Sudden Cardiac Death is a leading cause of mortality and remains a major public health burden worldwide. Cardiac arrest due to coronary heart disease explains a large proportion of the cases, but if autopsy is not performed the exact underlying cause remains obscure in many adults who face sudden death outside heath care organizations. The investigators aim to find proof that primary aldosteronism is a risk factor for sudden death and to characterize the prevalence of adrenal pathology in sudden death of undetermined cause in a case-control study. In addition, the study aims to characterize the prevalence of other adrenal pathology i.e. silent adenomas, cortisol-producing adenomas and pheochromocytomas in sudden death. The investigators also seek evidence that other endocrine hormone overproduction-causing diseases are more prevalent in persons with sudden death compared with those experiencing traumatic or suicidal death sudden death.
Study Type
OBSERVATIONAL
Enrollment
400
Immunoshistochemical diagnosis of primary aldosteronism
Immunoshistochemical diagnosis of adrenal hypercortisolism
Diagnosis of any endocrine neoplasia other than primary aldosteronism or adrenal hypercortisolism
Endocrinology, Helsinki University Hospital and University of Helsinki
Helsinki, Finland
CYP11B2 staining in adrenal glands
Histopathological diagnosis of the autopsy
Time frame: Through study completion, an average of 2 years
CYP11B1 staining in adrenal glands
Histopathological diagnosis of the autopsy
Time frame: Through study completion, an average of 2 years
CYP11B2 staining in adrenal glands
Histopathological diagnosis of the autopsy
Time frame: Through study completion, an average of 2 years
Pheochromocytoma or paraganglioma
Histopathological diagnosis of the autopsy
Time frame: Through study completion, an average of 2 years
Neuroendocrine tumor
Histopathological diagnosis of the autopsy
Time frame: Through study completion, an average of 2 years
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