[Significance of nonspecific histopathologic changes in the myocardium in sudden coronary death].
Informative value of non-specific histopathological myocardial changes was determined on the material of 31 autopsy cases of a sudden coronary death (SCD) and comparison of two groups: 18 observations of violent death and 17 observations of an acute alcoholic intoxication. Informative value was assessed using Kullback's criterion. Large- and small-focal cardiosclerosis and cardiomyocyte hyperthrophy were of a high informative value for SCD. Sclerosis of the intramural arteries, congestion on venas and capillaries, muscle fiber fragmentation had an informative value for SCD versus a violent death, and haemorrhages for SCD versus an alcoholic group. Cardiomyocyte vacuolisation and wavelike deformation of muscle fibers were of a low informative value. Cardiomyocyte atrophy and lymphohistiocytic infiltration were informative for SCD when compared to a violent death and for an alcoholic group when compared to SCD. Endothelial proliferation of the microcirculation vessels, myolysis, sludge-phenomenon, lypofuscinosis, stromal lipomatosis were of informative value for the alcoholic group and not for SCD.
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D000062:Accidents, Occupational; D000063:Accidents, Traffic; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000473:pathology; D003327:Coronary Disease / Q000473:pathology*; D003331:Coronary Vessels / Q000473:pathology; D003645:Death, Sudden / Q000473:pathology*; D005260:Female; D006644:Histiocytes / Q000473:pathology; D006801:Humans; D008214:Lymphocytes / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology*; D014947:Wounds and Injuries / Q000473:pathology
Informativnost' nespetsificheskikh gistopatologicheskikh izmeneniĭ miokarda pri vnezapnoĭ koronarnoĭ smerti.