[Roentgenologic heart volume determination for the diagnosis of fatal heart failure].
In order to investigate the connection between the cardiac volume and the cardiac shadow plane, 385 anterior-posterior radiographs of the thorax have been selected comparing their cardiac shadow plane with the corresponding cardiac volumes determined by the autopsy of the cadavers. The comparison showed a connection of both magnitudes by means of the formula Hvol = 0.49 x Fa x square root of Fa (Hvol = cardiac volume in cm3, Fa = cardiac shadow plane of the anterior-posterior radiograph in cm2, corrections were made from the radiation divergence). A verification of the formula showed a very high correlation (r = 0.984) in 25 cadavers to be dissected. The comparing volume of the cardiac shadow plane has been investigated by means of the water displacement method, in which the cardiac vessels were ligated and the heart taken out of the cadaver. The cardiac volume, evaluated from the cardiac shadow plane showed a significant correlation at the cardiac death by internal natural cause. The comparison of the mathematical evaluated cardiac blood volumes of the symptoms causing death showed that the cardiac blood volumes in the group of poisonings and the group of drowning, suffocations and hanging with 231 ml and 211 ml in the men collective were at the same level as the cardiac death (246 ml). About the same applied to the women collective.(ABSTRACT TRUNCATED AT 250 WORDS)
Schmidt
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G
Institut für Rechtsmedizin im Klinikum, Universität Heidelberg, Bundesrepublik Deutschland.
Kallieris
D
D
Stosch
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P
D002302:Cardiac Output / Q000502:physiology*; D002306:Cardiac Volume / Q000502:physiology*; D002423:Cause of Death; D003645:Death, Sudden / Q000473:pathology; D006323:Heart Arrest / Q000000981:diagnostic imaging* / Q000473:pathology; D006333:Heart Failure / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D009206:Myocardium / Q000473:pathology; D011180:Postmortem Changes; D011859:Radiography
Die röntgenologische Herzvolumenbestimmung zur Diagnose des tödlichen Herzversagens.