Abstract

ZUNEN HERNANDEZ PUENTES, Yaimara et al. Pathomorphological and morphometry characterization of atherosclerotic lesion of coronary arteries during necropsy of deceased persons due to violent death. Rev Cub Med Mil [online]. 2010, vol.39, n.2, pp.85-94. ISSN 0138-6557.

OBJECTIVE: to characterize from the point of view pathomorphological and morphometry the coronary atherosclerosis in deceased persons due to a violent and clinical death, taking into account the age and sex groups by implementation of atherometric system. METHODS: three coronary vessels were studied in 108 deceased persons due to violent death, 397 clinical necropsies considered as a high atherosclerotic level and 89 cases classified as of low atherosclerotic level. The atherometric system was applied and groups were compared. RESULTS: the fibrous plaques were 15 times more frequent in the group of clinical death, whereas the severe plaques were 20 times more frequent. The more injured artery was the minor descending one where it involved up to 41.6 % of severe and fibrous plaques in the group of clinical death. Just as age increases in all groups the severity of atherosclerotic process also increases. In woman the atherosclerosis was more severe about 50 years old or more, whereas at more early ages, men were more involved. CONCLUSIONS: there is a greater development of atherosclerotic process in deceased persons due to clinical death. From the three coronary study branches the atherosclerotic process in the anterior descending artery was the more severe. The woman is more involved by atherosclerosis about 50 years old or more, whereas at earlier ages the man is the more involved one.

Keywords : Necropsy; violent death; high atherosclerotic level; low atherosclerotic level; atherometric system.

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