{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T08:41:54Z","timestamp":1778575314370,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T00:00:00Z","timestamp":1636588800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Leg J"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>Caf\u00e9 coronary syndrome is a term used to describe a sudden collapse of healthy subjects during meals in the absence of any sign of asphyxia, respiratory distress, or neurological symptoms. Risk factors are advanced age, poor dentition, alcohol intoxication, and dementia or psychiatric disorders. One of the main problems with this syndrome is that, even when witnessed, it is often confused with myocardial infarction due to the absence of asphyxia symptoms. This leads to misdiagnosis and potential delays in patients\u2019 treatment that can eventually have fatal outcomes. As a result of that, medico-legal litigation may arise. This paper presents a typical case of fatal caf\u00e9 coronary syndrome misdiagnosed as a myocardial infarction. The legal authority that requested the autopsy asked about the potential professional negligence of the healthcare providers who took care of the patient. We discuss the clinical and medico-legal aspects of caf\u00e9 coronary syndrome.<\/jats:p>","DOI":"10.1177\/00258172211031709","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T22:51:38Z","timestamp":1636671098000},"page":"264-269","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Caf\u00e9 coronary syndrome \u2013 case report and medicolegal implications"],"prefix":"10.1177","volume":"89","author":[{"given":"Ian S.","family":"Batson","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Sparrow Hospital\/Michigan State University, Lansing, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serenella","family":"Serinelli","sequence":"additional","affiliation":[{"name":"Department of Pathology, Upstate Medical University, State University of New York, Syracuse, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Gitto","sequence":"additional","affiliation":[{"name":"Department of Pathology, Upstate Medical University, State University of New York, Syracuse, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,11,11]]},"reference":[{"key":"bibr1-00258172211031709","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1963.63710020011017"},{"key":"bibr2-00258172211031709","volume":"1","author":"Alfleesy O.","year":"2020","journal-title":"Curr Trends Clin Med Sci"},{"key":"bibr3-00258172211031709","doi-asserted-by":"publisher","DOI":"10.1542\/peds.94.1.113"},{"key":"bibr4-00258172211031709","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcfm.2005.10.007"},{"key":"bibr5-00258172211031709","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.183.5.446"},{"key":"bibr6-00258172211031709","volume-title":"StatPearls","author":"Ojeda Rodriguez JA","year":"2021"},{"key":"bibr7-00258172211031709","unstructured":"Marx JA, Walls RM, Hockberger RS (eds). Rosen\u2019s emergency medicine \u2013 concepts and clinical practice. 8th ed.  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