Danev T, Todorova M
Vutr Boles. 1986;25(2):37-9.
A total of 1605 patients with myocardial infarction had been admitted to the district hospital--Sliven for 24 years. The percentage of the deceased out of them is 26.5%. The patients with cardiogenic shock were 166 (10.3%) and 131 of them died (85%). The cardiogenic shock in myocardial infarction reduced its incidence within the 5 years, from 14/4% to 5.3%, and lethality was increased from 75.5 to 91.4%. The males represented 60%. To the age of 60 proved to be 30.1% of the patients. To the age of 45-3.6%; to from 46 to 60-26.5%; from 61 to 75-51.6% and over the age of 75-18%. Angina pectoris was present in 80% in the clinic of the patients with cardiogenic shock in myocardial infarction, with irradiating pain--41%, with asthmatic manifestations--49%, with abdominal manifestations--20% and cerebral manifestations--23%. According to localization the myocardial infarction was grouped as follows: 8.4%--anteroseptal; 17.4%--anterior, 9.6%--massive anterior, 1.8--anterior-apical, 6.4%--anterior lateral, 25.3%--posterior, 9%--posterior-lateral, 5.6%--anterior-posterior, 0.6%--focal and 1% subendocardial. Hypertension proved to be a favourable factor in the development of cardiogenic shock in myocardial infarction in 21.7% as well as diabetes in 15%, rhythm disorders--in 32.2%, pulmonary embolism in 7.9% and decompensation in 14.4%.
在24年期间，共有1605例心肌梗死患者被收治入斯利文地区医院。其中死亡患者的比例为26.5%。心源性休克患者有166例（10.3%），其中131例死亡（85%）。心肌梗死中的心源性休克在5年内发病率从14.4%降至5.3%，致死率从75.5%升至91.4%。男性占60%。60岁及以上患者占30.1%。45岁及以下患者占3.6%；46至60岁患者占26.5%；61至75岁患者占51.6%；75岁以上患者占18%。心肌梗死合并心源性休克的患者临床症状中，80%有胸痛，41%有放射痛，49%有哮喘表现，20%有腹部表现，23%有脑部表现。根据梗死部位，心肌梗死分组如下：前间壁8.4%；前壁17.4%；广泛前壁9.6%；前尖壁1.8%；前侧壁6.4%；下壁25.3%；下侧壁9%；前后壁5.6%；局灶性0.6%；心内膜下1%。高血压在21.7%的心肌梗死合并心源性休克患者中是有利因素，糖尿病在15%的患者中是有利因素，心律失常在32.2%的患者中是有利因素，肺栓塞在7.9%的患者中是有利因素，失代偿在14.4%的患者中是有利因素。
