Pavlovic J, Smíd J, Stanĕk V, Málek I, Hammer J, Bergmann K
Cor Vasa. 1976;18(4):241-8.
Mortality during the hospitalization period was analyzed in a sample of 786 patients with acute myocardial infarction [AMI], admitted to the coronary care unit within a five-year period from a catchment area of 200 000 urban inhabitants. The total mortality during the hospitalization period amounted to 19.2%. The prognostic significance of certain clinically meaningful phenomena was appraised on the basis of their association to the mortality. It was demonstrated that the factors decisive for the prognosis of a patient with AMI are age, previous myocardial infarction, extent and localization of the ischaemic lesion apparent from the ECG tracing, and, in addition, presence of the atrioventricular and intraventricular conduction defects, especially if combined with anterior myocardial infarction. Patients with a high cumulation of these prognostic factors exhibited severe signs of mechanical heart failure, which is the mechanism of death in practically all of the deceased patients under the present possibilities of treatment.
在一个由786例急性心肌梗死（AMI）患者组成的样本中分析了住院期间的死亡率，这些患者在五年内来自一个拥有20万城市居民的集水区，并被收治入冠心病监护病房。住院期间的总死亡率为19.2%。基于某些具有临床意义的现象与死亡率的关联，对其预后意义进行了评估。结果表明，对AMI患者预后起决定性作用的因素包括年龄、既往心肌梗死、心电图显示的缺血性病变的范围和部位，此外还有房室和室内传导缺陷的存在，特别是当与前壁心肌梗死合并时。这些预后因素高度累积的患者表现出严重的机械性心力衰竭体征，在目前的治疗可能性下，这实际上是所有死亡患者的死亡机制。
