https://www.reuters.com/article/factcheck-coronavirus-fifa/fact-check-fifa-unaware-of-rise-in-players-having-cardiac-arrests-on-football-pitches-and-such-incidents-not-flagged-as-being-linked-to-covid-19-vaccines-idUSL1N2SL1NJ. I WILL NOT GIVE THE GOVERNMENT THE SATISFACTION OF TURNING A FAMILY TRAGEDY INTO A MOCKERY. In this way, we suggest a practical forensic workflow that should be applied in every case of SD (Figure 2). Airway foreign bodies: A critical review for a common pediatric emergency. The pathologist must distinguish an acute extradural haematoma from the brown, friable artefactual heat haematoma found in some fire deaths. This becomes obvious once you know where to look. Its not the latest tragedy it is the latest PUBLIC DECEPTION by the leading top criminals-in-power. Kiewiet R.M., Ponssen H.H., Janssens E.N.W., Fels P.W. Amputations of arms, legs, fingers and toes consequences of post-jab blood clots are also being written off as something else.36 In this case, media are blaming it on high cholesterol,37 totally ignoring the fact that high cholesterol has been prevalent for decades, and only now are people losing their extremities in shocking numbers. This guidance provides advice on dealing with the initial stages of a sudden and unexplained death, for those cases where a decision is made that medical assistance is required. This review aims to introduce a useful flowchart that should be applied in all cases of SD. Massive haemorrhage into brain substance is characterised clinically by an abrupt onset and rapid evolution. Understand the Times We are Currently Living Through. SUDEP deaths may be underestimated, especially if an additional pathology is found. In essence, the ventricular system proximal to the obstruction enlarges. As summarized in the workflow, the samples collected during a standard autopsy protocol (fresh and/or fixed samples, for example, to perform toxicological and Microscopic Analysis) are used applying molecular techniques to identify hereditary diseases.In this context, it is important to stress the role of post-mortem imaging: several recent publications have reported the pivotal roles of computed tomography (CT) and magnetic resonance imaging (MRI) in order to identify different organ damage before the autopsy [121,122,123]. Treating the cause of hypoxia/hypoxemia must be done quickly because this is one of the potentially reversible causes of cardiac arrest [, Intracerebral hemorrhage (ICH) secondary to hypertension or other causes. 76,253 Dead 6,033,218 Injured Recorded in Europe and USA Following COVID Vaccines with 4,358 Fetal Deaths in U.S. Injecting Babies with COVID-19 Vaccines: Brain Damage, Seizures, Rashes are Recorded Side Effects in VAERS, Official Government Data Record 74,783 Deaths and 5,830,235 Injuries Following COVID-19 Vaccines in the U.S. and Europe, 45,316 Dead 4,416,778 Injured Following COVID-19 Vaccines in European Database of Adverse Reactions Sudden Adult Death Syndrome (SADS) is New Category to Deny Vaccine Deaths, FDA had Data Showing 82% 97% of Pregnant Women Injected with the Pfizer COVID-19 Vaccine Lost Their Babies Before Approving the Shots, 44,821 Dead 4,351,483 Injured Following COVID-19 Vaccines in European Database of Adverse Reactions, Cases of Brain Damage in Children Skyrocket Following COVID-19 Vaccines, Recorded Cases of Heart Disease Among Under 40 Years Old Explodes 20,000% After COVID-19 Vaccines Roll Out, Killer COVID Vaccines: 4,400% Increase in Deaths Compared to All FDA-Approved Vaccines for Previous 30 Years, 4,113 Fetal Deaths in VAERS Following COVID-19 Vaccines Not Including Those Murdered Alive to Develop the Vaccines, 3,898 Dead 4,190,493 Injured Following COVID-19 Vaccines in European Database of Adverse Reactions, Millions of American Lives in Danger as Airline Pilots Suffer Heart Problems from Mandatory COVID Vaccines, 43,000 Deaths 4 MILLION Injuries Following COVID-19 Vaccines in European European Database of Adverse Reactions, 1000% Increase in Vaccine Deaths and Injuries Following Pfizer COVID-19 EUA Vaccine for 5 to 11 Year Olds, 42,507 DEAD 3,984,978 Injured Following COVID Vaccines in European Database of Adverse Reactions. Cipolloni L., Sessa F., Bertozzi G., Baldari B., Cantatore S., Testi R., DErrico S., Di