Pulmonary affections associated with cardiovascular affections in the casuistry of the Forensic Medicine

Institute of Targu Mures in the 2008-2010 period

First author: Camelia VigCo-author: Nicolae - Alexandru Golovei - Petris

Coordinator: Dr. Gabor Csiki, Department of Anatomy and Embryology

Introduction• Pulmonary vascular abnormalities and cardiac

afections are frecvently present at patients with respiratory affections like chronic obstructive pulmonary disease, idiopathic pulmonary fibrosis, sarcoidosis, affections of the neuro-muscular system or thoracic wall, hypoventilation syndrome in obesity.

• If pulmonary heart disease is present it suggests a bad prognosis and increased risk of death

• Systemic manifestations of pulmonary affections often increase the risk of cardiac death.

Materials and methods

• We effectuated a statistical study of sudden death cases with pleuro-pulmonar affections associated with cardiovascular affections in the causitry of the Forensic Medicine Institute of Târgu Mureş in the 2008-2010 period.

Results

2008

• The most frecvent pulmonary affections:– pulmonary edema (35 cases) – pulmonary stasis (17 cases).

2008

• The most frecvent cardiovascular affections:– pulmonary edema: • coronarosclerosis (68,57%) • miocardosclerosis (51,42%)

– pulmonary stasis: • coronarosclerosis (64,70%)• miocardosclerosis (58,82%)

2009

• The most frecvent pulmonary affections:– pulmonary edema (120 cases)– pulmonary stasis (67 cases)

2009

• The most frecvent cardiovascular affections: – pulmonary edema: • coronarosclerosis (68,33%) • miocardosclerosis (50,83%)

– pulmonary stasis:• coronarosclerosis (67,16% )• cardiomegaly (56,71%)

2010

• The most frecvent pulmonary affections:– the pulmonary edema (79 cases) – pulmonary stasis (51 cases)

• The most frecvent cardiovascular affections:– pulmonary edema:• coronarosclerosis (74,68%)• miocardosclerosis (59,49%)

– pulmonary stasis:• coronarosclerosis (78,43%)• miocardosclerosis (58,82%)

Discussion and conclusion

• The most frecvent pulmonary affections in this period were pulmonary edema and pulmonary stasis.

• In 2008 both pulmonary edema and pulmonary stasis were associated with coronarosclerosis in more than 60% of the cases and with miocardosclerosis in more than 50% of the cases.

• In 2009 the leading pulmonary affections were also the pulmonary edema and pulmonary stasis.

• The pulmonary edema was associated with coronarosclerosis in more than 60% of the cases and with miocardosclerosis in 50% of the cases.

• The pulmonary stasis was associated with coronarosclerosis like the pulmonary edema, in more than 60% of the cases and with cardiomegaly in more than 50% of the cases.

• In 2010 the most frecvent pulmonary affections were also the pulmonary edema and pulmonary stasis.

• These pulmonary affections were associated with coronarosclerosis in more than 70% of the cases and with miocardosclerosis in almost 60% of the cases.

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