Die Herzruptur: Histologische Untersuchungen am Myokard rupturierter und nicht rupturierter Herzinfarkte

Autor:	W. Langewitz, W. Féaux de Lacroix, B. Helpap
Rok vydání:	2008
Předmět:	medicine.medical_specialty business.industry Mortality rate Infarction General Medicine medicine.disease Transmural infarction Internal medicine cardiovascular system medicine Cardiology cardiovascular diseases Myocardial infarction business
Zdroj:	DMW - Deutsche Medizinische Wochenschrift. 105:515-519
ISSN:	1439-4413 0012-0472
Popis:	178 myocardial infarcts with wall rupture and 116 without were studied histologically. Mean morphological age of the infarct was 3.7 in the ruptured and 2.9 days in the non-ruptured cases. 57.7% of patients had died within the first 24 hours from a non-ruptured infarct. Death rate within the first 24 hours after infarction was 57.7% among the non-ruptured cases, 25.8% among those with rupture. 23.1% of infarcts had ruptured between the third and fourth day. Only 5.1% of patients with non-ruptured infarcts had died on the third or fourth day. Transmural infarction was present in 71.7% of those that had ruptured. The ruptured channel in general ran through the middle of the necrotic-infarcted, leucocyte-infiltrated myocardium. Infarct recurrence was demonstrated in 20% of ruptured and 73% of non-ruptured infarcts. Morphological comparison indicated that transmural infarction and marked leucocytic reaction in a not previously infarct-damaged myocardium are the main causes for rupture in myocardial infarction.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::e0a1d81403a8b769b7e796cfb1af631a https://doi.org/10.1055/s-2008-1070698 Zobrazit plný text záznamu