ABSTRACT
The results of examination of 74 patients aged 33 to 65 years with intramural myocardial infarction (MI) are analyzed. It is established that as compared to patients with transmural MI, this group of patients showed recurrent attacks of angina pectoris and MI more frequently (during treatment at hospital). In addition, the exercise test in such patients was positive more often either (the data are statistically significant). The symptomatology of intramural MI is determined by the fact that the area of blood supply to tht subtotally stenosed infarction-dependent vessel is considerably larger as compared to the area of injury as a result of which the preserved myocardium experiences severe hypoxia. It is advised that in complicated intramural MI, angiography of the venous arteries may be carried out. Moreover, provided there are indications, endovascular or surgical revascularization of the myocardium may be considered.
