Congestive cardiomyopathy (pathologo-anatomic study of the heart)
Zhdanov, V.S.; Bragin, M.A.
Kardiologiia 26(2): 15-19
1986
ISSN/ISBN: 0022-9040 PMID: 3702191 Document Number: 269599
A pathomorphologic study of 40 cases of congestive cardiomyopathy (CCMP) demonstrated that circulatory insufficiency was the cause of death in 70% of cases, while sudden death occurred in 25%. Morphometric investigation identified 3 CCMP patterns: cardiosclerosis-free and accompanied with small-focal (diffuse) and large-focal cardiosclerosis. The mean duration of the disease and the mean age at death were the smallest in the cardiosclerosis-free group where the dilatation of heart cavities was found to be the greatest. A direct relationship was demonstrated between the duration of the disease and the myocardial fibrous tissue content. Blood flow deceleration due to circulatory insufficiency in CCMP cases was shown to be conducive to thrombogenesis both in heart cavities, and in minor pulmonary arteries and myocardial veins.