[Survival and state of patients during the 1st year after myocardial infarct (according to data of epidemiological study - myocardial infarct register)]. / Vyzhivaemost' i sostoianie bol'nykh v techenie 1 goda posle infarkta miokarda (po dannym epidemiologicheskogo issledovaniia - registr infarkta miokarda)

The results of observations conducted in accordance with the programme of myocardial infarction register are presented for 143 patients aged under 65 years, surviving beyond 28 days after the onset of the lesion. In 13.2% of those surviving an acute myocardial infarction a recurrence was found to develop within the first postinfarction year, among them in 11.5% of the cases with a fatal result. Over half (51-54%) of those surviving the infarction retain angina of effort, 16.3-23% have cardiac insufficiency. An examination conducted 3 months following the infarction revealed lipid (57.1%) and carbohydrate (54.3%) metabolism disorders in many patients, as well as disturbances in the blood coagulation and anticoagulation systems. Patients surviving myocardial infarction require differentiated and lasting secondary preventive measures.