An autopsy study is presented of 32 cases (age: 45-80 years) with special examination of conduction system of the heart by morphological methods. The patients died of acute and repeat myocardial infarction, ischemic heart disease. The changes were manifested in association of disordered circulatory, destructive and compensatory-adaptative processes that are the background of conduction and rhythm disorders and depending on the degree of circulatory and metabolic disturbances in the contractile myocardium.
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