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Kristin Kendall

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Anna hasn't taken her pills in 3-4 days. Statins are used to reduce plaque buildup in the arteries and she's had not taken her medicine. Her heart is already under lots of pressure but it can't handle the extra pressure due to the lack of medication and it combusts as she walks around her house. Anna hits her head on the table as she falls to the flood and dies.

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Anna had been complaining of chest pain. Her blood pressure was taken to be 140/72.
Tests and Results:
Anna had blood work done, a cardiac stress test with EKG and a echocardiogram. Anna then took an agiiogram after seeing the results. The physical exam showed that Anna's heart
rate was 90-105. Her blood pressure averaged 142/85. They detected a slight heart murmur. The cardiac test revealed that after only 8 minutes of walking at a speed of 3.5mph, Anna's blood pressure boiled to 190/110. The EKG showed heart murmur. The echocardiogram revealed that the left ventricle is slightly enlarger but within normal limits and that her mitral valve didn't close tightly.
Lab Analysis:
- Total cholesterol 389 mg/dl
- LDL 243 mg/dl
- FDL 60 mg/dl
- Triglycerides 145 mg/dl
- Her CBC results are still normal
- Her fasting blood sugar was 85 mg/dl
- Hemoglobin A1c was 7.1%
Anna was diagnosed with a slight heart murmur, hypertension, and heart disease, hypercholestermia, and pre-ventricular contractions

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Anna visited the hospital because she was fatigued, thirsty, and urinated more than usual.She had lost 10 pounds even though she wasn't exercising more than usual. Her activity level has decreased because of how lethargic she had become.
There's family history of high cholesterol and heart disease. She claims to have occasional tingling in her feet. Lab analysis showed that there were abnormalities in the red and white blood cell or platelet count. She tested negative for strep throat but instead found that there was excess glucose in the blood. Anna was sent for GTT and tested positive for diabetes.
Anna was diagnosed with Type 1 diabetes and hyperglycemia.

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Anna's sickle cell anemia caused for there to be a lack of blood flow and oxygen to her brain and body. One may hypothesize that Anna was walking to take her daily aspirin as her ankles were swollen. As she reaches for the pills, she experiences a stroke. She fell to the floors and her head slammed on the table and which would explain the head wound.This would also explain why there was blood found on the table.The head wound would induce vomit

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A heart attack occurs when one or more coronary arteries are blocked. The right coronary artery is found to have plaque build up (occluded by 80%.) The lack of oxygen to her heart because of the sickle cell as well as the blocked artery caused her ankles to swell and skin to discolor. Anna went to go treat her throbbing and swelling ankles with Aspirin and had a heart attack as she neared the table. She hit her head, became nauseous, collapsed, and died.

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On Anna Garcia's left thigh there are red injection sites. This causes me to believe that Anna had an allergic reaction, used her Epi Pen but didn't respond fast enough and died. All the blood and head injuries are from a fall.

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- Blood Pressure: 140/72
- Respiration Rate: 22 bpm
- Pulse: 98 bpm
- Anna has Type 1 diabetes and sickle cell disease
- Anna takes a daily aspirin
- Anna used to be an athlete, but has not kept up with formalized exercise
- Anna admits to eating a diet high in both calories and fat
- Anna has a family history of early heart disease as well as uncontrolled hypertension
- Her father had a heart attack when he was only 41 years old
- Anna is tachycardic – average resting heart rate ranged from 90-105 over the course of the day
- Slight heart murmur detected: Slight mitral valve regurgitation noted
- Scans revealed a blockage in the left anterior descending coronary artery

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- Traces of acetylsalicylic acid
- No evidence of overdose of non-prescription or prescription drugs
- No evidence of alcohol
- No evidence of post-mortem tampering
- The fingernails show substantial graying, indicative of low oxygen
- Inflamed, red injection sites on left thigh
- A head wound at the right temple, 2 cm in length, and 5 mm in depth at the center
- Evidence of vomit in oral cavity
- A1C – 11 percent
- Blood glucose – 280mg/dL
- Ketones in urine
- Left kidney appears pale and shows the beginning signs of necrosis
- 54.5% on her Hematocrit

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At the crime scene there were...
- Fingerprints
- Shoe print
- Hair
- Acetylsalicylic Acid
- Blood spatter
- DNA tracing
- Pill prescription bottle

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Age: 38

Weight: 165

Height: 64 Inches

Race: Hispanic

Sex: Female

Date and Time of Autopsy: August 15 11:00 am