The relative contributions of trauma and disease may become a challenging acute medico-legal problem. Discussed here a case of sudden death due to myocardial infarction, associated with an external chest injury. Routine histopathological as well as immunohistochemical examination of the tissue samples using cTnT, MB, desmin and caspase-3 was made to evaluate and detect the extent of the myonecrosis.
The presented case highlights the importance of detailed history by the medical examiner in cases of sudden death with associated injuries.
Keywords: Acute myocardial infarct; blunt chest trauma; cardiac contusion; Caspase-3; Desmin; Myoglobin; Troponins