Belov Iu, Prodanov A, Boiadzhiev K, Klisurov G, Sotirov D
Vutr Boles. 1978;17(2):35-41.
Analysis was performed on 220 cases--decreased with acute myocardial infarction, subdivided into two groups--not hypertonics and hypertonics. The average age of the decreased with acute myocardial infarction with arterial hypertension is higher. Substantial differences are absent in the carriers of coronary type, degree of atherosclerotic affection and coronaries myocardiosclerosis and past infarctions, preceding the development of the acute myocardial infarction, being the cause of the death. Coronary thrombosis, mural thrombosis, acute aneurysms, and embolic complications in the systemic and pulmonary circulation proved to be more frequent among hypertonic. Discrepancies are absent as regards the localization of the necrotic zone and involvment of the ventricular muscles. Rupture incidence in both groups is very high and almost the same--over 25 per cent. External ruptures are found to be more frequent, being most often posterior in hypertonics. Parillary ruptures are characteristic for them. No difference is established concerning the exitus. Left ventricle insufficiency ranks first for both groups--over 67 per cent; second to follow are the heart ruptures with tamponade--about 20 per cent; and third--the arterial embolias in systemic circulation--9--10 per cent.
对220例急性心肌梗死患者进行了分析，这些患者被分为两组——非高血压组和高血压组。急性心肌梗死合并动脉高血压患者的平均年龄较高。在冠状动脉类型、动脉粥样硬化病变程度、冠状动脉心肌硬化以及急性心肌梗死发生前的既往梗死情况（这些是导致死亡的原因）方面，两组之间没有显著差异。冠状动脉血栓形成、壁血栓形成、急性动脉瘤以及体循环和肺循环中的栓塞并发症在高血压组中更为常见。坏死区的定位和心室肌受累情况在两组之间没有差异。两组的破裂发生率都非常高且几乎相同——超过25%。发现外部破裂更为常见，在高血压组中最常发生在后部。乳头肌破裂是其特征。两组的死因没有差异。两组中左心室功能不全均位居首位——超过67%；其次是心脏破裂伴心包填塞——约20%；第三位是体循环中的动脉栓塞——9% - 10%。
