Causes of Death in Acute Myocardial Infarction - A Pathological Study

摘要

Our aim was to document the causes of death in fatal acute myocardial infarctions by necropsy examination of 71 patients (pts) who died in the hospital between 2000 and 2002. 61 (85.9 %) pts had STEMI (15.5 % thrombolyzed, tSTEMI and 71.2 % non thrombolized, ntSTEMI) and 10 (14 %) NSTEMI. Pathological findings were: heart rupture in 6 (12 %) ntSTEMI and in 4 (36.6 %) tSTEMI (p<0.001); associated old myocardial infarction in 13 (26 %) ntSTEMI, 5 (45 %) tSTEMI and 5 (50 %) NSTEMI; presence of left ventricular thrombus in 9 (18 %) ntSTEMI, 2 (18 %) t STEMI and 1 (10 %) NSTEMI; coexistence of pulmonary thromboembolism in 18 (36 %) nt STEMI); mesenteric infarction in 5 (10 %) ntSTEMI. In 21 (29.57 %) cases there were also pathological findings of pneumonia. These associations suggest an important systemic prothrombotic and inflammatory status.