OPINION
¶ 1 Gary Wayne Snelling was convicted of first degree murder and sentenced to death. We have jurisdiction over this mandatory appeal under Article 6, Section 5(3) of the Arizona Constitution and Arizona Revised Statutes (A.R.S.) sections 13-4031 and 13-4033(A)(1) (2010). 1
FACTUAL AND PROCEDURAL BACKGROUND 2
¶2 On July 14, 1996, Adele Curtis was cleaning a townhouse she owned in Phoenix so it could be rented. The prospective tenant met Curtis at the townhouse around noon, stayed for about two hours, and left through the unlocked front door. She last saw Curtis sitting on the stairs with a drink and sandwich and Curtis’s truck parked outside the townhouse.
¶3 Two days later, a police officer responded to a report of an abandoned truck *185 behind a nearby bar. The truck belonged to Curtis. The officer went to the townhouse but received no response to his knock.
¶ 4 Curtis’s family became concerned after not hearing from her. Her niece went to the townhouse but found it locked and Curtis’s truck gone. After finding a key, the niece returned to the townhouse on July 18 and discovered Curtis’s naked body lying on the upstairs bathroom floor. Curtis had marks on her neck consistent with a ligature. The medical examiner opined that she had died of asphyxia by strangulation. When the autopsy was performed on July 19, Curtis’s body was in an advanced state of decomposition consistent with her having died three to four days earlier.
¶ 5 Policе collected scrapings of a blood smear on an upstairs bedroom door frame and a blood drop on the bathroom floor near Curtis’s body. An electrical cord, cut from a lamp in the upstairs bedroom, was in the upstairs bathroom sink. Fingerprints were found on receipts in the downstairs bathroom; a fingerprint and palm print were on the upstairs bathroom’s sink counter. Curtis’s partially eaten sandwich and drink were on thе stairway landing. On the kitchen counter, police found Curtis’s purse without any cash inside and with checks missing from a checkbook. Police also found a discarded beverage can in Curtis’s truck.
¶ 6 Curtis’s murder remained unsolved for several years. In 2003, a detective reopened the investigation and submitted evidence for DNA testing. A DNA profile obtained from the beverage can matched Snell-ing’s profile, which had been obtained in an unrelated matter in 1999. Snelling’s profile also matched the profiles obtained from the blood smear and blood drop, and his DNA was likely present on the electrical cord. In addition, Snelling’s prints matched the prints found at the townhouse, and he had lived in the same complex as Curtis at the time of the murder.
¶ 7 After his arrest, Snelling was incarcerated in the same jail pod as Jerry Rader and told him about having murdered Curtis. Snelling told Rader that he had watched Curtis cleaning the townhouse after the previous tenants moved out. He informed Rad-er that he had entered Curtis’s townhouse intending to sexually assault her, taken $1,000 from her purse, gone upstairs, cut a cord in case he needed a weapon, surprised her in the bathroom, and choked her to death when she screamed.
¶ 8 Snelling was indicted for first degree murder (both premeditated and felony) and found guilty. During the aggravation phase of the trial, the jurors found that Snelling had committed the murder in an especially cruel manner, A.R.S. § 13 — 751(F)(6) (2010), but could not decide whether he had committed the murder in expectation of pecuniary gain, § 13-751(F)(5). The jury also could not reach a unanimous verdict on the appropriate penalty.
¶ 9 A second jury was impaneled to re-try the penalty phase. After finding no mitigation sufficiently substantial to call for leniency, the seсond jury determined that Snelling should be sentenced to death.
ISSUES ON APPEAL
I. Prosecutorial Misconduct in the Grand Jury Proceeding
¶ 10 Snelling claims the grand jury proceeding was tainted by prosecutorial misconduct because the State presented no evidence of the felony murder predicates of sexual assault and attempted sexual assault. 3 Snelling apparently challenges both the prosecutor’s conduct before the grand jury and the sufficiency of evidence for the indictment.
¶ 11 A defendant alleging prosecutorial misconduct in a grand jury proceeding generally must seek relief from an adverse trial court ruling through special action rather than waiting to raise such issues on appeal.
See State v. Verive,
¶ 12 Nor may Snelling challenge on appeal the sufficiency of the evidence presented to the grand jury on the felony murder predicates. “Courts generally do not concern themselves with the evidence underlying a grand jury indictment.”
