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The reports relating emotional strain to fulminant death ar largely account. In addition to experimental and electrophysiological studies, an opportunity for a meliorate sympathy of potential strain -coreferent sudden death (SSD) whitethorn live provided by medicolegal autopsies. The destination of our post-mortem examinatio study was to analyze cardiovascular pathological findings In cases of SSD and if possible place mechanisms past which the stressful event (SE) could be the cause. Forty three cases were premeditated (29 males and 14 females). In all cases, the SE and the death were witnessed. The mature range was 22 to 90 years In males (have in mind, 52) and 30 to 92 eld In females (think of, 64). Death occurred atomic number 49 entirely cases without premonitory symptoms. In 20 cases, death occurred during the SE 3d sex game virtual and atomic number 49 the other 23 cases occurred within 2 Planck's constant of the event. SE included revere, 15 cases; altercation, 21 cases; sexual natural process, 3 cases; police inquiring or halt, 4 cases. According to patrol reports, in 40 cases (90%), the victims had nobelium previous clinical account of cardiovascular disease. At necropsy, the heart angle atomic number 49 males ranged from 255 to 1000 grand with a mean of 517 g and in females the straddle was 250-700 g with a mean of 417 yar. In only 3 cases, receipts and precise examination of the heart was normal. In 2 of the left 40 cases the subjects died of subarachnoid bleed. In 38 cases, A cardiac have of death was found as follows: coronary heart disease, 27 cases; cardiomyopathy, 6 cases; arterial blood vessel valvular stricture, 2 cases and right chamber dysplasia, 3 cases. A coronary artery thrombosis was base indium 8 cases of sudden coronary death. Post cardiac muscle infarction fibrosis was present in 25 cases (92%) of sudden coronary thrombosis death. In conclusion, it appears from our PM meditate that SSD occurs primarily indium those individuals with terrible heart disease, specially coronary spirit disease.