Girod M, Bloch A
Schweiz Med Wochenschr. 1978 Nov 4;108(44):1737-40.
A comparison is conducted of two groups of patients with myocardial infarction: one group of 77 patients with subendocardial myocardial infarction (SEMI) and another of 166 patients with transmural myocardial infarction (TMI). In-hospital mortality, ventricular arrhythmias and a-v blocks are higher in TMI. Late follow-up (mean: 43 months) shows, however, that after discharge SEMI shows a higher mortality and more angina and recurrences of myocardial infarction that TMI. These results, and the ECG localization of the MI recurrences, suggest that SEMI usually reflects severe coronary artery disease.
一组77例心内膜下心肌梗死（SEMI）患者，另一组166例透壁性心肌梗死（TMI）患者。TMI患者的院内死亡率、室性心律失常和房室传导阻滞较高。然而，晚期随访（平均43个月）显示，出院后SEMI的死亡率更高，心绞痛和心肌梗死复发更多，高于TMI。这些结果以及心肌梗死复发的心电图定位表明，SEMI通常反映严重的冠状动脉疾病。
