Cardiac Pathology: Myocardial infarction: Mural thrombus
An autopsy specimen from a 54 year old joiner, admitted dying, it was thought, of uraemia. There had been gradual loss of energy since an attack of chest pain some nine months previously. He had then rested for two days but subsequently continued with his work until he collapsed on the day of his death. On admission his pulse was irregular at about 80 and heart sounds were almost inaudible. Slight oedema was present in the loins and around the shins and there was severe orthopnoea. He died two hours after admission, before a diagnosis could be established.