[Problems in treating ischemic heart disease].
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Biomedical subjects
Publications and source records attributed to E Malamov.
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The prognostic value of ST segment elevation on electrocardiograms is studied in 400 patients with acute myocardial infarction, 138 of them deceased. A close correlation was established between the degree of ST segment elevation and mortality rate. The average value of ST elevation in all deceased is 5.22 +/- 0.20 mm, und in all survived the acute stage--3.39 +/- 0.15 mm. Those values are higher in anterior infarction--5.55 +/- 0.23 mm and 3.99 +/- 0.15 mm and lower in posterior infarction 4.45 +/- 0.25 mm and 2.65 +/- 0.10 mm. The ST segment elevation over the average values in the deceased is a poor prognostic sign and an elevation slightly lower than the average values in the recovered is a favourable prognostic sign.
The post-mortem examined rheumatic valvular diseases are confronted for the period 1961-1967 and 1968-1973. Advanced age with one decade is established in the deceased during the second period, as well as increased per cent of thromboembolic complications and chronic cardiac insufficiency and decreased per cent of rheumatic activity. A considerable per cent of rheumatic activity is observed in the deceased during the fourth and fifth decade. No difference concerning sex and valvular lesions are established in both groups.