Heart weight must not be measured before dissection during autopsies

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Heart weight must not be measured before dissection during autopsies. / Lohner, Larissa; Sinning, Christoph Robert; Suling, Anna ; Tse, Rexson; Garland, Jack; Ondruschka, Benjamin.

In: INT J LEGAL MED, Vol. 137, No. 6, 11.2023, p. 1751–1755.

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@article{fffb9bb1d925457892f771d71927b3c0,
title = "Heart weight must not be measured before dissection during autopsies",
abstract = "During autopsies, weighing the heart is a standard procedure. In addition to myocardial pathologies, heart size, and ventricular wall thickness, heart weight is a common parameter to describe cardiac pathology and should be recorded as accurately as possible. To date, there exists no standard for recording heart weight at autopsy, although some authors recommend weighing the heart after dissection and removal of blood and blood clots. In the study presented, the hearts of 58 decedents were weighed after being dissected out of the pericardial sac (a), after dissection using the short-axis or inflow-outflow method with manual removal of blood and blood clots (b), and after rinsing and drying (c). Depending on the dissection method, the heart weight was 7.8% lower for the inflow-outflow method and 11.6% lower for the short-axis method after dissection compared to before and correspondingly 2.9% to 5% lower again after rinsing and drying respectively. Accordingly, the heart should be dissected, blood and blood clots removed, rinsed with water, and dried with a surgical towel after dissection, before weighing.",
author = "Larissa Lohner and Sinning, {Christoph Robert} and Anna Suling and Rexson Tse and Jack Garland and Benjamin Ondruschka",
year = "2023",
month = nov,
doi = "10.1007/s00414-023-03089-9",
language = "English",
volume = "137",
pages = "1751–1755",
journal = "INT J LEGAL MED",
issn = "0937-9827",
publisher = "Springer",
number = "6",

}

RIS

TY - JOUR

T1 - Heart weight must not be measured before dissection during autopsies

AU - Lohner, Larissa

AU - Sinning, Christoph Robert

AU - Suling, Anna

AU - Tse, Rexson

AU - Garland, Jack

AU - Ondruschka, Benjamin

PY - 2023/11

Y1 - 2023/11

N2 - During autopsies, weighing the heart is a standard procedure. In addition to myocardial pathologies, heart size, and ventricular wall thickness, heart weight is a common parameter to describe cardiac pathology and should be recorded as accurately as possible. To date, there exists no standard for recording heart weight at autopsy, although some authors recommend weighing the heart after dissection and removal of blood and blood clots. In the study presented, the hearts of 58 decedents were weighed after being dissected out of the pericardial sac (a), after dissection using the short-axis or inflow-outflow method with manual removal of blood and blood clots (b), and after rinsing and drying (c). Depending on the dissection method, the heart weight was 7.8% lower for the inflow-outflow method and 11.6% lower for the short-axis method after dissection compared to before and correspondingly 2.9% to 5% lower again after rinsing and drying respectively. Accordingly, the heart should be dissected, blood and blood clots removed, rinsed with water, and dried with a surgical towel after dissection, before weighing.

AB - During autopsies, weighing the heart is a standard procedure. In addition to myocardial pathologies, heart size, and ventricular wall thickness, heart weight is a common parameter to describe cardiac pathology and should be recorded as accurately as possible. To date, there exists no standard for recording heart weight at autopsy, although some authors recommend weighing the heart after dissection and removal of blood and blood clots. In the study presented, the hearts of 58 decedents were weighed after being dissected out of the pericardial sac (a), after dissection using the short-axis or inflow-outflow method with manual removal of blood and blood clots (b), and after rinsing and drying (c). Depending on the dissection method, the heart weight was 7.8% lower for the inflow-outflow method and 11.6% lower for the short-axis method after dissection compared to before and correspondingly 2.9% to 5% lower again after rinsing and drying respectively. Accordingly, the heart should be dissected, blood and blood clots removed, rinsed with water, and dried with a surgical towel after dissection, before weighing.

U2 - 10.1007/s00414-023-03089-9

DO - 10.1007/s00414-023-03089-9

M3 - SCORING: Journal article

C2 - 37723344

VL - 137

SP - 1751

EP - 1755

JO - INT J LEGAL MED

JF - INT J LEGAL MED

SN - 0937-9827

IS - 6

ER -