gms | German Medical Science

Background: Wide spreading of heart failure (HF) and fatal outcome of heart rupture (HR) (including significance of incomplete ruptures and slight tear of myocardium) are joining these clinical syndromes. The general is their base (we mean the myocardium condition) and some particular pathogenic mechanisms.

The aim of this study is the parallel analyses of the rate of HF and HR in patients with acute MI in the structure of pathological forms in Cardiology Department and their characteristics to compare and generalize results.

Materials and methods: Analysis of 737 cases of MI with documented HF and 27 cases of HR in patients with acute MI admitted in Cardiology Department, 2nd Grodno State Hospital, since 1992 up to 2000 were performed.

Results and discussion: The same types of changes of both complications rate dynamic have been revealed. In 1993 the least HF rate had took place, and HR had not been revealed. Henceforth every year both indices increased gradually. Curves of their annual dynamics are not parallel but they are very much alike and almost coincide themselves. In our opinion, the factor to join them is myocardial condition. As a component of the term the infarction heart, which can reflect morphological changes in MI zone and in noninfarction areas, It reveals functional connexitions between them and a number of other phenomena.

Conclusion: Carrying out analysis allowed revealing much general in development HF and HR in patients with acute MI. The rate of external HR in such patients may be equivalent to some degree to incomplete ruptures (slight tears) of myocardium. The last one may result in cardiogenic shock or pulmonary oedema. Such approach adds to our notions about HF pathogenesis in patients with MI.