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

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...

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Hauptverfasser: Ungermann, Emily Marie (VerfasserIn) , Balikowski, Marek (VerfasserIn) , Hemker, Jan (VerfasserIn) , Feld, Kristina (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2024
Ausgabe:early access
In: Forensic science, medicine, and pathology

ISSN:1556-2891
DOI:10.1007/s12024-024-00869-6
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s12024-024-00869-6
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Verfasserangaben:E.M. Ungermann, M. Balikowski, J. Hemker, K. Feld

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520 |a 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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