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Acute myocardial infarct register: the intravital and morphological criteria of "definite" and "possible" infarct

Bluzhas, I.N.; Stalioraĭtite, E.I.; Grazhuliavichene, R.I.

Kardiologiia 22(1): 82-85

1982

ISSN/ISBN: 0022-9040
PMID: 7062596
Document Number: 191689
The analysis of frequency and significance of standardized clinical diagnostic criteria of acute myocardial infarction was performed in 258 patients with ischaemic heart disease in the groups of "certain" (227 cases) and "possible" (31 cases) acute myocardial infarction in Kaunas myocardial infarction register. For the analysis of morphological criteria the pathology of coronary arteries and of the myocardium of 85 males, brought in dead, was studied in detail. 26 of these cadavers were classified as "certain" and 59 as "possible" myocardial infarction. The results of investigation showed the accepted criteria to be inadequate for complete identification of acute myocardial infarction. Frequent and more comprehensive electrocardiographic examinations and detailed histological studies may be helpful for reaching this aim.

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