[Comparison of the electrocardiographic and pathologo-anatomic data in 110 fresh myocardial infarct patients].
The electrocardiograms of 110 patients with recent myocardial infarction treated and died at CCVD--RI of CVD, MA, were studied. The electrocardiographic image was juxtaposed to the pathological finding. The analysis revealed that 86.3 per cent of the infarctions were diagnosed and localized properly via the 12 routine leads. In the group of undistinguished transmural infarctions (11 patients) the patients with posterior myocardial infarction predominated (8 patients), patients with bundle branch block (1 patient with left bundle branch block, 2 patients with right bundle branch block and 1 patient with left anterior fascicular block) and an opposite healed myocardial infarction was present in six of the patients deceased. Among the deceased with the non-diagnosed non-transmural infarctions (4 patients), three were with a posterior localization, one with left bundle branch block and in all of them--healed myocardial infarctions were found. No complete coincidence between the ECG and pathologoanatomical idea was established as regards non-transmural and transmural myocardial infarction, because in half of the patients with non-transmural infarction, confirmed at necropsy, a pathological O deflection was found. The clinical value of the electrocardiographic classification of myocardial infarctions as transmural and non-transmural is discussed.
D001344:Autopsy; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000503:physiopathology*; D009206:Myocardium / Q000473:pathology; D009336:Necrosis
Sŭpostavka na elektrokardiografski i patologoanatomichni danni pri 110 bolni s presen miokarden infarkt.