Sledzevskaia I K, Il'iash M G
Kardiologiia. 1991 Oct;31(10):27-9.
The results of a 2-year follow-up of 400 patients with prior myocardial infarction (MI) and bicycle ergometric findings of intracardiac hemodynamic parameters and oxygen supply during exercise tests, and the criteria for tetrachoric index significance within the confidence intervals were used to reveal the factors predicting the efficacy of rehabilitative treatment. To predict decreased working capacity in the long-term period is determined by the extent of lesion after myocardial reinfarction, while angina pectoris and arterial hypertension are of significance in patients without reinfarction. A role of dynamic indices was defined in predicting decreased working capacity. Further lowered working capacity may be judged from the changes occurring in threshold exercise capacity and left ventricular end-diastolic volume in the first 6 months of postinfarction.
对400例既往有心肌梗死(MI)患者进行了为期2年的随访,并通过运动试验中的心内血流动力学参数和氧供应的自行车测力计检查结果,以及置信区间内四分相关指数显著性的标准,来揭示预测康复治疗效果的因素。预测长期工作能力下降取决于心肌再梗死后的病变程度,而心绞痛和动脉高血压在无再梗死的患者中具有重要意义。确定了动态指标在预测工作能力下降方面的作用。从梗死后前6个月阈值运动能力和左心室舒张末期容积的变化可以判断工作能力是否进一步降低。