[Patients with mitral insufficiency during myocardial infarct in the material of the Cardiology Ward in SP ZOZ Sanok].

The author shows the lifestyle of 13 patients among 314 treated for myocardial infarct in the years 1966-2001 on the Cardiological Ward SP ZOZ in Sanok. On physical examination a systolic murmur above the heart was diagnosed at the moment of hospital admission and in the echocardiography, mitral valve disease of the II and III degree was confirmed. Among 12 patients myocardial infarct with Q-wave was found, in 1 patient myocardial infarct without Q wave. In this group 6 patients died during the first hours of myocardial infarct, 7 of them developed acute myocardial infarct. Due to the rupture of the papillary muscle, artificial mitral valve was implanted in one patient; the remainder was qualified for invasive diagnosis. The author points out the diminishing systolic murmur during fibrinolytic treatment. The author observed--likewise in literature--the occurrence of mitral incompetence during the myocardial infarct in 4.1% of patients undergoing medical treatment and 46% mortality rate.