Schröter H, Schulte K L, Beck O A, Hochrein H
Herz. 1978 Jun;3(3):185-90.
In a group of 701 patients with acute myocardial infarction treated in the intensive care unit from 1969 to 1976 557 ((79,5%) had a transmural infarction. The clinical course in these patients was significantly more aggravated by haemodynamic complications especially left and right heart failure and cardiogenic shock. The pericarditis appeared with an incidence of 10,4% as complication of transmural myocardial infarction only. Atrioventricular block, supraventricular ectopies, ventricular fibrillation and intraventricular disturbance of conduction occurred more frequently in patients with transmural myocardial infarction. Corresponding to the larger size of infarction the maximal average rise of serum enzymes (SGOT, CPK) was observed in this group. The hospital mortality was 28,2%, compared to 11,2% of the patients with nontransmural infarction.
在1969年至1976年期间，在重症监护病房接受治疗的701例急性心肌梗死患者中，557例（79.5%）发生透壁性梗死。这些患者的临床病程因血流动力学并发症（尤其是左、右心衰竭和心源性休克）而明显加重。心包炎仅作为透壁性心肌梗死的并发症出现，发生率为10.4%。房室传导阻滞、室上性异位搏动、心室颤动和室内传导障碍在透壁性心肌梗死患者中更频繁发生。与梗死面积较大相对应，该组患者血清酶（SGOT、CPK）的最大平均升高幅度也被观察到。医院死亡率为28.2%，而非透壁性梗死患者的死亡率为11.2%。
