Thesis by Sreenivas M.: A Study of Incidence and Severity of Coronary Artery Stenosis at Autopsy: Anil Aggrawal's Internet Journal of Forensic Medicine
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Received: June 24, 2007
Accepted: June 28, 2008
Ref: Sreenivas M.  A Study Of Incidence And Severity Of Coronary Artery Stenosis At Autopsy (A thesis submitted to the University of Delhi in April 2001 as part of the requirement for the degree of Doctor of Medicine (Forensic Medicine).  Anil Aggrawal's Internet Journal of Forensic Medicine and Toxicology, 2009; Vol. 10, No. 1 (January - June 2009): ; Published January 1, 2009, (Accessed: 

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Anil Aggrawal's Internet Journal of Forensic Medicine and Toxicology

Volume 10, Number 1, January - June 2009

THESIS SECTION

A STUDY OF INCIDENCE AND SEVERITY OF CORONARY ARTERY STENOSIS AT AUTOPSY


A THESIS SUBMITTED TO THE UNIVERSITY OF DELHI IN APRIL 2001 AS PART OF THE REQUIREMENT FOR THE DEGREE OF DOCTOR OF MEDICINE (FORENSIC MEDICINE)

-Sreenivas M
drsreenivas.mamc@gmail.com


Title (27 kb)

Introduction (57 kb)

Aims and Objectives (24 kb)

Review of Literature (86 kb)

Materials and Methods (67 kb)

Observations (doc file) (67 kb)

Observations (ppt file) (176 kb)

Discussion (59 kb)

Summary and Conclusions (26 kb)

Bibliography (36 kb)

Proforma (64 kb)

Masterchart (124 kb)

Figures with captions (Please click each figure to enlarge)
Figure 1. Normal uniform staining with NBT (Nitro Blue Tetrazolium chloride) (L) compared with unstained slice of heart (R) Figure 2. Normal uniform staining of heart slice with TTC (Triphenyl Tetrazolium Chloride) Figure 3. Subendocardial infarct of Left ventricle revealed after NBT staining. Note the darkly stained normal myocardium of the left ventricle. A thin rim of myocardium on the endocardial side has remained unstained indicating ischaemia. Cut section of the right ventricular myocardium is not visible. What is seen is the epicardial surface, which doesn't take up stain. Figure 4. Infarct area of midzone of anterior and septal regions of the left ventricles - NBT staining
Figure 1. Normal uniform staining with NBT (Nitro Blue Tetrazolium chloride) (L) compared with unstained slice of heart (R)
Figure 2. Normal uniform staining of heart slice with TTC (Triphenyl Tetrazolium Chloride)
Figure 3. Subendocardial infarct of Left ventricle revealed after NBT staining. Note the darkly stained normal myocardium of the left ventricle. A thin rim of myocardium on the endocardial side has remained unstained indicating ischaemia. Cut section of the right ventricular myocardium is not visible. What is seen is the epicardial surface, which doesn't take up stain.
Figure 4. Infarct area of midzone of anterior and septal regions of the left ventricles - NBT staining.
Figure 5. Subendocardial ischaemia of the Right ventricle revealed after NBT staining. Note the relatively less darkening of ischaemic areas, compared with heavy dark staining of myocardium of the Left ventricle Figure 6. Infarct areas of anterior and lateral walls of left ventricle. Note  unstained areas, which represent infarcts Figure 7. Infarct area of anterior wall of left ventricle - TTC staining Figure 8. Transmural infarct of anterior and lateral walls of left ventricle, with involvement of papillary muscles
Figure 5. Subendocardial ischaemia of the Right ventricle revealed after NBT staining. Note the relatively less darkening of ischaemic areas, compared with heavy dark staining of myocardium of the Left ventricle.
Figure 6. Infarct areas of anterior and lateral walls of left ventricle. Note unstained areas, which represent infarcts.
Figure 7. Infarct area of anterior wall of left ventricle - TTC staining.
Figure 8. Transmural infarct of anterior and lateral walls of left ventricle, with involvement of papillary muscles.
Figure 9. Subendocardial infarct of Left Ventricle. Fibrotic old infarct areas also seen in anterior and septal walls - NBT stain
Figure 9. Subendocardial infarct of Left Ventricle. Fibrotic old infarct areas also seen in anterior and septal walls - NBT stain.
Figure 10. Subendocardial infarct of Left Ventricle.
Figure 11. Uniform Normal staining with TTC
Figure 12. Uniform normal staining with NBT
Figure 13. Infarcts of Anterior and septal walls of Left ventricle
Figure 14. Infarct of Lateral wall of Left Ventricle
Figure 15. Normal staining with NBT
Figure 16. Ischaemic areas and old fibrotic patches of anterior and septal walls of Left Ventricle
Figure 17. Old fibrotic areas of anterolateral walls of Left Ventricle
Figure 18. Subendocardial infarct with papillary muscle involvement
Figure 19. Subendocardial infarct with involvement of papillary muscle of Left Ventrcle
Figure 20. Anterior and septal wall infarct of Left Ventricle
   
Figure 21. Anterior wall infarct with papillary muscle involvement
Figure 22. Subendocardial fibrosis of Left Ventricle

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