Abstract

Cardiac pacemakers are common medical devices used to treat symptomatic bradycardias and implantable cardioverter defibrillators are routinely used in the treatment of ventricular tachyarrhythmias and in prevention of sudden cardiac death. Both these cardiac implantable electronic devices are now commonly found at autopsy, and interrogation of these devices may yield valuable information in decedent identification, and in the time and mode of death, to augment the information available to the forensic pathologist. We review the current state of the literature in the field and discuss examples from the archives of the Los Angeles County Coroner’s office. New devices for pacing and defibrillation, in addition to new arrhythmia and heart failure monitoring devices, are discussed.

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