Mizio G., Asmundo A., Castorina S., et al. Very occasionally, they present as a sudden death, an extradural haematoma being the cause of death in only one patient in the department of forensic medicine files from 1995 to 1998. Cardiovascular causes of sudden unexpected death in children and adolescents (017 years): A nationwide autopsy study in the Netherlands. The site is secure. The patients were between 20 and 28 years of age and had suffered from aqueduct stenosis (two patients), spina bifida in combination with Arnold-Chiari malformation (type II) and fragile X-syndrome. In three cases, mesial temporal sclerosis was seen. The following chart shows the overall total call-outs by year for everyone and those aged 0 to 29 , The following chart shows the monthly average number of ambulance call-outs for conditions relating to the heart by year . To establish a causal link there must be at least a clear temporal association between the stressful event and death. Youre in Good Company Because Jesus Faced the Same Thing with His Family, What Happens When a Holy and Righteous God Gets Angry? Montisci M., El Mazloum R., Cecchetto G., Terranova C., Ferrara S.D., Thiene G., Basso C. Anabolic androgenic steroids abuse and cardiac death in athletes: Morphological and toxicological findings in four fatal cases. DErrico S., Pomara C., Riezzo I., Neri M., Turillazzi E., Fineschi V. Cardiac failure due to epinephrine-secreting pheochromocytoma: Clinical, laboratory and pathological findings in a sudden death. But the data for 2021 and 2022 shows that there have been anywhere from around 110 cases to 185 cardiovascular cases among 15 to 44-year-olds requiring out-of-hours treatment. Indeed, to date, only a few studies have been performed proving the efficacy of this molecular approach in cases of SD [147,148,149]. DOvidio C., Carnevale A., Grassi V.M., Rosato E., Del Olmo B., Coll M., Campuzano O., Iglesias A., Brugada R., Oliva A. Background: Post-mortem examinations of adults who were apparently healthy but died suddenly and unexpectedly sometimes reveal no morphological abnormalities to explain their deaths. Even if the cause of death could remain unanswered after a thorough forensic investigation, from the medical standpoint it represents a critical situation with dangerous clinical implications. This is odd because the federal government is aware that vaccines permanently disable and kill some babies the very reason Congress established a death and disability tax on childhood vaccines more than 25 years ago when the National Childhood Vaccine Injury Act of 1986 (Public Law 99-660) created the National Vaccine Injury Compensation Program (VICP). 1 Studies suggest that each year there are about 1.16 cases of SUDEP for every 1,000 people with epilepsy, although . Sarquella-Brugada G., Campuzano O., Cesar S., Iglesias A., Fernandez A., Brugada J., Brugada R. Sudden infant death syndrome caused by cardiac arrhythmias: Only a matter of genes encoding ion channels? So now we have two pieces of evidence that suggest Covid-19 vaccination is to blame for the sudden uptick in Sudden Adult Death Syndrome. Torrisi M., Pennisi G., Russo I., Amico F., Esposito M., Liberto A., Cocimano G., Salerno M., Rosi G.L., Di Nunno N., et al. Vos A., van der Wal A.C., Teeuw A.H., Bras J., Vink A., Nikkels P.G.J. Turillazzi E., Bello S., Neri M., Pomara C., Riezzo I., Fineschi V. Cardiovascular effects of cocaine: Cellular, ionic and molecular mechanisms. For example, cocaine in its various forms could be closely related to fatal cardiac arrhythmia, microvascular injury, and acute myocardial ischemia due to coronary vasospasm are the most important causes of cocaine-related SDs. The medico-legal term sudden death (SD) refers to those deaths that are not preceded by significant symptoms. Seizure 6:369-375. The new PMC design is here! In the absence of any clear circumstantial evidence, such as a witnessed seizure, the cause of death may well be ascribed to the pathology rather than the epilepsy. A recent article suggests that cardiac troponin I (cTnI) values in pericardial fluid and the troponin ratio (pericardial fluid/serum ratio) may be helpful in SCD [40]. Even if rare, endocrine diseases should be closely related to nc-SD. There has been some uncertainty