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[决定心肌梗死患者康复治疗效果的因素]

[The factors determining the efficacy of the rehabilitative treatment of patients who have had a myocardial infarct].

作者信息

Il'iash M G, Sledzevskaia I K

出版信息

Ter Arkh. 1991;63(9):77-80.

PMID:1759231
Abstract

Factors responsible for the efficacy of rehabilitative treatment of patients with a history of myocardial infarction were defined on the basis of the 2-year follow-up of 235 patients who suffered myocardial infarction, bicycle ergometry data, studies into intracardiac hemodynamics, oxygen supply in exercise tests, and criteria for the significance of the tetrachoric indicator with regard to the confidence limits. In patients who suffered uncomplicated myocardial infarction, prediction of the decreased work fitness in the long-term period is determined by the presence of angina pectoris and arterial hypertension. It has been established that whether will be lowered in future can be judged from the changes seen in the magnitude of the liminal power and the end diastolic volume of the left ventricle during the first 6 months following myocardial infarction.

摘要

基于对235例心肌梗死患者的2年随访、自行车测力计数据、心内血流动力学研究、运动试验中的氧气供应以及四格指标相对于置信区间的显著性标准,确定了对有心肌梗死病史患者进行康复治疗有效性的相关因素。在患有无并发症心肌梗死的患者中,长期工作适应性下降的预测取决于心绞痛和动脉高血压的存在。已经确定,未来工作适应性是否会降低可以根据心肌梗死后头6个月内左心室阈功率大小和舒张末期容积的变化来判断。

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