Hypertension and cardiac rupture

摘要: Abstract 1. In a series of 25,000 autopsies at the Los Angeles County Hospital between July 1924, and August 1941, there were 865 hearts which contained unhealed infarcts caused by coronary disease. 2. Among these 72 instances spontaneous rupture through an area ventricular infarction; 50 (70 per cent) on anterior surface heart. 13 was interventricular septum. 3. Scarring present in 58.4 cent unruptured only 26.3 ruptured hearts. 4. tended to be smaller, more completely necrotic, heavily infiltrated with polymorphonuclear leucocytes. 5. Of 100 patients who had nonfatal myocardial infarction, 23 (23 blood pressure 140 90 or above. The average 125 78 . 6. 657 infarction that terminated fatally without rupture, 210 (32 128 81 7. 62 died as result cardiac above 39 (63 cent). 148 93 8. calculated time 7.4 days. Ninety-eight occurred before sixteenth day after infarction. Seventy-eight third twelfth 9. 368 heart weights 400 grams less than 4 rupture. 10. Rupture 25 28 whose weighed pressures 11. first 12,500 this series, done 1924 1935, 266 (8.6 ruptures observed. second half, 1935 599 cases 49 (8.2