Features of morphofunctional state of the heart in young and middle- aged men with recurrent myocardial infarction

Conditions of development and characteristics of the course of initial and secondary myocardial infarction (MI) within first 48 hours after onset in 863 males of different age have been investigated. It was discovered that elderly and senile males especially with the secondary MI have atypical course of the disease. Cardiac insufficiency symptoms in systemic and pulmonary circulations prevail in that group of patients. Heart rate disturbances in males of both age groups with initial and secondary MI are the most often sequelae. Pulmonary edema, cardiac asthma, heart aneurysm, thromboendocarditis, pneumonia and pulmonary embolism have been detected most often in males beyond 60 years old with lethal secondary MI. The patients had 3 and more complications of different combinations caused by electrical instability, retractive insufficiency and mechanical failure of myocardium.