State v. Jessen,
II. Qualification of Defense Counsel
¶ 13 Snelling argues he was denied his right to counsel and due process because the trial court did not expressly determine that a qualified capital defеnse team had been appointed for him. He contends the court’s failure to comply with Arizona Rules of Criminal Procedure 6.5 and 6.8 was structural error.
¶ 14 Arizona Rule of Criminal Procedure 6.8(b) sets forth the qualifications for lead and co-counsel in capital eases, and Rule 6.5(a) requires the trial court to enter an order whenever counsel is appointed. Neither rule, however, mandates the court to make а recorded finding that a capital defendant has been appointed qualified counsel. To the extent Snelling challenges his counsels’ effectiveness, he must raise any such claim in a petition for post-conviction relief under Arizona Rule of Criminal Procedure 32.
State v. Spreitz,
III. Admission of Crime Scene and Autopsy Photographs
¶ 15 During the guilt phase, the trial court admitted crime scene and autopsy photographs over Snelling’s objection. We review a trial court’s decision to admit photographs for abuse of discretion.
State v. Anderson,
¶ 16 “The admissibility of a potentially inflammatory photograph is determined by examining (1) the relevance of the photograph, (2) its tendency to incite or inflame the jury, and (3) the probative value versus potential to cause unfair prejudice.”
State v. Lynch,
¶ 17 Although several phоtos in this case show skin slippage and discoloration, “[ejaeh photograph conveys different, highly relevant information about the crime.”
State v. Rien-hardt,
IV. Medical Examiner’s Testimony
¶ 18 Snelling contends the medical examiner’s testimony in 2007 during the guilt phase was hearsay and violated his confrontation rights because she had not per
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formed Curtis’s autopsy in 1996 or authored the autopsy report. We review a trial court’s admission of expert testimony for abuse of discretion.
State v. Davolt,
¶ 19 When considering a similar argument in
State v. Smith,
we found that “[ejxpert testimony that discusses reports and opinions of another is admissible ... if the expert reasonably relied on these matters in reaching his own conclusion.”
Facts or data underlying the testifying expert’s opinion are admissible for the limited purpose of showing the basis of that opinion, not to prove the truth of the matter asserted. Testimony not admitted to prove the truth of the matter asserted by an out-of-court declarant is not hearsay and does not violate the confrontation clause.
Id.
at 229 ¶ 26,
¶
20
Here, the medical examiner testified that she formed her own opinions after reading the report on Curtis’s autopsy. Although she referred to the report’s findings, she used this information, as well as the photographs of the victim’s body, to reach her own conclusions about Curtis’s injuries and the cause of her death. Snelling confronted and cross-examined the medical examiner about her opinions.
See Rogovich,
¶ 21 Snelling cites eases such as
Melendez-Diaz v. Massachusetts,
— U.S. -,
INDEPENDENT REVIEW
¶ 22 Because the murder occurred before August 1, 2002, this Court independently reviews the aggravation, mitigation, and propriety of the death sentence. 4 A.R.S. § 13-755(A) (2010); 2002 Ariz. Sess. Laws, ch. 1, § 7 (5th Spec. Sess.).
¶ 23 The first jury found only one aggravating factor — that Snelling murdered Curtis in an especially cruel manner. We review the record de novo to determine whether the evidence supports that finding beyond a reasonable doubt.
Anderson,
¶ 24 The United States Supreme Court hаs determined that Arizona’s (F)(6) aggravator is facially vague but may be remedied by judicial constructions limiting its application to specified circumstances.
Walton v. Arizona,
¶ 25 Our ease law has so limited the (F)(6) aggravator. We have held that a murder is espeсially cruel only if the state proves beyond a reasonable doubt that “the victim consciously experienced physical or mental pain prior to death, and the defendant knew or should have known that suffering would occur.”
State v. Trostle,
¶ 26 In addition, we have been “unwilling to say that all stranglings are per se cruel.”
State v. Schackart,
I. Mental Anguish
¶ 27 “Mental anguish includes the victim’s uncertainty as to her ultimate fate.”
State v. Lavers,
¶ 28 The record contains no evidence that Curtis contemplated her fate for very long. Based on what Snelling had told him, Rader testified in the guilt phase that Curtis yelled “Who’s there?” around the same time that Snelling was cutting the cord in the upstairs bedroom. According to Rader, Curtis opened the bathroom door, saw Snelling, and “got belligerent and yelled” when “he told her to just shut up and do what he said.” Snelling then strangled her with the cord “to shut her up” and “freaked” when “she fell down.”
