Anikin V V
Klin Med (Mosk). 1991 Feb;69(2):44-6.
To specify cardiovascular function in alcoholics (74 males capable for work by their age) of stage II, they under went M-mode ECG at the height of the rhythm induced by transesophageal pacing. One third of the examinees demonstrated worsening of the left ventricular contractility evident from reduced ejection fraction (by 17.1%) and shorter anteroposterior size of the left ventricle (diminution by 18.1%). Paradoxical movement of the interventricular septum in the systole emerged in one fifth of the patients at the height of the stimulation. It is believed important to identify a group of patients with initially abnormal intracardiac hemodynamics (13.6%). They suffered further deterioration of myocardial contractility. The study of ECG findings at the height of atrial stimulation detects latent alcoholic myocardiodystrophy.
为明确Ⅱ期酒精中毒男性患者(74名达到工作年龄)的心血管功能,对他们进行了经食管起搏诱发节律时的M型心电图检查。三分之一的受检者表现出左心室收缩功能恶化,射血分数降低(17.1%)以及左心室前后径缩短(缩小18.1%),这一情况很明显。五分之一的患者在刺激高峰时出现收缩期室间隔矛盾运动。确定一组最初心脏内血流动力学异常的患者(13.6%)被认为很重要。他们的心肌收缩功能进一步恶化。在心房刺激高峰时对心电图结果进行研究可检测出潜在的酒精性心肌营养不良。