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[心肌梗死亚急性期检测到的左心室局部收缩功能障碍的预后意义]

[Prognostic significance of disorders of regional left-ventricular contractility detected in the subacute period of myocardial infarction].

作者信息

Golikov A P, Gazarian G A, Spasskiĭ A A

出版信息

Kardiologiia. 1991 Dec;31(12):18-20.

PMID:1816435
Abstract

The predictive value of left ventricular contractility index, lesion extent, ejection fraction was examined from sector scanning data in 107 able-bodied males with primary transmural myocardial infarction (MI) complicated by left ventricular aneurysm in the acute period (in 28 patients with anterior MI) and heart failure (in 23 patients with inferior MI). The findings suggest that the severity of regional contractility disorders is associated with the location of myocardial infarction and the state of the coronary bed. The significant lesion extent and multiplicity in the coronary arteries showed a high risk for postinfarction events. On the contrary, the lack of severe regional contractility disorders and isolated coronary lesion were indicative of good prognosis.

摘要

从扇形扫描数据中,对107例身体状况良好、急性期发生原发性透壁性心肌梗死(MI)并发左心室室壁瘤(28例前壁心肌梗死患者)和心力衰竭(23例下壁心肌梗死患者)的男性进行了左心室收缩性指数、病变范围、射血分数的预测价值研究。研究结果表明,局部收缩功能障碍的严重程度与心肌梗死的部位及冠状动脉床的状态相关。冠状动脉中明显的病变范围和多发性提示梗死后事件的高风险。相反,缺乏严重的局部收缩功能障碍和孤立的冠状动脉病变提示预后良好。

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Kardiologiia. 1991 Dec;31(12):18-20.
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