DIAGNOSTIC UTILITY OF SHORT AXIS METHOD OF HEART DISSECTION VERSUS INFLOW OUTFLOW METHOD IN SUDDEN CARDIAC DEATH.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2019, Vol 7, Issue 4
Abstract
Background and Objectives:Cardiac pathology is responsible for 80% of sudden deaths. Inflow outflow method is the most commonly used method of heart dissection which often fails to find out cause of death. Triphenyltetrazolium chloride staining is used for macroscopic diagnosis of early infarcts. Objectives of the study was to assess the diagnostic utility of short axis method over inflow outflow method of heart dissection, to assess the necessity of Triphenyltetrazolium chloride staining to pick up acute MI of 2-6hrs. Methods:60 cases of sudden cardiac deaths were studied inDepartment of Pathology, Bangalore MedicalCollege & Research Institute, Bangalore. 30 cases were dissected by inflow outflow method and 30 cases were dissected by short axis method. Triphenytetrazolium chloride staining was done on fresh hearts to detect early infarcts. Morphometric analysis was done to assess myocyte diameter in case of HCM. Results:Study included 56 males and 4 females. The commonest cause of sudden cardiac death in our study was ischaemic heart disease (50%), non-ischaemic sudden cardiac deaths occurred in hypertrophic obstructive Cardiomyopathy (8.3%), arrythmogenic right ventricular dysplasia (1.6%), mitral valve prolapse (1.6), mitral stenosis (5%), coronary artery dissection (1.6%) and others (8.3%). Triphenyltetrazolium chloride showed infarcts grossly which was confirmed by histology. Interpretation and Conclusions:Short axis method of heart dissection is better method for finding infarcts, cardiomyopathies, biventricular hypertrophies and myocarditis. Triphenyltetrazolium chloride staining is sensitive and specific method for finding out early infarcts. Masson trichrome is excellent in finding out fibrosis in case of HCM and chronic IHD.
Authors and Affiliations
Priyanka Agasimani, Dayananda S Biligi, Saeed Yendigeri.
Keywords
Related Articles
- EP ID EP566490
- DOI 10.21474/IJAR01/8959
- Views 80
- Downloads 0
DIVERSITY OF PHYLLOPLANE MYCOFLORA OF SOME MEDICINAL PLANTS OF MAHE, U. T. OF PUDUCHERRY.
Leaves constitute the major part of exposed plant surface. They are open to infestation or sporotropic colonization by air dispersed or splash dispersed mycoflora. The leaves provide unique environment to their surface o...
REVIEW OF MEDICINALLY IMPORTANT PLANT SPECIES SARACA ASOCA (ROXB.)
Saracaasoca is a relatively traded IUCN crimson listed tree species used in Ayurvedic drug treatments for the treatment of numerous disorders, especially gynecological troubles. However, information approximately the gen...
INFLUENCE OF LIFE STYLE IN MANAGEMENT OF MIGRAINE.
Migraine is the most common type of vascular headache characterized by repeated attacks of headache, which typically lasts for 4 to 72 hours. Migraine is a leading cause of disability worldwide. It is one of the most com...
CORRELATION OF CORRECTED QT INTERVAL WITH QUANTITATIVE CARDIAC TROPONIN-I LEVELS AND ITS PROGNOSTIC ROLE IN NON ST ELEVATION MYOCARDIAL INFARCTION.
Background:There is a large body of evidence of specific myocardial injury markers such as cardiac troponin I (cTnI) and cardiac troponin T (?TnT) for short and long-term prognostic values of NSTE-ACS mortality and new i...
GROSSESSE EXTRA-UTERINE CORNUALE ET INTRA-MURALE: A PROPOS DE DEUX CAS AVEC REVUES DE LA LITTERATURE. CORNUAL AND INTRA-MURAL PREGNANCY : ABOUT TWO CASES AND LITERATURE REVIEWS.
The cornual pregnancy is a rare entity that represents almost 2% of ectopic pregnancies whereas the intramural pregnancy is the rarest one. The diagnosis is almost always based on laparoscopy. The risk of rupture with se...