The Significance of Ventricular Volume in the Evaluation of Secondary Cardiomyopathy at Autopsy
나주영, 민병우, 정승현, 이영직, 김현석, 박종태, 김영희,
소속 상세정보
나주영 ( Na Joo-Young )
Chonnam National University Medical School Department of Forensic Medicine
민병우 ( Min Byung-Woo )
Chonnam National University Medical School Department of Forensic Medicine
정승현 ( Chung Seung-Hyun )
Chonnam National University Medical School Department of Forensic Medicine
이영직 ( Lee Young-Jik )
Chonnam National University Medical School Department of Forensic Medicine
김현석 ( Kim Hyun-Seok )
Chonnam National University Medical School Department of Forensic Medicine
박종태 ( Park Jong-Tae )
Chonnam National University Medical School Department of Forensic Medicine
김영희 ( Kim Yeong-Hui )
Chonnam National University Medical School Department of Pathology
KMID : 0357920110450040336
Abstract
Background: The weight, shape and consistency of the heart, and the thickness of the ventricular wall are used as parameters for evaluating postmortem heart and diagnosing cardiomyopathy at autopsy.
Methods: The weight and volume of the ventricles and the thickness of the left ventricular wall of 58 hearts were measured and analyzed.
Results: In the group of dilated hearts, the ventricular weight, ventricular volume, ventricular volume/ventricular weight, and left ventricular volume/right ventricular volume increased, whereas ventricular wall thickness decreased. In the group of hypertrophied hearts, the ventricular weight, ventricular volume, and thickness of the ventricular wall increased but ventricular volume/ventricular weight and left ventricular volume/right ventricular volume did not change significantly. In the group of undetermined hearts, it was later found that four of the cases should have been included in the dilated heart group and another two cases in the hypertrophied heart group.
Conclusions: In addition to conventional methods, the measuring ventricular volume is useful for evaluating a postmortem heart and may suggest postmortem differential diagnoses of dilated or hypertrophied forms of secondary cardiomyopathies.
키워드
Autopsy;Cardiac remodeling;Cardiomyopathies;Postmortem heart;Ventricular volume
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