Sudzhaeva S G, Nizovtseva L A, Al'khimovich V M
Kardiologiia. 1992 Sep;32(9-10):19-22.
A total of 111 patients with myocardial infarction were studied in the early, period of the disease. Exercise and information load tests, impedance plethysmography, electrocardiography, and large-framed fluorography were performed. Among the patients with myocardial infarction who responded to information load by exhibiting transient silent ischemia, vasospastic reactions were demonstrated to be diagnosed mainly in those with posterior myocardial infarction. The patients with anterior myocardial infarction responded to psychoemotional stress mainly by showing ischemia formed under the conditions of higher myocardial oxygen uptake due to increased blood minute volume. In most patients, the area of silent psychogenic vasospastic ischemia coincided with that of infarct-related myocardium, whereas ischemic changes were largely located in the anterior left ventricular wall despite the area of myocardial necrosis when psychogenic ischemia developed with increased myocardial oxygen uptake.
共对111例心肌梗死患者在疾病早期进行了研究。进行了运动和信息负荷试验、阻抗体积描记法、心电图检查以及大画幅荧光摄影。在因出现短暂性无症状性心肌缺血而对信息负荷有反应的心肌梗死患者中，血管痉挛反应主要在那些后壁心肌梗死患者中被诊断出来。前壁心肌梗死患者对心理情绪应激的反应主要是在由于每分输出量增加导致心肌氧摄取增加的情况下出现缺血。在大多数患者中，无症状性精神性血管痉挛性缺血区域与梗死相关心肌区域一致，而当精神性缺血在心肌氧摄取增加的情况下发生时，尽管存在心肌坏死区域，但缺血性改变主要位于左心室前壁。
