Bluzhas I N, Stalioraĭtite E I, Grazhuliavichene R I
Kardiologiia. 1982 Jan;22(1):82-5.
The analysis of frequency and significance of standardized clinical diagnostic criteria of acute myocardial infarction was performed in 258 patients with ischaemic heart disease in the groups of "certain" (227 cases) and "possible" (31 cases) acute myocardial infarction in Kaunas myocardial infarction register. For the analysis of morphological criteria the pathology of coronary arteries and of the myocardium of 85 males, brought in dead, was studied in detail. 26 of these cadavers were classified as "certain" and 59 as "possible" myocardial infarction. The results of investigation showed the accepted criteria to be inadequate for complete identification of acute myocardial infarction. Frequent and more comprehensive electrocardiographic examinations and detailed histological studies may be helpful for reaching this aim.
在考纳斯心肌梗死登记处，对258例缺血性心脏病患者进行了急性心肌梗死标准化临床诊断标准的频率和意义分析，这些患者分为“确诊”（227例）和“可能”（31例）急性心肌梗死组。为分析形态学标准，对85例男性死者的冠状动脉和心肌病理进行了详细研究。其中26例尸体被归类为“确诊”心肌梗死，59例为“可能”心肌梗死。研究结果表明，现有的标准不足以完全识别急性心肌梗死。频繁且更全面的心电图检查和详细的组织学研究可能有助于实现这一目标。
