[Clinico-morphological characteristics of recurrent myocardial infarct with lethal outcome].

The work is based on the results of follow-up of 656 patients with myocardial infarction who survived the first 72 hours after the attack. The disease followed a recurrent course in 105 persons (16.1%), 32 (30.4%) of whom died. Nine (1.6%) out of 551 patients who had no recurrence of the disease died. Recurrent necrosis was the principal cause of hospital mortality in myocardial infarction, with death occurring 3 days after the onset of the disease. The clinical picture of recurrent myocardial infarction with a lethal outcome is characterized by a high incidence of the predominance of the asthmatic and arrhythmic variants. The morphologic picture of recurrent myocardial infarction is characterized by the predominance of colliquative necrosis, large foci of myocardial "injury" in the perinecrotic zone, and poorly demonstrated proliferative processes.