Petechial hemorrhages, for example, are tiny capillary ruptures that appear in both the conjunctivae and eyelids after a person has been strangled. Dr. Randy Hanzlick says, "They're caused by an increase in the hydrostatic pressure in the capillaries. You can see them in many forms of asphyxia, like strangulation or chest compression, but you can also see them if there's a [build-up of] pressure from heart failure or a sudden cardiac death."