[Factors affecting the cause of death in the acute stage of myocardial infarct].

Out of 762 patients with acute myocardial infarction .184 (24.15%) were with a lethal end. The basic causes of death were cardiac weakness (28.26%), rhythm and conduction disturbances (25.0%), cardiac rupture (24.45%), cardiogenic shock (16.30%) and thromboembolia (5.91%). Cardiac weakness was established as a death cause to be associated with the age between 60 and 70, male patients, anterior site of infarction, healed heart infarction and considerable lesion of the coronary arteries. Rhythm death is characteristic for young age, posterior site of infarction, lesion of septum in patients with diabetes mellitus. Cardiac rupture was a frequent cause for death among females, arterial hypertension, anterior apical site of infarction and massive, transmural infarction with insignificant lesions of the coronary arteries. The cardiogenic shock was the lethal cause in patients with a past history of infarction, severe alterations in the coronary arteries, posterior site of the infarction, with diabetes mellitus and female patients.