I. OVERVIEW OF FORENSIC MEDICINE Introduction and Philosophy Death Certificates, Autopsies, and Medical Experts II. CARDIAC TRAUMA Myocardial Contusion and Blunt Cardiac Trauma Overview Mechanism of Blunt Cardiac Injury Pathology of Contusion Forensic Consideration Symptoms Signs Diagnosis Consequences of Blunt Cardiac Trauma III. VASCULAR ABNORMALITIES Coronary Arterial Afflictions Introduction Coronary Artery Disease Vascular Injury Aortic Aneurysms and Aortic Dissection Nonpenetrating Vascular Injury Nontraumatic Vasculopathies Coagulopathic Disorders Basic Coagulation Defects Heparin-Induced Thrombocytopenia Additional Coagulation Commentary Mesenteric Ischemia IV. SPECIFIC CARDIOPATHIC DISORDERS Pericardial Problems Valvular Heart Disease Cardiac Tumors Cardiomyopathic Disorders VI. TOXIC AND PHYSICAL INFLUENCES Cardiotoxicity General Pharmacologic and Physical Overview Cocaine Alcohol Physical Agents Androgenic Steroids Carbon Monoxide Particulate Air Pollution Radiation Therapy Medication-Induced Cardiac Valvulopathy Drug-Induced Electrocardiographic Changes VII. TECHNICAL, EPIDEMIOLOGIC, SOCIAL AND PHILOSOPHICAL INFLUENCES The Electrocardiogram Stress VIII. ILLUSTRATIVE CASE REPORTS Case Reports Case 1: Blunt Chest Trauma Resulting in Traumatic Tricuspid Insufficiency Forensic Implications Case 2: Myocardial Contusion, Cardiac Rupture, and Sudden Death Forensic Implications Case 3: Acute Myocardial Infarction in the Very Young Forensic Implications Case 4: Nitrate Holiday Forensic Implications Case 5: Thoracic Aortic Aneurysm Forensic Implications Case 6: Total Aortic Dissection Forensic Implications Case 7: Abdominal Aortic Aneurysm, Dissection, and Rupture Forensic Implications Case 8: Temporal Arteritis Forensic Implications Case 9: Disseminated Intravascular Coagulation and Heparin-induced Thrombocytopenia Forensic Implication Case 10: Postoperative Drug-induced Hemorrhage Patient 1 Patient 2 Forensic Implications Case 11: Acute Mesenteric Ischemia (Arterial) Forensic Implications Case 12: Subacute and Chronic Mesenteric Ischemia Forensic Implications Case 13: Superior Mesenteric Vein Thrombosis Forensic Implications Case 14: Pericardial Tamponade Forensic Implications Case 15: Toxic Myocarditis from an "Herbal Energy Capsule" Forensic Implications Case 16: Left Atrial Myxoma Forensic Implications Case 17: Vascular Metastatic Obstruction -- Arterial Obstruction Secondary to Metastatic Chondrosarcoma Forensic Implications Case 18: Oncologic Cardiomyopathy Forensic Implications Case 19: Idiopathic Dilated Cardiomyopathy Forensic Implications Case 20: Brugada Syndrome Forensic Implications Case 21: Carcinoid Syndrome Forensic Implications Case 22: Stress-Induced Myocardial Infarction Forensic Implications Case 23: Pulmonary Embolism Forensic Implications Case 24: Radiation-Induced Cardiac Disease Forensic Implications Case 25: Carbon Monoxide Toxicity Forensic Implications Appendices References ONG> Introduction Coronary Artery Disease Vascular Injury Aortic Aneurysms and Aortic Dissection Nonpenetrating Vascular Injury Nontraumatic Vasculopathies Coagulopathic Disorders Basic Coagulation Defects Heparin-Induced Thrombocytopenia Additional Coagulation Commentary Mesenteric Ischemia IV.
