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JPTM > Volume 45(4); 2011 > Article
The Korean Journal of Pathology 2011;45(4): 336-347.
doi: https://doi.org/10.4132/KoreanJPathol.2011.45.4.336
The Significance of Ventricular Volume in the Evaluation of Secondary Cardiomyopathy at Autopsy.
Joo Young Na, Byung Woo Min, Yeong Hui Kim, Seung Hyun Chung, Young Jik Lee, Hyung Seok Kim, Jong Tae Park
1Department of Forensic Medicine, Chonnam National University Medical School, Gwangju, Korea. jtpark@jnu.ac.kr
2Department of Pathology, Chonnam National University Medical School, Gwangju, Korea.
3Department of Pathology, St. Carollo Hospital, Suncheon, Korea.
4Center for Biomedical Human Resources at Chonnam National University, Gwangju, Korea.
5Law School, Chonnam National University, Gwangju, Korea.
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.
Key Words: Autopsy; Cardiac remodeling; Cardiomyopathies; Postmortem heart; Ventricular volume
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