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[主动脉冠状动脉旁路移植术前和术后的工作负荷血流动力学]

[Work load hemodynamics before and after aortocoronary bypass].

作者信息

Scholer Y, Angehrn W, Dorschner F, Steinbrunn W, Rothlin M, Meier W

出版信息

Schweiz Med Wochenschr. 1976 Nov 6;106(45):1549-51.

PMID:1087751
Abstract

Left ventricular enddiastolic pressure (LVEDP) was studied during exercise in 22 patients pre- and postoperatively under an identical work load. 13 patients showed improvement of LVEDP (normalization in 5), LVEDP was unchanged in 5 (w.n.l. in 2), and had deteriorated in 4. These results suggest that improvement or normalization of LVEDP under exercise following aortocoronary bypass surgery can be assumed if there is complete revascularization, if all grafts are functioning well, if there is no progression of the underlying disease, and if preoperative LV angiography is normal or shows only ischemic (reversible) hypokinesis.

摘要

在相同工作负荷下,对22例患者在主动脉冠状动脉搭桥手术前后进行运动时的左心室舒张末期压力(LVEDP)进行了研究。13例患者的LVEDP有所改善(5例恢复正常),5例患者的LVEDP无变化(2例在正常范围内),4例患者的LVEDP恶化。这些结果表明,如果实现完全血运重建、所有移植物功能良好、基础疾病无进展且术前左心室血管造影正常或仅显示缺血性(可逆性)运动减弱,则主动脉冠状动脉搭桥手术后运动时LVEDP可改善或恢复正常。

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