Faculty of Mechanical Engineering, Czech Technical University in Prague, Technicka 4, 166 07 Prague, Czech Republic.
Third Faculty of Medicine, Charles University in Prague, Ruska 87, 100 00 Prague, Czech Republic.
J Mech Behav Biomed Mater. 2014 May;33:93-8. doi: 10.1016/j.jmbbm.2013.01.033. Epub 2013 Apr 12.
It is a well-known fact that the length of an artery in situ and the length of an excised artery differs. Retraction of blood vessels is usually observed. This prestretch plays an important role in arterial physiology. We have recently determined that the decrease of axial prestretch in the human abdominal aorta is so closely correlated with age that it is suitable for forensic applications (estimation of the age at time of death for cadavers of unknown identity). Since post mortem autolysis may affect the reliability of an estimate based on axial prestretch, the present study aims to detail analysis of the effect of post mortem time. The abdominal aorta is a prominent site of atherosclerotic changes (ATH), which may potentially affect longitudinal prestretch. Thus ATH was also involved in the analysis. Axial prestretch in the human abdominal aorta, post mortem interval (PMI), and the degree of ATH were documented in 365 regular autopsies. The data was first age adjusted to remove any supposed correlation with age. After the age adjustment of the sample, the correlation analysis showed no significant PMI effects on the prestretch in non-putrefied bodies. Analysis of the prestretch variance with respect to ATH suggested that ATH is not a suitable factor to explain the prestretch variability remaining after the age adjustment. It was concluded that, although atherosclerotic plaques may certainly change the biomechanics of arteries, they do not significantly affect the longitudinal prestretch in the human abdominal aorta.
众所周知,原位动脉的长度和切除动脉的长度不同。通常会观察到血管的回缩。这种预拉伸在动脉生理学中起着重要作用。我们最近发现,人类腹主动脉的轴向预拉伸减少与年龄密切相关,因此适用于法医学应用(估计身份不明的尸体的死亡年龄)。由于死后自溶可能会影响基于轴向预拉伸的估计的可靠性,因此本研究旨在详细分析死后时间的影响。腹主动脉是动脉粥样硬化变化(ATH)的突出部位,这可能会潜在影响纵向预拉伸。因此,ATH 也参与了分析。在 365 例常规尸检中记录了人类腹主动脉的轴向预拉伸、死后间隔时间(PMI)和 ATH 的程度。首先将数据进行年龄调整以消除与年龄的任何假定相关性。在对样本进行年龄调整后,相关性分析显示非腐败尸体的 PMI 对预拉伸没有显著影响。对 ATH 分析预拉伸方差表明,ATH 不是一个合适的因素,可以解释年龄调整后剩余的预拉伸可变性。结论是,尽管动脉粥样硬化斑块肯定会改变动脉的生物力学特性,但它们不会显著影响人类腹主动脉的纵向预拉伸。