about the frequency with which ruptured intracranial saccular aneurysms are associated with either instantaneous or very rapid death. https://www.factcheck.org/2022/06/scicheck-posts-baselessly-link-sudden-arrhythmic-death-syndrome-to-covid-19-vaccines/. For example, Riezzo et al. Sudden cardiac death (SCD) is a sudden, unexpected death. If it is not haemorrhagic the wedge of pressure necrosis may only be identifiable microscopically.86 Haemorrhage and infarction occur mainly adjacent to the midline in the tegmentum of the midbrain and in the tegmental and basal parts of the rostral pons.87 However, such secondary damage may be absent in cases of sudden death. The records of the department have been reviewed for deaths involving epilepsy, intracranial haemorrhage, meningitis, and tumours (table 11). The cardiotoxicity of cocaine is not limited to massive doses of the drug, and underlying heart disease is not a prerequisite for cocaine-related cardiac deaths. 1Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy; ti.gfinu@anissem.innavoig, 2Department of Medical, Surgical and Advanced Technologies G.F. Moreover, it has been proposed that community-based data aggregation and sharing should be mandatory, leading to an improved classification of genetic variants [47,48]. 2018;61(1):55-59. doi: 10.17116/sudmed201861155-59. A tentorial hernia occurs when there is displacement of the uncus and the medial part of the ipsilateral parahippocampal gyrus through the tentorial opening. Sudden cardiac death caused by coronary heart . Sudden cardiac death is responsible for half of all heart disease deaths. SD in apparently healthy individuals (from newborn through to adults) represents a very challenging event for medical examiners, law enforcement officers, and society as a whole [3]. At necropsy, the brain may be greatly swollen and the sulci filled by a cloudy, pale yellow/green exudate, which, in meningococcal meningitis, may be so slight as to be difficult to identify. Glorioso J., Reeves M. Marfan syndrome: Screening for sudden death in athletes. Indeed, all clinical and forensic disciplines should build bridges between themselves [129]. What is the TRUE FINAL implication of all that? 1966-2004 - 1101 Sudden cardiac death in 38 years. Additional complications are rupture of the abscess into the ventricular system to produce an acute purulent ventriculitis, or rupture into the subarachnoid space to produce an acute purulent meningitis. In people of this age, the unexplained death is known as sudden adult death syndrome (SADS). This paper is based on the joint experience of the two departments in the west of Scotland. Authors M Black 1 , D I Graham. They would instead decide that the above warrants further research. The National Health Service has confirmed in response to a freedom of information request that ambulance call-outs relating to immediate care required for a debilitating condition affecting the heart nearly doubled in the whole of 2021 and are still on the rise further in 2022. Careers. The green line is the mortality rate among the unvaccinated, which while fluctuating has remained pretty stable throughout. One of the sane voices when it comes to examining the science behind modern-day vaccines, no pro-vaccine extremist doctors have everdared to debate her in public. While national figures are not available, Melbourne . Data sharing is not applicable to this article. But they need not call it a mysterious syndrome anymore because we have just proven the Covid-19 vaccine is to blame. Kory writes:43. Michaud K., Grabherr S., Jackowski C., Bollmann M.D., Doenz F., Mangin P. Postmortem imaging of sudden cardiac death. Since the rollout of the COVID jabs, the news has been chockful of reports of young, healthy and often athletic people dying for no reason and doctors claim to be baffled by it. GIVE ME A BREAK! This . The samples that could be collected to perform the toxicological investigation are: peripheral venous blood, vitreous humor, hair, urine, bile, pericardial/cerebrospinal fluids, and gastric contents. Neri M., Othman S.M., Cantatore S., De Carlo D., Pomara C., Riezzo I., Turillazzi E., Fineschi V. Sudden infant death in an 8-month-old baby with dengue virus infection: Searching for virus in postmortem