Iavorovskiĭ A G, Sandrikov V A, Kulagina T Iu, Revunenkov G V, Tolstova I A, Buniatian A A
Anesteziol Reanimatol. 2008 Sep-Oct(5):14-7.
The paper deals with the development of a procedure for using loading tests to predict the development of intraoperative heart failure in cardiosurgical patients. A volumetric loading test (limb elevation) was carried out to assess the mechanisms of responsible for the regulation of performance of the heart and the efficiency of its work. Cardiac output, end diastolic volume index, and ejection fraction were recorded and a hemodynamic response was assessed from their changes. Loading tests enabled the authors to identify 3 types of a hemodynamic response to a volumetric load. The incidence of postperfusion heart failure may be predicted depending on the identified type of a hemodynamic response to the volumetric load given at the very beginning of surgery.
本文探讨了一种利用负荷试验预测心脏外科手术患者术中发生心力衰竭情况的方法。进行了容量负荷试验（肢体抬高）以评估心脏功能调节机制及其工作效率。记录心输出量、舒张末期容积指数和射血分数，并根据其变化评估血流动力学反应。负荷试验使作者能够识别出对容量负荷的3种血流动力学反应类型。根据手术开始时所给予的容量负荷所识别出的血流动力学反应类型，可以预测灌注后心力衰竭的发生率。
