急性心肌梗死伴血流动力学模式类似缩窄性心包炎。

Acute myocardial infarction with a hemodynamic pattern resembling constrictive pericarditis.

作者信息

Kubota T, Imaizumi T, Chishaki A, Hayashi Y, Inou T, Takeshita A

机构信息

Research Institute of Angiocardiology and Cardiovascular Clinic, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

出版信息

Jpn Heart J. 1991 Jul;32(4):515-20. doi: 10.1536/ihj.32.515.

DOI:10.1536/ihj.32.515

PMID:1956121

Abstract

A 49-year-old woman experienced acute myocardial infarction with a hemodynamic pattern resembling constrictive pericarditis. To clarify its mechanism, we performed right atrial pacing and volume challenge test during the chronic state. Although these two interventions elevated diastolic pressures of the both ventricles, the dip and plateau pattern was not reproduced. Factors other than ischemia may be important in producing a hemodynamic pattern resembling constrictive pericarditis in acute myocardial infarction.

摘要

一名49岁女性发生急性心肌梗死，其血流动力学模式类似于缩窄性心包炎。为明确其机制，我们在慢性期进行了右心房起搏和容量负荷试验。尽管这两种干预措施均使双心室舒张压升高，但并未再现下陷-高原波型。在急性心肌梗死中，除缺血外的其他因素可能对产生类似缩窄性心包炎的血流动力学模式起重要作用。