"Ecstasy" and Sudden Cardiac Death.Suarez, Ronald V. M.D.; Riemersma, Richard M.D.American Journal of Forensic Medicine & Pathology: December 1988 International Registry of Unusual Cases: PDF Only Abstract A case of an apparently natural death in association with the use of an MDMA (3,4-methylenedioxymethamphetamine) is reported. The pathophysiology of the death and the pharmacology of the drug are presented. An overview of the certification of such cases is briefly presented (C) Lippincott-Raven Publishers.