Document Detail


Cardiovascular gas on non-traumatic postmortem computed tomography (PMCT): the influence of cardiopulmonary resuscitation.
MedLine Citation:
PMID:  16012397     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to investigate the causes of cardiovascular gas (CVG) detected on non-traumatic postmortem computed tomography (PMCT). MATERIALS AND METHODS: PMCT was performed on 247 subjects within two hours of non-traumatic death, including 228 patients who had undergone cardiopulmonary resuscitation (CPR) and 19 patients who had not. We evaluated the incidence and distribution of CVG in four areas of the heart, namely, 1) the upper course of the right atrium (UC-RA), 2) the right atrium, 3) the right ventricle, and 4) the left heart (left atrium, left ventricle, and aorta). RESULTS: CVG was observed in 163 (71%) of the 228 patients who underwent CPR. In those 163 patients, we detected CVG in the UC-RA (103 patients), right atrium (81 patients), right ventricle (94 patients), and left heart (5 patients). Nineteen patients who received no CPR showed no CVG. CONCLUSION: CVG on non-traumatic PMCT is mainly caused by CPR, which is characterized by venous catheterization that permits possible air inflow and by pneumatization of dissolved gas in the blood as a result of cardiac massage.
Authors:
Seiji Shiotani; Mototsugu Kohno; Noriyoshi Ohashi; Shigeru Atake; Kentaro Yamazaki; Hidetsugu Nakayama
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Radiation medicine     Volume:  23     ISSN:  0288-2043     ISO Abbreviation:  Radiat Med     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-07-13     Completed Date:  2005-10-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8412264     Medline TA:  Radiat Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  225-9     Citation Subset:  IM    
Affiliation:
Department of Radiology, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Cardiopulmonary Resuscitation*
Cardiovascular System / radiography*
Child
Child, Preschool
Female
Gases
Heart / radiography
Humans
Infant
Infant, Newborn
Male
Middle Aged
Postmortem Changes*
Tomography, X-Ray Computed*
Chemical
Reg. No./Substance:
0/Gases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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