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Pigolkin Yu.I.

Sechenov’s First Moscow State Medical University, Moscow, Russia

Dorosheva Zh.V.

Kafedra sudebnoĭ meditsiny Pervogo MGMU im. I.M. Sechenova

Oganesyan N.S.

Department of Forensic Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russia, Moscow, Russia, 119021

Gornostaev D.V.

Biuro sudebno-meditsinskoĭ ékspertizy Departamenta zdravookhraneniia Moskvy

The forensic medical characteristic of sudden death associated with metabolic syndrome

Authors:

Pigolkin Yu.I., Dorosheva Zh.V., Oganesyan N.S., Gornostaev D.V.

More about the authors

Journal: Forensic Medical Expertise. 2018;61(1): 60‑64

DOI: 10.17116/sudmed201861160-64

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Table of contents

THE FORENSIC MEDICAL CHARACTERISTIC OF SUDDEN DEATH ASSOCIATED WITH METABOLIC SYNDROME
THE FORENSIC MEDICAL CHARACTERISTIC OF SUDDEN DEATH ASSOCIATED WITH METABOLIC SYNDROME

To cite this article:

Pigolkin YuI, Dorosheva ZhV, Oganesyan NS, Gornostaev DV. The forensic medical characteristic of sudden death associated with metabolic syndrome. Forensic Medical Expertise. 2018;61(1):60‑64. (In Russ.)
https://doi.org/10.17116/sudmed201861160-64

Подписка 2025-2 (Forensic Medical Expertise)
 
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The detection of grade II—III central obesity on a corpse in conjunction with the identification of two additional criteria (such as arterial hypertension and impaired glucose tolerance) provides, if combined with the autopsy data (including the visual reduction of muscular mass, the increased total amount of the adipose tissue, gynecomastia in men together with hypertrophied abdominal adipose tissue accumulation, decreased face and body pilosis), a basis for diagnostics of metabolic syndrome (MS). The objective parameters for this purpose are waist circumference measurements, corpse weight and height, the degree of visceral obesity, narrowing of the renal arteries as a result of their compression by the surrounding adipose tissue, and accumulation of epicardial fat confirmed by the results of the biochemical analysis. The signs of plasmorrhagia combined with fibrinoid degeneration of the vascular walls in the microcirculatory bed make it possible to suspect, with a high degree of probability, the development of hypertensive crisis that may result in a sudden death of the patients presenting with metabolic syndrome.

Keywords:

metabolic syndrome
forensic medical expertise of sudden death

Authors:

Pigolkin Yu.I.

Sechenov’s First Moscow State Medical University, Moscow, Russia

Dorosheva Zh.V.

Kafedra sudebnoĭ meditsiny Pervogo MGMU im. I.M. Sechenova

Oganesyan N.S.

Department of Forensic Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russia, Moscow, Russia, 119021

Gornostaev D.V.

Biuro sudebno-meditsinskoĭ ékspertizy Departamenta zdravookhraneniia Moskvy

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