Sudden cardiac death during sexual activity. A case report

A case of sudden cardiac death in a 37-year-old man during sexual activity is reported. The only morphological findings which could explain death were determined with the histological investigation of the cardiac conduction system. The heart exhibited fibromuscular dysplasia of the atrioventricular node artery and individual small coronary arteries as well as fiber residues of the left bundle branch. The potential death mechanisms as well as the predisposing factors are discussed. This case is reported to supplement the causes described so far for sudden natural death during sexual activities.