¶ 29 Curtis likely was terrified when she heard a noise, opened her bathroom door, and saw Snelling holding an electrical cord. And, unlike the victim in
State v. Jimenez,
¶ 30 The record also does not show thаt Curtis had any defensive injuries.
Cf. State v. Van Adams,
¶ 31 In addition, there was no evidence that Curtis struggled with Snelling or pleaded for her life. Curtis had only a single ligature mark, indicating the ligature was not readjusted once placed on her neck.
Cf. State v. Stokley,
¶ 32 Absent any evidence of defensive injuries, a struggle, or pleas for help, the record shows only that Curtis was suddenly confronted by an assailant who promptly strangled her to death. “It is not inherently ‘cruel’ to murder a victim quickly and by surprise.”
Jimenez,
II. Physical Pain
¶ 33 Strangulations are not per se physically cruel absent specific evidence that the victim consciously suffered physical pain.
Ellison,
¶34 The State presented no evidence of physical suffering. The medical examiner did not testify that victims in general always experience, or that Curtis in particular experienced, pain during strangulation.
6
Nor did she mention any other injuries unrelated to the strangulation itself that might have caused Curtis pain.
Cf. State v. Brewer,
¶35 The record also does not support a finding of physical pain relating to a sexual assault.
Cf. Sansing,
¶ 36 In addition, the evidence on whether Curtis cоnsciously experienced physical pain was inconclusive. Based on unidentified reports in medical literature, the medical examiner testified that a strangulation victim generally remains conscious for ten to one hundred seconds if the ligature totally encircles the neck and the victim remains passive. She further testified that such victims might remain conscious for minutes if the ligature
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does not completely encirсle the neck and the victim fights. No other evidence, however, indicated whether, or for how long, Curtis was conscious while being strangled.
Cf. State v. Moms,
¶ 37 Although one might reasonably suspect that any strangulation victim must experience physical pain, speculation cannot support a finding of especial cruelty when, as here, the record contains no evidence of the physical pain required for an (F)(6) finding.
Cf. State v. Atwood,
¶ 38 “The death penalty may be imposed only if the state has proved the еxistence of at least one aggravating factor beyond a reasonable doubt,”
Ramirez,
CONCLUSION
¶ 39 We affirm Snelling’s conviction for first degree murder. On independent review, however, we find the record insufficient to support the (F)(6) aggravator because the evidence does not prove beyond a rеasonable doubt that Curtis consciously suffered mental anguish or physical pain sufficient to render the murder especially cruel. Therefore, we vacate Snelling’s death sentence and sentence him to imprisonment for natural life. A.R.S. § 13-703(A) (1993) (currently § 13-751(A)) (providing that a defendant guilty of first degree murder can be sentenced to death, natural life imprisonment, or life imprisonment with the possibility of release in twenty-five years);
cf. State v. Wallace,
Notes
. This opinion cites the current version of statutes, unless otherwise noted.
. Except when conducting our independent review, we view the facts in the light most favorable to sustaining the verdict.
State v. Garza, 216
Ariz. 56, 61 n. 1,
. Burglary was also alleged as a predicate offense for felony murder.
. Snelling argues there was insufficient evidence to support the jury’s finding of the (F)(6) aggra-vator. This claim, however, is subsumed in our independent review of the aggravating factor.
See State v. Andriano,
. Because Arizona now requires jury findings of aggravation and jury sentencing in capital cases, A.R.S. § 13 — 752(E), (H), the facial vagueness оf the (F)(6) aggravator "may be remedied with appropriate narrowing instructions,”
State v. Tucker,
. The medical examiner testified that Curtis’s thyroid cartilage was fractured during strangulation, but noted that this cartilage, like the hyoid bone, is "easily fractured.” In addition, she did not describe the nature or extent of any pain associated with that internal injury.
. Because we do not find sufficient evidence to support the sole aggravator on our independent review, we do not consider Snelling’s mitigation evidence. SeeA.R.S. § 13-752(F)-(G) (providing that the penalty phase at which mitigation evidence may be presented is held only after one or more aggravating circumstances has been found).
. Given our disposition of this matter, we need not address other issues raised by Snelling concerning the aggravation and penalty phases of the trial. Nor need we list the twenty-nine issues concerning the death penalty raised to avoid federal preclusion.
