Features of the constitution of the men died of the myocardial infarction of different localization

Today, the urgent task is to identify predictors of such fatal complications as cardiogenic shock, pulmonary edema, cardiac rupture, asystole in patients with myocardial infarction. It is known that the development of the above complications is to a certain extent associated with the localization of myocardial infarction.

The aim is to identify constitutional features in men who died from acute myocardial infarction of different localization.

Materials and methods. An anthropometric study of 82 corpses of men of the second period of adulthood (36–60 years old) who died of myocardial infarction of various localization was conducted. After measurement, the body types of the corpses were determined by V. N. Shevkunenko, L. Rees H. J. Eisenk, V. M. Chernorutsky, J. Tanner, the shape of the abdomen by V. M. Zhukov, body weight – according to A. Quetelet and body density – according to H. Rohrer. The data obtained was entered into the MS Excel 12.0 program (Microsoft Corporation) and the analysis of the generated data was carried out using the Statistica for Windows 12.0 program. The mean, mean error, and standard deviation were estimated, and the difference (at p < 0.05) between the fractions was calculated using the Pearsons x2 criterion.

Results. The study revealed that in men who died from myocardial infarction, in 56.1 % of cases, the necrosis focus was localized in the anterior wall of the heart, in 25.6 % – the posterior, in 7.2 % – the lateral, in 3.7% – the upper, in 1.2 % – the lower, and in 6.2 % – the interventricular septum. The predominant (60 %) anterior localization of necrosis in the heart was revealed in men who died from acute myocardial infarction, and in case of repeated myocardial infarction – anterior (48.1 %) and posterior (40.8 %). When using the somatotyping technique according to L. Rees, H. J. Eisenk found that among men who died from myocardial infarction of anterior localization of necrosis, persons of normosthenic physique are significantly 3 times less common, but 6 times more common than asthenic ones. For men with posterior localization of myocardial infarction, the opposite ratio is characteristic, namely, persons of normosthenic physique are 3 times more common and 6 times less common than asthenic ones.

Conclusion. Men who died from myocardial infarction with anterior localization of necrosis are more likely to have an asthenic (according to the classification of L. Rees, H. J. Eisenk) body type, and with a posterior – normosthenic.

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