[Recurrent necrosis as a complication of the subacute period of myocardial infarct].

Recurrent myocardial infarction was observed in 105 among 656 myocardial infarction patients (16.1%). The recurrence developed more often after macro-focal infarction, especially when complicated by cardiogenic shock and/or pulmonary oedema. The clinical pattern of a recurrence was characterized by a significant increase of the incidence of the arrhythmic and gastralgic variants of myocardial infarction. Among those surviving acute myocardial infarction for over 72 hours recurrent necrosis was the leading cause of death in 78%. A faster hospital rehabilitation of the myocardial infarction patients did not result in any increase of the incidence of recurrent myocardial infarction.