Comparative Analysis of Myocardial Infarction and Myocardial Reinfarction Rupture Frequency

摘要

Mortality in acute myocardial infarction (AMI) is such that sudden death counts half the number of cases, usually caused by numerous and various complications of AMI, and in 20-25% of cases sudden death of the initial and the first mode of clinical manifestation of ischemic heart disease and acute myocardial infarction. The average length of life after acute myocardial infarction is between 5 and 10 years. Repeted infarction, re-infarction, occurs in about 20 to 50% of cases, with a more frequent mortality, especially sudden death, which amounts to 50% of cases. The aim of this study was to analyze the pathological analysis of heart in dead patients with ischemic coronary heart disease (ICHD) and to determine the incidence of heart rupture (HR) with respect to whether it is the first acute myocardial infarction (AMI) or re-infarction. From 152 autopsied with atherosclerotic coronary artery disease, 121 or 79.6% of the respondents had acute myocardial infarction, so about 80% of dead have acute myocardial infarction. 79 or 52% of patients had acute myocardial infarction with scar, respectively, about half of the dead had two heart attacks. Of 121 cases of AMI, heart rupture was found in 21 cases (13.8%). cardiac left ventricular aneurysm was registered in 21 cases (13.8%). Heart rupture in AMI was more frequent in cases with first AMI than in cases of re-AMI.