Coronary arteries of 215 autopsied hearts with myocardial infarction (MI), were macroscopically examined by multiple cross sections, for sclerotic narrowing and thrombotic occlusion. Grade of the narrowing was estimated by scores i.
e
. 1 for minimal, 2 for 25%,
3
for 50%, 4 for 75% and
5
for complete occlusion. Entire epicardial course of the coronary arteries consisted of right coronary artery (R), left stem (LS), anterior descending artery (
Ad
) and circumflex branch (
C
), was divided into 17 segments with equal length, and stenotic score was given to the maximal lesion for each segment proximal or distal to thrombosis as well as at just thrombotic site.
Fourty-six fresh thrombi were analysed for detection of the relationship between pre-existed sclerotic narrowing and thrombus formation. In general, the thrombosis occurred at just mildly stenotic site (0.
9
), sandwiched by modrate stenosis (2.
8
) from both proximal and distal side. In male, the stenotic score at each branch proximal to thrombosis was
C
(
3
.
8
)>
Ad
(
3
.
6
)>R (2.0)>LS (0) and that distal to thrombosis was
Ad
(
3
.
3
)>
C
(
3
.2)>LS (2.
5
)>R (2.1). In female, the stenotic score proximal to thrombosis was R (
3
.
5
)>
C
(
3
.2)>
Ad
(1.
5
), and that distal to thrombosis was R (4.1)>
C
(
3
.0)>
Ad
(1.
7
). The stenotic score was increasing with age in female, but not in male. Incidence of marked (4 or more in score), moderate (
3
), and mild (2 or less) pre-existed Stenosis related to thrombosis was 46%,
22
%, and 32% respectively, in general. In male, marked stenosis was frequently seen in
Ad
and
C
, and in famale, marked one was in R.
The results indicated possibility that even mild atherosclerotic narrowing could provoke thrombosis in 1/
3
cases with MI. Male predominancy for
Ad
and LS lesion and female predominancy for R lesion could cause a quite sex difference on the types of MI and coronary thrombosis.
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