SPECIFIC CARDIOPATHIC DISORDERS Pericardial Problems Valvular Heart Disease Cardiac Tumors Cardiomyopathic Disorders VI. TOXIC AND PHYSICAL INFLUENCES Cardiotoxicity General Pharmacologic and Physical Overview Cocaine Alcohol Physical Agents Androgenic Steroids Carbon Monoxide Particulate Air Pollution Radiation Therapy Medication-Induced Cardiac Valvulopathy Drug-Induced Electrocardiographic Changes VII. TECHNICAL, EPIDEMIOLOGIC, SOCIAL AND PHILOSOPHICAL INFLUENCES The Electrocardiogram Stress VIII. ILLUSTRATIVE CASE REPORTS Case Reports Case 1: Blunt Chest Trauma Resulting in Traumatic Tricuspid Insufficiency Forensic Implications Case 2: Myocardial Contusion, Cardiac Rupture, and Sudden Death Forensic Implications Case 3: Acute Myocardial Infarction in the Very Young Forensic Implications Case 4: Nitrate Holiday Forensic Implications Case 5: Thoracic Aortic Aneurysm Forensic Implications Case 6: Total Aortic Dissection Forensic Implications Case 7: Abdominal Aortic Aneurysm, Dissection, and Rupture Forensic Implications Case 8: Temporal Arteritis Forensic Implications Case 9: Disseminated Intravascular Coagulation and Heparin-induced Thrombocytopenia Forensic Implication Case 10: Postoperative Drug-induced Hemorrhage Patient 1 Patient 2 Forensic Implications Case 11: Acute Mesenteric Ischemia (Arterial) Forensic Implications Case 12: Subacute and Chronic Mesenteric Ischemia Forensic Implications Case 13: Superior Mesenteric Vein Thrombosis Forensic Implications Case 14: Pericardial Tamponade Forensic Implications Case 15: Toxic Myocarditis from an "Herbal Energy Capsule" Forensic Implications Case 16: Left Atrial Myxoma Forensic Implications Case 17: Vascular Metastatic Obstruction -- Arterial Obstruction Secondary to Metastatic Chondrosarcoma Forensic Implications Case 18: Oncologic Cardiomyopathy Forensic Implications Case 19: Idiopathic Dilated Cardiomyopathy Forensic Implications Case 20: Brugada Syndrome Forensic Implications Case 21: Carcinoid Syndrome Forensic Implications Case 22: Stress-Induced Myocardial Infarction Forensic Implications Case 23: Pulmonary Embolism Forensic Implications Case 24: Radiation-Induced Cardiac Disease Forensic Implications Case 25: Carbon Monoxide Toxicity Forensic Implications Appendices References ders VI. TOXIC AND PHYSICAL INFLUENCES Cardiotoxicity General Pharmacologic and Physical Overview Cocaine Alcohol Physical Agents Androgenic Steroids Carbon Monoxide Particulate Air Pollution Radiation Therapy Medication-Induced Cardiac Valvulopathy Drug-Induced Electrocardiographic Changes VII. TECHNICAL, EPIDEMIOLOGIC, SOCIAL AND PHILOSOPHICAL INFLUENCES The Electrocardiogram Stress VIII. ILLUSTRATIVE CASE REPORTS Case Reports Case 1: Blunt Chest Trauma Resulting in Traumatic Tricuspid Insufficiency Forensic Implications Case 2: Myocardial Contusion, Cardiac Rupture, and Sudden Death Forensic Implications Case 3: Acute Myocardial Infarction in the Very Young Forensic Implications Case 4: Nitrate Holiday Forensic Implications Case 5: Thoracic Aortic Aneurysm Forensic Implications Case 6: Total Aortic Dissection Forensic Implications Case 7: Abdominal Aortic Aneurysm, Dissection, and Rupture Forensic Implications Case 8: Temporal Arteritis Forensic Implications Case 9: Disseminated Intravascular Coagulation and Heparin-induced Thrombocytopenia Forensic Implication Case 10: Postoperative Drug-induced Hemorrhage Patient 1 Patient 2 Forensic Implications Case 11: Acute Mesenteric Ischemia (Arterial) Forensic Implications Case 12: Subacute and Chronic Mesenteric Ischemia Forensic Implications Case 13: Superior Mesenteric Vein Thrombosis Forensic Implications Case 14: Pericardial Tamponade Forensic Implications Case 15: Toxic Myocarditis from an "Herbal Energy Capsule" Forensic Implications Case 16: Left Atrial Myxoma Forensic Implications Case 17: Vascular Metastatic Obstruction -- Arterial Obstruction Secondary to Metastatic Chondrosarcoma Forensic Implications Case 18: Oncologic Cardiomyopathy Forensic Implications Case 19: Idiopathic Dilated Cardiomyopathy Forensic Implications Case 20: Brugada Syndrome Forensic Implications Case 21: Carcinoid Syndrome Forensic Implications Case 22: Stress-Induced Myocardial Infarction Forensic Implications Case 23: Pulmonary Embolism Forensic Implications Case 24: Radiation-Induced Cardiac Disease Forensic Implications Case 25: Carbon Monoxide Toxicity Forensic Implications Appendices References p;lt;STRONG>Case Reports Case 1: Blunt Chest Trauma Resulting in Traumatic Tricuspid Insufficiency Forensic Implications Case 2: Myocardial Contusion, Cardiac Rupture, and Sudden Death Forensic Implications Case 3: Acute Myocardial Infarction in the Very Young Forensic Implications Case 4: Nitrate Holiday Forensic Implications Case 5:.