tissues by immunohistochemistry and Western blotting. In cases of subarachnoid haemorrhage, it is likely that the sudden enveloping of the brain stem by blood from a ruptured saccular aneurysm induces an autonomic discharge, causing dysrhythmia or cardiac arrest, severe ischaemia of the brain stem by the induction of intense vasospasm, or a rapid rise in intracranial pressure and a pronounced reduction in the cerebral perfusion pressure. Paratz E.D., Rowsell L., Zentner D., Parsons S., Morgan N., Thompson T., James P., Pflaumer A., Semsarian C., Smith K., et al. Stockholm S.C., Rosenblum A., Byrd A., Mery-Fernandez E., Bhandari M. Cannabinoid-Induced Brugada Syndrome: A Case Report. Sudden unexplained death in adults Curr Top Pathol. Am J Forensic Med Pathol. Laack T.A., Goyal D.G. The most frequent channelopathies include the long QT syndrome (LQTS), short QT syndrome (SQTS), catecholaminergic polymorphic ventricular tachycardia (CPVT), and Brugada syndrome (BrS) [32,33,34]. Nevertheless, in many cases of SD that present to the medical examiner or coroner, all collected data do not reveal the cause of death [9]. In these cases, analysis was negative in just over a third and subtherapeutic values were identified in most of the others. Mengele stalled, refusing to answer, until the devildemocommiecrat chairman cut Paul off, saying he had exceeded his time. Preliminary Post-Mortem COVID-19 Evidence of Endothelial Injury and Factor VIII Hyperexpression. They cannot be allowed to call a loved ones death SADS. In the same month, the mortality rate among the unvaccinated equated to 46.8. Approximately 60% of 15002000 necropsies each annum comprise sudden unexpected or unexplained deaths. The source of the haemorrhage may be difficult to determine, but has been attributed to tearing of small blood vessels in the walls of the ventricular system, including the interventricular septum and in the choroid plexus,49 therefore reflecting a degree of injury consistent with inner cerebral trauma.50 In addition, the deformation of central portions of the brain may cause sufficient dilation of the ventricular system to result in the rupture of small blood vessels beneath the ependyma.51 Sometimes, it is caused by extension of midline haemorrhages into the ventricular system, or there is evidence of diffuse brain damage.5254, The forensic pathologist not infrequently undertakes a necropsy on a patient who has died rapidly, usually with features of external trauma to the head, but without obvious external abnormality of the brain. Chronic suppurative otitis media or occasionally long standing infection of other sinuses may be forerunners of a brain abscess. What immediately catches the eye when looking at this data is the mortality rate per 100,00 person-years among 18-39-year-olds in the month of January 2021. Sudden unexplained death in adults. Subdural haematomas most frequently result from falls and are thus commonly associated with skull fractures. A few hospital based studies have also suggested a somewhat higher mortality after rupture of posterior circulation saccular aneurysms,31,32 whereas others have failed to detect any differences in outcome.3336, The frequency of posterior circulation saccular aneurysms has been variably reported as between 5% and 10% of all intracranial aneurysms,32,33,37 whereas in some referral based medical centres the frequency of posterior circulation aneurysms may approach 20%.35,38 The under representation of posterior circulation aneurysms in most other series of patients with subarachnoid haemorrhage is explained, in part, by the high early mortality associated with a rupture before the patient receives medical attention. For example, post-mortem magnetic resonance imaging could be one of the most promising tools to identify cardiac pathological alterations, highlighting evidence otherwise not visible with routine autopsy [39]. In this autobiography she explains why good doctors are constrained within the current corrupt medical system from practicing real, ethical medicine. Kibayashi K., Sumida T., Shojo H., Tokunaga O. SDS is more common in young and middle-aged adults. In this scenario, the scientific community should improve efforts to define good practices in the case of SD. 8600 Rockville Pike