May 30, 2022 19:49
1 yr ago
35 viewers *
English term
senile
English
Medical
Medical (general)
Dr Peter McCullough: It was cardiac death. Now we don't know if the boys were previously that day playing basketball. We know in the senile myocarditis physical activity is out.
https://thehighwire.com/videos/are-we-doing-more-harm-than-g... (50:19)
Is it "senile"? Thank you very much for your help.
https://thehighwire.com/videos/are-we-doing-more-harm-than-g... (50:19)
Is it "senile"? Thank you very much for your help.
Responses
2 +2 | sudden | Arabic & More |
Change log
May 30, 2022 19:49: changed "Kudoz queue" from "In queue" to "Public"
Responses
+2
23 mins
Selected
sudden
It is difficult to hear, but I think the word might be "sudden."
Senile does not make sense for the context.
Senile does not make sense for the context.
Peer comment(s):
agree |
Helena Chavarria
: I also think the word might be 'sudden'.
1 hr
|
agree |
Daryo
: if you slow it down it does sounds like "sudden", which also happens to make sense in the context: a death from myocarditis wouldn't be "sudden" (/unexpected) if it was preceded by physical exertion as an "obvious sign of danger"
2 days 14 hrs
|
4 KudoZ points awarded for this answer.
Reference comments
3 days 23 hrs
Reference:
Sudden cardiac death in elderly: The post-mortem examination of senile myocardium and myocardial infarction
https://www.researchgate.net/publication/320551341_Sudden_ca...
Age-associated changes in senile myocardium predispose to pathophysiological disease mechanisms and they can be a substantial substrate causing SCD even after acute emotional or physical stress as triggers of myocardial ischemia or arrhythmia. However, distinguishing the age-related physiological processes from the associated pathological changes and their role in a case of SCD is not always possible, since a heart failure (HF) can be the final cardiovascular aging pathway especially in elderly victims. Furthermore, unnatural deaths can be erroneously reported as natural deaths, leaving accidents or homicides undetected. The differentiation between sudden death and fatal elderly abuse is a difficult and critical diagnostic decision that needs a careful post-mortem investigation also in SCDs. To the best of our knowledge, there is no protocol for distinguishing SCD from elderly abuse fatalities. A specific protocol for sudden deaths also in elderly (similar to those already available for infant and child) could enhance the public and professional awareness on elder abuse fatalities as well as on the underlying mechanisms of cardiac deaths. In cases of sudden, unexpected deaths in healthy elderly, it is strongly suggested an accurate post-mortem investigation including a complete examination of clinical signs and medical history, toxicological and/or chemical laboratory tests, circumstantial data related also to the scene-of-the event.
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Note added at 4 ημέρες (2022-06-03 19:52:15 GMT)
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According to most of the forensic pathol-ogy community 6, where nothing other than general senile atrophy of most organs is found and the history is unhelpful as to a specific manner of death, as long as the physician/pathologist can exclude any unnatural cause and non-cardiac causes of sudden death, then it is quite legitimate to ascribe the death to an acute car-diac death due to senile myocardial degeneration. That means to ascribe the death to a final HF caused by the aging-associated decline of cardiovascular structure and function. In fact, in contrast to other cardiovascular disorders, the prevalence of chronic HF is rapidly grow-ing 19 along with the increasing longevity. The actual version of WHO’s ICD-1018 provides a specific code for such aging-related cardiac changes (“Degeneration of heart or myocardium: senile” –I.51.5), but geriatricians and some pathologists do not totally agree with such expression as cause of death in elderly, preferring the one of an acute cardiac death even when more specific lesions and signs of an ischemic heart disease or MI are not always detected.
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Note added at 4 ημέρες (2022-06-03 20:03:42 GMT)
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Note added at 4 ημέρες (2022-06-03 20:10:01 GMT)
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https://images.app.goo.gl/4qVziAEiGuMwFMna8
Age-associated changes in senile myocardium predispose to pathophysiological disease mechanisms and they can be a substantial substrate causing SCD even after acute emotional or physical stress as triggers of myocardial ischemia or arrhythmia. However, distinguishing the age-related physiological processes from the associated pathological changes and their role in a case of SCD is not always possible, since a heart failure (HF) can be the final cardiovascular aging pathway especially in elderly victims. Furthermore, unnatural deaths can be erroneously reported as natural deaths, leaving accidents or homicides undetected. The differentiation between sudden death and fatal elderly abuse is a difficult and critical diagnostic decision that needs a careful post-mortem investigation also in SCDs. To the best of our knowledge, there is no protocol for distinguishing SCD from elderly abuse fatalities. A specific protocol for sudden deaths also in elderly (similar to those already available for infant and child) could enhance the public and professional awareness on elder abuse fatalities as well as on the underlying mechanisms of cardiac deaths. In cases of sudden, unexpected deaths in healthy elderly, it is strongly suggested an accurate post-mortem investigation including a complete examination of clinical signs and medical history, toxicological and/or chemical laboratory tests, circumstantial data related also to the scene-of-the event.
--------------------------------------------------
Note added at 4 ημέρες (2022-06-03 19:52:15 GMT)
--------------------------------------------------
According to most of the forensic pathol-ogy community 6, where nothing other than general senile atrophy of most organs is found and the history is unhelpful as to a specific manner of death, as long as the physician/pathologist can exclude any unnatural cause and non-cardiac causes of sudden death, then it is quite legitimate to ascribe the death to an acute car-diac death due to senile myocardial degeneration. That means to ascribe the death to a final HF caused by the aging-associated decline of cardiovascular structure and function. In fact, in contrast to other cardiovascular disorders, the prevalence of chronic HF is rapidly grow-ing 19 along with the increasing longevity. The actual version of WHO’s ICD-1018 provides a specific code for such aging-related cardiac changes (“Degeneration of heart or myocardium: senile” –I.51.5), but geriatricians and some pathologists do not totally agree with such expression as cause of death in elderly, preferring the one of an acute cardiac death even when more specific lesions and signs of an ischemic heart disease or MI are not always detected.
--------------------------------------------------
Note added at 4 ημέρες (2022-06-03 20:03:42 GMT)
--------------------------------------------------
--------------------------------------------------
Note added at 4 ημέρες (2022-06-03 20:10:01 GMT)
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https://images.app.goo.gl/4qVziAEiGuMwFMna8
Discussion
It's not "senile" - I've listened several times and he just swallows the word so I can't hear it. It's at about 50:27 when I watch it.