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검안 시 급성심근경색 진단을 위한 심근효소 검사의 유용성

Other Titles
 Evaluation of the Usefulness of Cardiac Enzyme Analysis for the Diagnosis of Acute Myocardial Infarction in Postmortem Inspection 
Authors
 박종필  ;  이탁수  ;  최민성  ;  양경무  ;  박정우  ;  원유진  ;  이종석  ;  김덕훈  ;  최승규  ;  이경홍  ;  김정환  ;  김모아  ;  유미영 
Citation
 Korean Journal of Legal Medicine (대한법의학회지), Vol.43 : 91-96, 2019 
Journal Title
 Korean Journal of Legal Medicine (대한법의학회지) 
ISSN
 2383-5702 
Issue Date
2019
Keywords
Myocardial infarction ; Diagnosis ; Postmortem changes ; Troponin I
Abstract
Acute myocardial infarction is one of the most common causes of unexpected deaths, but there are limitations to its diagnosis in postmortem inspection. In this study, we aimed to investigate the usefulness of cardiac marker analysis for the diagnosis of acute myocardial infarction in postmortem inspection. This study was conducted on 30 postmortem inspection cases conducted by the National Forensic Service from 2016 to 2018. Tests for three myocardial enzymes (myoglobin, creatinine kinase-MB, and cardiac troponin I) were performed in each case, and the relationships between enzyme levels, cause of death, and factors affecting the postmortem tests were analyzed. Cardiac enzyme concentrations were not significantly different between the heart disease group and other disease groups, and the false-positive rate was increased due to postmortem changes. Therefore, we can conclude that it is not appropriate to use cardiac enzyme analysis for the diagnosis of acute myocardial infarction in postmortem inspection.
Files in This Item:
T201905410.pdf Download
DOI
10.7580/kjlm.2019.43.3.91
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Forensic Medicine (법의학과) > 1. Journal Papers
Yonsei Authors
Park, Jong Pil(박종필) ORCID logo https://orcid.org/0000-0002-6525-3012
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173661
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