Stenson R E, Flamm M D, Zaret B L, McGowan R L
Am Heart J. 1975 Apr;89(4):449-54. doi: 10.1016/0002-8703(75)90150-7.
Fifty-seven patients with acute myocardial infarction were observed for early postmyocardial infarction angina and associated transient ST-segment changes. Nine patients had postinfarction angina with transient ST-segment elevation (group 1), seventeen patients had postinfarction angina with ST-segment depression or no ST-segment changes (Group 2), and 31 patients had no postinfarction angina (Group 3). The patients in Group 1 had a statistically significant increased incidence of early reinfarction and death, when compared with the other two groups, singly or combined. There was no significant difference in the incidence of reinfarction and death when Group 2 is compared with Group 3. Patients with transient ST-segment elevation associated with early postmyocardial infarction angina may be an appropriate group in whom to consider newer, more aggressive modes of postinfarction management.
对57例急性心肌梗死患者进行观察，以了解心肌梗死后早期心绞痛及相关短暂性ST段改变情况。9例患者发生梗死后心绞痛并伴有短暂性ST段抬高（第1组），17例患者发生梗死后心绞痛伴有ST段压低或无ST段改变（第2组），31例患者无梗死后心绞痛（第3组）。与其他两组单独或合并相比，第1组患者早期再梗死和死亡的发生率有统计学意义的增加。第2组与第3组相比，再梗死和死亡的发生率无显著差异。伴有心肌梗死后早期心绞痛的短暂性ST段抬高患者可能是考虑采用更新、更积极的梗死后管理模式的合适人群。
