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[梗死面积有限对有心肌梗死病史患者缺血性心脏病病程的影响]

[The effect of a limited area of infarction on the course of ischemic heart disease in patients with a history of myocardial infarct].

作者信息

Sledzevskaia I K, Il'iash M G, Sirenko Iu N, Malinovskaia I E, Mironova O V

出版信息

Vrach Delo. 1991 Jan(1):47-50.

PMID:2011892
Abstract

Results are described on the effect of limitation of the infarction zone on the course of IHD during the first year of observation in 320 patients with a history of myocardial infarction (MI). The clinical course of the disease and changes of tolerance of physical load were studied in two groups of patients. In one of the groups limitation of the infarction zone was realized during the first ten days. It was found that limitation of the infarction zone is of importance only in the acute period of MI reducing the frequency of fibrillations and lethal outcomes. Limitation of the infarction zone did not effect the course of IHD during the first postinfarction period. Infarction in the involved zone showed no increases in frequency.

摘要

在320例有心肌梗死(MI)病史的患者中,观察了梗死区域限制对缺血性心脏病(IHD)病程在第一年的影响,并对结果进行了描述。在两组患者中研究了疾病的临床病程和体力负荷耐受性的变化。其中一组在发病前十天实现了梗死区域的限制。结果发现,梗死区域的限制仅在心肌梗死急性期具有重要意义,可降低心律失常的频率和致命结局的发生率。梗死区域的限制对心肌梗死后第一个时期的缺血性心脏病病程没有影响。受累区域的梗死频率没有增加。

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