Hedberg P A
St Paul Heart Clinic, MN 55102.
Postgrad Med. 1991 Nov 1;90(6):99-100, 105-8, 113. doi: 10.1080/00325481.1991.11701103.
Congestive heart failure (CHF) accompanying acute myocardial infarction (MI) may have various manifestations, ranging from mild failure to cardiogenic shock. Initial treatment depends on the cause, which is usually determined through careful physical examination. The Forrester hemodynamic classification is useful in this determination. A practical working knowledge of the clinical correlates of left ventricular dysfunction in acute MI allows rational use of the several classes of drugs available to treat CHF. With severe CHF, invasive monitoring is usually required, and mechanical complications of MI need to be identified and managed appropriately.
急性心肌梗死（MI）伴发的充血性心力衰竭（CHF）可能有多种表现，从轻度心力衰竭到心源性休克不等。初始治疗取决于病因，病因通常通过仔细的体格检查来确定。福雷斯特血流动力学分类在这一确定过程中很有用。对急性心肌梗死左心室功能障碍的临床相关性有实际的工作认识，有助于合理使用几类可用于治疗心力衰竭的药物。对于严重的心力衰竭，通常需要进行有创监测，并且需要识别并适当处理心肌梗死的机械并发症。
