Case report: Electrocardiographic (ECG) recording during the hanging process.

Forensic Sci Med Pathol

Institute of Forensic and Legal Medicine, University Hospital Heidelberg, Vossstrasse 2, 69115, Heidelberg, Germany.

Published: August 2024

AI Article Synopsis

  • A 48-year-old woman was discovered hanged in her bathroom while wearing a Holter monitor to track her heart activity.
  • During the autopsy, signs of atypical hanging were found, and the cardiac monitor revealed a progression of heart irregularities, including periods of asystole and various degrees of heart block.
  • This case is significant as it provides rare documentation of ECG changes during a hanging incident, which could help enhance understanding of the physiological processes involved in this type of death.

Article Abstract

A 48-year-old woman was found hanged in the bathroom. She was wearing a Holter monitor, which was later analysed by a cardiologist. During autopsy, findings congruent with atypical hanging were collected. The ECG showed a 20 s asystole and four minutes later bradycardia, which progressed to a second-degree AV-block Mobitz I, then Mobitz II, then to a third-degree AV-block. Finally, only P waves could be observed, before heart action ceased. This is one of few cases reporting ECG-changes during hanging and might give further insight into the complex pathophysiology of this type of death.

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Source
http://dx.doi.org/10.1007/s12024-024-00869-6DOI Listing

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