Case Report
Toxicological and Biochemical Analyses of an Autopsy Case Involving Oral Overdose of Multiple Antidiabetic and Antihypertensive Drugs
Table 2
Biochemical analysis of the pericardial fluid, heart, and peripheral iliac vein blood, cerebrospinal fluid, and vitreous humor.
| | Present case | Chloride (CI) (mEq/L) | Potassium (K) (mEq/L) | Sodium (Na) (mEq/L) | Calcium (Ca) (mEq/L) | Renin (pg/mL) | Aldosterone (pg/mL) | Angiotensin I (pg/mL) | Angiotensin II (pg/mL) | ANP (pg/mL) | BNP (pg/mL) |
| | Left heart blood | 81 | 19.8 | 135 | 10.9 | 3 | 163 | 480 | 90 | — | — | | Right heart blood | 71 | 33.9 | 125 | 10 | 6 | | 500 | 110 | — | — | | Iliac vein blood | 71 | 36.2 | 125 | 10.4 | | | | | — | — | | Pericardial fluid | 102 | 25.2 | 133 | 7.9 | | 16.2 | | | 47.3 | 211 | | Vitreous humor (left/right) | 170/280 | 12.0/18.0 | 180/180 | 2.0/0.0 | | | | | | | | Cerebrospinal fluid | 146 | 4.0 | 153 | 0.7 | | | | | | |
| | Autopsy reference values and medians (25th and 75th percentiles) in our department | | Left heart blood | 87 (80–94) | 24.9 (18.8–32.3) | 128 (118–136) | 10.7 (9.7–12.0) | — | — | — | — | 0 (0–10) | 8.1 (2.1–18.5) | | Right heart blood | 80 (73–88) | 32.6 (25.8–41.5) | 121 (111–130) | 10.4 (9–11.7) | — | — | — | — | 0 (0–10) | 15.7 (2–58.4) | | Iliac vein blood | 83 (75–90) | 33 (25.9–41.4) | 127 (117–136) | 12.0 (10.3–13.0) | — | — | — | — | 5.2 (0–10) | 4.8 (2–24.1) | | Pericardial fluid | 97 (89–105) | 29.2 (23.6–40) | 124 (113–133) | 8.6 (7.8–9.4) | — | — | — | — | 14 (9–28) | 78.9 (17.7–308.0) | | Vitreous humor (left/right) | — | — | — | — | — | — | — | — | — | — | | Cerebrospinal fluid | — | — | — | — | — | — | — | — | — | — |
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