DETECTION OF EARLY MYOCARDIAL INFARCTION DURING POSTMORTEM BY FLUORESCENT MICROSCOPIC EVALUATION
Ninad B Gawande MD, Nilesh Keshav Tumram MD* and A H Tank MD
ABSTRACT
Present clinical management of the patients sustaining traumatic injuries and thermal burns has resulted in their longer survival, but the clinical and pathological effects of these traumatic injuries over the myocardium have been largely neglected. It is speculated that certain factors like the inflammatory and degenerative lesions of heart, prolonged clinical course and the subsequent stress and strain may play role in hastening the death. In the present study, hospitalized cases of
traumatic injuries and thermal burns brought for medico-legal autopsy were examined, with the purpose to find out the incidence, its significance and the extent of the myocardial lesions caused due to stress & strain following trauma. The myocardium of each case was examined morphologically, and by using fluorescence microscope utilizing the Acridine Orange (AO) staining method, to detect the presence of the myocardial lesions developing in the myocardium due to the effects of stress and strain following trauma.
Keywords: Heart, Stress, Trauma, Acridine orange, Microscopy.
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