As a general rule, the earlier you recognize someone is trying to kill you, the better off youll be. Robert Gore, April 23, 2020 (at the beginning of the highly destructive CovidSCAM). Received 2021 Jun 9; Accepted 2021 Jul 8. All kinds of cancers are showing up brain, lymph, stomach, pancreas, blood and even EYE cancers, especially in younger people recently vaxxed. Strokes are also way up in people with no risk factors or comorbidities. The figures show the death rate among the unvaccinated in this month was 67.7 deaths per 100,000 person-years. All too often this is not the casealthough there may be some evidence of trauma, with a thin film of subdural haemorrhage and minimal surface contusions, slicing of the brain often fails to reveal any evidence of internal damage, including either parenchymatous or intraventricular haemorrhage. Ullal A.J., Abdelfattah R.S., Ashley E.A., Froelicher V.F. In all cases, an autopsy should be considered mandatory in order to ascertain the exact cause of death. Flannagan L.M., Wolf B.C. Therefore, an abscess acts as an intracranial expanding lesion. The highest mortality rate among the double vaccinated (at least 21 days ago) occurred in September 2021, with 125.9 deaths per 100,000 person-years. [118,119]. The Office for National Statistics (ONS) is the UKs largest independent producer of official statistics and the recognised national statistical institute of the UK. Heres the answer, heres what that ULTIMATELY means, It means that a mafia network of manipulating PSYCHOPATHS are governing big businesses (eg official medicine), nations and the world, the evidence is OVERWHELMING and TOTALLY IRREFUTABLE read The 2 Married Pink Elephants In The Historical Room The Holocaustal Covid-19 Coronavirus Madness: A Sociological Perspective & Historical Assessment Of The Covid Phenomenon https://www.rolf-hefti.com/covid-19-coronavirus.html. Ruder T., Thali M., Hatch G. Essentials of forensic post-mortem MR imaging in adults. The minimum volume required to form a significant space occupying lesion and thus potentially produce a fatal outcome is variably reported between 35 and 100 ml. and read ALL the data. Sharew A., Bodilsen J., Hansen B.R., Nielsen H., Brandt C.T. And this increased risk of death isnt because so many people have been vaccinated, these are figures per 100,000. July 6, 2022 - Calgary CTV News: Deaths with unknown causes now Alberta's top killer: Province - READ. What does the OBVIOUS sneaky criminal trick with their bogus Sudden Adult Death Syndrome invention (just like their prior Sudden Infant Death Syndrome fabrication), in conjunction with TONS of similar OBVIOUS evidence, mean really? SUDEP is the sudden, unexpected death of someone with epilepsy, who was otherwise healthy. Would you like email updates of new search results? Hypertrophic Cardiomyopathy as a Cause of Sudden Cardiac Death in the Young: A Meta-Analysis. The mechanisms of death are considered to be the rapid increase of intracranial pressure caused by bleeding into the various compartments of the brain, or an acute obstructive hydrocephalus, and in cases where death is very rapid, autonomic and/or neurochemical dysfunction. Major pulmonary embolism: Review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Breathing changes: A seizure may cause a person to . Duplyakov D., Kurakina E., Pavlova T., Khokhlunov S., Surkova E. Value of syncope in patients with high-to-intermediate risk pulmonary artery embolism. Bagnall R., Weintraub R.G., Ingles J., Duflou J., Yeates L., Lam L., Davis A.M., Thompson T., Connell V., Wallace J., et al. Analysis of case material on file in the University of Glasgow's departments of forensic medicine and science, and neuropathology showed that the principal causes were sudden unexplained death in epilepsy (SUDEP), intracranial haemorrhage, either natural or after trauma, purulent meningitis or an abscess, and tumours. As summarized in Figure 2, formalin fixation and paraffin embedding (FFPE) of tissues are not recommended for molecular investigations, even if in the last few years technologies have improved the results obtained using these materials. Sudden Cardiac Death in Anabolic-Androgenic Steroid Users: A Literature Review.

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