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[心肌梗死时心脏失代偿的表现]

[Manifestations of cardiac decompensation in myocardial infarct].

作者信息

Aleĭnikova L I, Minakov A I, Pichugina S A

出版信息

Kardiologiia. 1976 Dec;16(12):73-7.

PMID:1011485
Abstract

A study of the causes of mortality among myocardial infarction patients and of the peculiarities of the manifestations of cardiac decompensation was conducted by way of mathematical prognosing and with the aid of the "Mmirp-1" computer, and permitted to conclude on the necessity of distinguishing between the primary circulatory insufficiency in the acute period, and relapsing circulatory disorders. The prognosis in myocardial infarction permits indirect appraisal of the reserve capacities of the diseased heart. The results of the conducted study indicate that the primary circulatory disorders are 6 times as frequent as the relapsing ones and that half of the patients with signs of circulatory failure dies within the first day of the disease. The long-term prognosis is equally unfavourable for the patients with circulatory insufficiency signs in the acute period: by the end of the 2nd year only 4 of every 10 patients with primary circulatory disorders survive, and 1--2 of every 10 patients with signs of relapsing circulatory disorders, which should be taken into consideration when developing the methods of complex therapy.

摘要

通过数学预测并借助“Mmirp - 1”计算机,对心肌梗死患者的死亡原因及心脏代偿失调表现的特点进行了研究,从而得出有必要区分急性期原发性循环功能不全和复发性循环障碍的结论。心肌梗死的预后有助于间接评估患病心脏的储备能力。所开展研究的结果表明,原发性循环障碍的发生频率是复发性循环障碍的6倍,且有循环衰竭体征的患者中有一半在疾病的第一天内死亡。急性期有循环功能不全体征的患者长期预后同样不佳:到第2年末,每10名原发性循环障碍患者中只有4人存活,每10名有复发性循环障碍体征的患者中只有1 - 2人存活,在制定综合治疗方法时应考虑到这一点。

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[Results of 2-year study of morbidity of myocardial infarct (according to material of the myocardial infarction registry)].[心肌梗死发病率的两年研究结果(根据心肌梗死登记资料)]
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