Stroganova N P, Il'iash M G
Ter Arkh. 1992;64(3):84-6.
Overall 235 patients with a history of uncomplicated myocardial infarction were examined. Of these, in 79 patients (33%), myocardial infarction developed in the presence of arterial hypertension. To predict the efficacy of rehabilitation treatment, postinfarction angina pectoris, arterial hypertension, the size and localization of the injury, the status of the coronary and myocardial reserves were taken into consideration. The data obtained confirmed the prognostic significance of arterial hypertension in the estimation of the efficacy of rehabilitation therapy. Arterial hypertension contributes to an unfavourable course of CHD and to a decrease of the work fitness of the patients who suffered myocardial infarction. Estimating the long-term efficacy of rehabilitation treatment, it is necessary to bear in mind not only the coronary reserves, but also the myocardial reserves, its integral index--the total ejection fraction and regional myocardial contractility.
共检查了235例有单纯性心肌梗死病史的患者。其中，79例（33%）患者在患有动脉高血压的情况下发生了心肌梗死。为预测康复治疗的效果，考虑了梗死后心绞痛、动脉高血压、损伤的大小和部位、冠状动脉及心肌储备状况。所获数据证实了动脉高血压在评估康复治疗效果方面的预后意义。动脉高血压会导致冠心病病情发展不利，并降低心肌梗死患者的工作适应能力。在评估康复治疗的长期效果时，不仅要考虑冠状动脉储备，还要考虑心肌储备、其综合指标——总射血分数和局部心肌收缩力。
