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Study on the Specificity of Fibrinogen for the Postmortem Diagnosis of Myocardial Infarction
HU Bing-jie;CHEN Yu-chuan;ZHU Jia-zhen;et al.(Department of Forensic Pathology;Sun Yat-sen University of Medical Sciences)
2002(2):
34-36+6.
In order to explore the specificity of fibrinogen(Fg)in the postmortem diagnosis of myocardial infarction,the changes of Fg staining in normal, infarcted and non-infarcted myocardia with direct of indirect myo-cardial injuries(myocarditis,mechanical asphyxia,electrocution,hemorrhagic shock,cardiac contusion and organophosphate poisoning,etc.)were studied with immunohistochemistry and an image andalysis system.The results showed that Fg was negative in the normal myocardia,while positive in the infarcted as well as in the non-infacted with myocardial injuries.The positive staining areas were significantly different from that of the normal control group.lt is concluded that positive reaction of Fg could be easily affected by myocarditis,mechanical asphyxia,electrocution,hemorrhagic shock,cardiaccontusion,and organophosphate poisoning so it is not specific for the diagnosis of myocardial infarction.
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