Myocardial damage by resuscitation methods

Medico-legal autopsy cases were reviewed to detect myocardial changes induced by resuscitation methods. Myofibrillar degeneration (MFD) induced by resuscitation methods was classified into two types according to Luxol fast blue staining: contraction band (CB) and diffuse staining (DS). In the cases...

Full description

Saved in:
Bibliographic Details
Published in:Legal medicine (Tokyo, Japan) Japan), 2003-03, Vol.5, p.S302-S306
Main Authors: Bunai, Yasuo, Akaza, Kayoko, Tsujinaka, Masatake, Nakazawa, Takashi, Nagai, Atsushi, Nakamura, Isao, Nagano, Toru, Ohya, Isao
Format: Article
Language:English
Subjects:
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - adverse effects
Coloring Agents
Direct current countershock
Electric Countershock - adverse effects
Heart Injuries - pathology
Humans
Indoles
Myocardium
Myocytes, Cardiac - pathology
Myofibrillar degeneration
Myofibrils - pathology
Resuscitation
Staining and Labeling
Vasoconstrictor Agents - adverse effects
Vasopressor
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Medico-legal autopsy cases were reviewed to detect myocardial changes induced by resuscitation methods. Myofibrillar degeneration (MFD) induced by resuscitation methods was classified into two types according to Luxol fast blue staining: contraction band (CB) and diffuse staining (DS). In the cases in which cardiopulmonary resuscitation had been performed, myocytes showing CB or DS formed small foci and were distributed in the papillary muscles, septum, and inner to middle layers of the myocardium. MFD induced by vasopressors was characterized by solitary distribution of degenerating myocytes that mainly showed DS and sometimes CB. When direct current countershocks had been performed, focal MFD in the subepicardial zone appeared to be a characteristic feature.
ISSN:1344-6223
1873-4162
DOI:10.1016/S1344-6223(02)00156-6