[The possibility of spontaneous lysis of a coronary thrombus in patients with acute myocardial infarct].
The results of coronary angiography in 108 patients within the first 24 hours of myocardial infarction were compared to autopsy coronary arterial findings in 78 cases of myocardial infarction death within similar periods of time. The rate of occlusion of the coronary artery, responsible for infarction, dropped considerably within 12-24 hours of its onset, as compared to the data obtained within the first 6 hours: from 90.3% to 57.1% as evidenced by coronarography, or from 87.8% to 68.4% as evidenced by postmortem findings. Coronarography conducted within the first day of myocardial infarction demonstrated markedly activated fibrinolysis that coincided with the drop in the incidence of coronary-arterial thrombosis. Fibrinolysis activation is a prerequisite for spontaneous coronary thrombolysis.
Zingerman
L S
LS
Golikov
A P
AP
Topchiian
G S
GS
Galakina
I E
IE
Zvereva
T V
TV
D000328:Adult; D000368:Aged; D017023:Coronary Angiography; D005260:Female; D005342:Fibrinolysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000503:physiopathology*
O vozmozhnosti spontannogo lizisa tromba koronarnoĭ arterii u bol'nykh ostrym infarktom miokarda.