1. [Aneurysms in acute myocardial infarction (multicenter studies)].
- Author
-
Sczaniecka O, Kuch J, Srzednicki M, Sadowski Z, Burduk P, Markiewicz M, Bacior B, Aksiucik A, Swiatecka G, and Anczykowska M
- Subjects
- Adult, Aged, Arrhythmias, Cardiac diagnosis, Echocardiography, Electrocardiography, Female, Heart Aneurysm diagnosis, Heart Aneurysm diagnostic imaging, Heart Failure diagnosis, Heart Ventricles diagnostic imaging, Humans, Male, Middle Aged, Poland, Arrhythmias, Cardiac etiology, Heart Aneurysm etiology, Heart Failure etiology, Myocardial Infarction complications
- Abstract
The authors present outcomes concerning frequency of appearance and clinical course of aneurysms after acute myocardial infarction. The study population consisted of 730 patients (mean age 54 +/- 9 years) with acute myocardial infarction, including 579 men and 151 women. The diagnosis was based on the following criteria: 1) coronary artery disease history, 2) physical examination, 3) ECG, 4) 2-dimensional echocardiography, 5) biochemical data. Post-infarction aneurysm was revealed in 42 patients (5.8%, 33 men and 9 women); antero-lateral aneurysm--in 36 patients (85.7%), and inferior-posterior aneurysm--in 6 patients (14.3%). Ventricular arrhythmias in the first day of infarction had a high frequency in both groups; with aneurysm--92.9%, without aneurysm--82.2%. The frequency of arrhythmia in 21-st day of infarction decreased similarly in both groups with aneurysm--40.5%, without aneurysm--38.9%. There was no statistically significant difference among both groups. There was no correlation between localisation of aneurysms and degree of contractility disturbances of the heart muscle (dyskinesis, akinesis). Heart failure--class III and IVK (Killip-Kimball classification) occurred in 19.0% of patients with aneurysm and in 10.4% of patients without aneurysm. That was no essential correlation between localisation of aneurysms and advancement of the heart failure.
- Published
- 1992