Markova A I, Raĭnova I V, Syrkin A L
Kardiologiia. 1979 Jan;19(1):68-74.
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.
这项研究基于对656例心肌梗死患者的随访结果，这些患者在发作后的前72小时内存活下来。105人（16.1%）的疾病呈复发过程，其中32人（30.4%）死亡。在551例无疾病复发的患者中，有9人（1.6%）死亡。复发性坏死是心肌梗死住院死亡率的主要原因，死亡发生在疾病发作后3天。具有致命结局的复发性心肌梗死的临床表现以哮喘和心律失常变体占优势的高发生率为特征。复发性心肌梗死的形态学表现以液化性坏死占优势、坏死周围区心肌“损伤”的大病灶以及增殖过程不明显为特征。
