Fedorov V V, Barsukov A E, Miasin A P, Voronina E O
Kardiologiia. 1991 Jun;31(6):56-8.
Sixty six patients with atherosclerosis obliterans of the lower limb arteries were found to have severe central hemodynamic disturbances that correlated with the site of impairment. Central hemodynamic changes appeared as increased cardiac output and stroke volume, shortened tension period and prolonged ejection period. Cardiac derangement occurred under unfavorable hemodynamic conditions, which was followed by its hypertension and dilatation. Instrumental signs of preclinical heart failure were revealed in patients with multisegmental lesions, which should be regarded as a risk factor in performing reconstructive plastic operations.
66例下肢动脉粥样硬化闭塞症患者被发现存在严重的中心血流动力学紊乱,且与病变部位相关。中心血流动力学变化表现为心输出量和每搏输出量增加、舒张期缩短和射血期延长。心脏紊乱发生在不利的血流动力学条件下,随后出现高血压和心脏扩张。多节段病变患者出现临床前心力衰竭的仪器检查体征,这在进行重建整形手术时应被视为一个危险因素。