Case report

• Verfasst von: Ungermann, Emily Marie [VerfasserIn]
• Verfasst von: Balikowski, Marek [VerfasserIn]
• Verfasst von: Hemker, Jan [VerfasserIn]
• Verfasst von: Feld, Kristina [VerfasserIn]
• Titel: Case report
• Titelzusatz: Electrocardiographic (ECG) recording during the hanging process
• Verf.angabe: E.M. Ungermann, M. Balikowski, J. Hemker, K. Feld
• Ausgabe: early access
• Jahr: 2024
• Illustrationen: Illustrationen
• Fussnoten: Online veröffentlicht am 12. August 2024 ; Gesehen am 21.01.2025
• Titel Quelle: Enthalten in: Forensic science, medicine, and pathology
• Ort Quelle: [Erscheinungsort nicht ermittelbar] : Springer, 2005
• Jahr Quelle: 2024
• Band/Heft Quelle: (2024), early access
• ISSN Quelle: 1556-2891
• DOI: doi:10.1007/s12024-024-00869-6
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: AV block
• Sach-SW: Perimortal ECG changes
• Sach-SW: Postmortem ECG analysis
• Sach-SW: Strangling
• K10plus-PPN: 1915203961

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.