Matteo J D, Vacheron A, Heulin A, Lafont H, Fleury G, Metzger J P, Pailleur C L, de Ratuld A
Arch Mal Coeur Vaiss. 1978 Nov;71(11):1248-54.
The findings at coronary arteriography and ventricular angiography in 52 patients with a restricted myocardial infarct were compared with those of 106 patients with acute coronary insufficiency and 100 with transmural infarcts. Certain features place restricted myocardial infarction in an intermediate category when compared with the two other syndromes. The percentage of coronary occlusions was significantly higher in transmural infarction (23.5%) and in restricted infarction (16.6%) than in acute coronary insufficiency 6.8%). Study of the vessel beyond a tight stenosis (greater than or equal to 75% was particularly effective in clearly separating the three groups. As a result, 63% of patients with coronary insufficiency, 40% of these with restricted infarcts, and only 23% of patients with a transmural infarct could be referred for surgery. Ventricular angiography showed a close relationship between restricted infarction and acute coronary insufficiency because ventricular function appeared normal or subnormal (localised hypokinesia) in 69% and 81% of cases respectively, compared with 4% of cases of transmural infarction. Restricted myocardial infarction appears to resemble coronary insufficiency, but shows elevation of enzymes and often more marked disease of distal vessels.
对52例局限性心肌梗死患者的冠状动脉造影和心室造影结果，与106例急性冠状动脉供血不足患者及100例透壁性梗死患者的结果进行了比较。与其他两种综合征相比，某些特征使局限性心肌梗死处于中间类别。冠状动脉闭塞的百分比在透壁性梗死（23.5%）和局限性梗死（16.6%）中显著高于急性冠状动脉供血不足（6.8%）。对严重狭窄（大于或等于75%）以外的血管进行研究，在清晰区分这三组方面特别有效。结果，63%的冠状动脉供血不足患者、40%的局限性梗死患者以及仅23%的透壁性梗死患者可被转诊进行手术。心室造影显示局限性梗死与急性冠状动脉供血不足之间关系密切，因为心室功能在69%的局限性梗死病例和81%的急性冠状动脉供血不足病例中分别表现为正常或低于正常（局部运动减弱），而在透壁性梗死病例中这一比例为4%。局限性心肌梗死似乎类似于冠状动脉供血不足，但酶水平升高，且远端血管病变往往更明显。
