Clinical picture and variants in the course of chronic postinfarction aneurysms of the heart
Petrovskiĭ, B.V.; Lyskin, G.I.; Nechaev, D.D.
Kardiologiia 15(5): 19-22
1975
ISSN/ISBN: 0022-9040 PMID: 125358 Document Number: 91851
The study is based on the analysis of 268 patients with chronic postinfarction aneurysms of the heart, 190 of whom were operated. Clinical characteristics of postinfarction cardiac aneurysms are presented, and several symptoms typical for this pathology are singled out: pericardial pulsation, low pulse volume, tachycardia, outward shift of the left margin of the heart, galloping atrial rhythm. Proceeding from a careful analysis of the clinical material an original classification of the variants of the clinical course of chronic postinfarction carrdiac aneurysms is introduced: 1) with prevailing chronic coronary insufficiency; 2) with combined chronic coronary and cardiac insufficiency; 3) with prevailing cardiac insufficiency.