Using human cardiac blood from forensic autopsy cases, comprehensive measurements of albumin, vitamins A, B1, B6, B12, C, D, folate, and PIVKA-Ⅱ were performed. Of 128 cases, 83 were male, with an average age of 61.8years and average postmortem interval of 44h. The average concentrations of vitamins were 29.8μg/dL for vitamin A, 32.2μg/dL for vitamin B1, 278ng/mL for vitamin B6 (pyridoxamine), 152ng/mL for vitamin B6 (pyridoxal), 57.2ng/mL for vitamin B6 (pyridoxal), 17.9ng/mL for folate, 1188pg/mL for vitamin B12, 23.5μg/mL for vitamin C, 15.0ng/mL for vitamin D, and 1.03μg/mL for PIVKA-Ⅱ. An autopsy case of a Japanese middle-aged male with beriberi was also presented, where severe edema and effusion of the cavity and a high NT-proBNP serum value were observed; however, cardiac pathology showed no specific abnormal features. In the present case, the blood vitamin B1 concentration was within the standard clinical range. This study revealed that bloodborne water-soluble vitamin levels shows higher to clinical standard value at postmortem, whereas fat-soluble vitamin levels may stay in the standard range or lower. Our findings suggest that postmortem water-soluble vitamin concentrations within the clinical standard may reflect low antemortem vitamin concentrations.
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