Abstract
Daily urinary excretion of vanillylmindalic acid in patients with acute myocardial infarction and progressive angina pectoris was studied in dynamics. We examined 110 patients on days 1-5, 6-10, 30-35 of the disease (group I). There were 76 men, aged 32-84 years (mean age, 56.0), and 34 women, aged 44-85 years (mean age, 66.3). Large focal myocardial infarction was diagnosed in 69 (62.7%) patients, small focal - in 18 (16.4%), recurrent - in 23 (20.9%). Myocardial infarction of anterior wall of the left ventricle was diagnosed in 64 patients, posterior - in 32 patients, and anteroposterior - in 14 patients. Acute period of the disease occurred in 66 (60%) patients with various complications: cardiac rhythm and conduction disorders, circulatory disorders, pulmonary edema, 1st-II degree cardiogenic shock, thromboembolism, acute atony of the stomach and intestines, cardiac asthma.
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