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Estimation of normal heart weight in Japanese subjects: development of a simplified normal heart weight scale
M Hitosugi1, A Takatsu, Y Kinugasa
1Department of Forensic Medicine, Jikei University School of Medicine, Tokyo 105-8461, Japan.
Insights
This study establishes normal heart weight (HW) standards for Japanese individuals using body height and weight. A simplified scale was developed for practical estimation of normal heart weight during routine autopsies.
Area of Science:
- Forensic Medicine
- Cardiology
- Anthropometry
Background:
- Estimating cardiac workload requires established standards for normal heart weight (HW).
- Previous research lacks specific HW standards for Japanese populations.
Purpose of the Study:
- To establish normal heart weight standards for Japanese subjects.
- To develop a simplified method for calculating normal heart weight from body height (BH) and body weight (BW).
Main Methods:
- Analysis of heart weight, body height, and body weight from 830 Japanese individuals who died suddenly.
- Calculation of body surface area (BSA) using Takahira's equation.
- Determination of allometric relationships between HW and BSA for males and females.
Main Results:
- Established allometric equations for heart weight based on body surface area: HW=BSA(1.441) x 168.200 for males and HW=BSA(1.367) x 161.970 for females.
- Developed a simplified scale for quick estimation of normal heart weight from body height and body weight.
- Demonstrated the practical applicability of the simplified scale in routine autopsy settings.
Conclusions:
- The developed standards and simplified scale provide a practical tool for estimating normal heart weight in forensic and clinical practice.
- This method aids in assessing cardiac workload and identifying potential cardiac abnormalities in Japanese populations.
- The study contributes to establishing anthropometric reference data for cardiovascular assessment.
Abstract:
To estimate cardiac workload from total heart weight (HW) in persons who have died suddenly, standards of normal HW must be established. We present standards of normal HW for Japanese subjects and propose a simplified scale for calculating normal HW from body height (BH) and body weight (BW). A total of 830 persons (506 male and 324 female) who had died suddenly of unnatural causes were selected for analysis from among persons examined at forensic autopsy at the Jikei University School of Medicine. The HW, BH and BW of each subject were measured. Body surface area (BSA) in square meters was calculated from BH in centimeters and BW in kilograms with Takahira's equation. We found allometric relations between HW and BSA represented by these equations: HW=BSA(1.441) x 168.200 for males and HW=BSA(1.367) x 161.970 for females. For practical use, we developed a simplified scale with which normal HW can be easily and quickly calculated from BH and BW. Our simple technique can be used to estimate normal HW in routine autopsy practice.
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