Diagnosis of Myocardial Infarction At Autopsy: AECVP Reappraisal in the Light of the Current Clinical Classification – DocWire News

Posted: Published on September 19th, 2019

This post was added by Alex Diaz-Granados

Ischemic heart disease is one of the leading causes of morbidity and death worldwide. Consequently,myocardialinfarctions are often encountered in clinical and forensic autopsies, and diagnosis can be challenging, especially in the absence of an acute coronary occlusion. Precise histopathological identification and timing ofmyocardial infarctionin humans often remains uncertain while it can be of crucial importance, especially in a forensic setting when third person involvement or medical responsibilities are in question. A proper post-mortem diagnosis requires not only up-to-date knowledge of the ischemic coronary andmyocardialpathology, but also a correct interpretation of such findings in relation to the clinical scenario of the deceased.

For these reasons, it is important for pathologists to be familiar with the different clinically defined types ofmyocardial infarctionand to discriminatemyocardial infarctionfrom other forms ofmyocardialinjury. This article reviews present knowledge and post-mortem diagnostic methods, including post-mortem imaging, to reveal the different types ofmyocardialinjury and the clinical-pathological correlations with currently defined types ofmyocardial infarction.

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Diagnosis of Myocardial Infarction At Autopsy: AECVP Reappraisal in the Light of the Current Clinical Classification - DocWire News

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