Evaluation of a simplified method of the conduction system analysis in 110 forensic cases

Details

Serval ID
serval:BIB_BC236287BC99
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Evaluation of a simplified method of the conduction system analysis in 110 forensic cases
Journal
Forensic Science International
Author(s)
Michaud  K., Romain  N., Taroni  F., Horisberger  B., Mangin  P.
ISSN
0379-0738 (Print)
Publication state
Published
Issued date
2002
Volume
130
Number
1
Pages
13-24
Notes
DA - 20021112
LA - eng
PT - Journal Article
SB - IM
Abstract
A simplified method of the His bundle analysis is evaluated by the study of 110 forensic cases. The atrioventricular node or its part were observed in 96 cases (87.3%), penetrating bundle in 92 cases (83.6%), branching and left bundles branch in 109 cases (99.1%) and right bundle branch in 73 cases (66.4%). The changes such as fibrosis and fatty infiltration show statistically significant differences (P<0.01) between progressive age groups confirming their degenerative and age-related nature. The study included as well nine cases of sudden unexpected death and two cases of sudden infant death syndrome (SIDS), for which the autopsy with histological examination and toxicological analysis resulted negative. For nine of these cases, pathological lesions were found which can even explain the fatal issue. Moreover, in the cases with known cause of death, potentially lethal changes were noticed. This simple, low cost technique could be proposed to forensic pathologists as easy to fit into the routine processing of autopsy material, allowing the detection of major abnormalities with minimal effort. The authors also consider the difficulties related to the interpretation of the pathological findings in the conduction system
Keywords
Adipose Tissue/pathology/Adolescent/Adult/Child/Death,Sudden/etiology/Female/Fibrosis/Forensic Medicine/methods/Heart Conduction System/Humans/Infant/Male/Middle Aged/Sudden Infant Death
Pubmed
Web of science
Create date
08/02/2008 17:43
Last modification date
20/08/2019 15:30
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