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[心肌梗死患者的心肌电活动与血流动力学]

[Electrical activity of the myocardium and hemodynamics in patients with myocardial infarct].

作者信息

Aleksandrova L A, Gvatua N A, Popov A A

出版信息

Kardiologiia. 1975 Feb;15(2):57-61.

PMID:1123880
Abstract

A total of 53 patients with myocardial infarction were examined on the 1st, 21st and 45th day of the disease. The electric activity of the myocardium was studied by the method of spatial quantitative vectorocardiography. An investigation into the basic hemodynamic indices was made by employing the dilution method (Evans blue) A correlation-statistical model was constructed to elicit the relationship between vectorocardiographic changes and hemodynamic indices. It was found that in cases of myocardial infarction with and without symptoms of circulatory insufficiency there exists between the electric activity of the ventricular myocardium and cardiac ejection a differently marked interrelation on the ground of which one can form a certain judgement as to the functional condition of the intact segments of the left and the myocardium of the right ventricle.

摘要

共有53例心肌梗死患者在发病第1天、第21天和第45天接受了检查。采用空间定量心电向量图法研究心肌的电活动。采用稀释法(伊文思蓝)对基本血流动力学指标进行研究。构建相关统计模型以揭示心电向量图变化与血流动力学指标之间的关系。结果发现,在有和没有循环功能不全症状的心肌梗死病例中,心室心肌电活动与心脏射血之间存在不同程度的显著相关性,据此可以对左心室和右心室心肌完整节段的功能状态形成一定判断。

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