Budaj A, Dłuzniewska M, Lichodziejewska B, Karczmarewicz S, Statuch C
II Klinika Kardiologii CMKP, Szpital Grochowski, Warszawa.
Pol Arch Med Wewn. 1990 Oct;84(4):206-12.
The aim of the study was to estimate a detailed relationship between the extent of left ventricular damage after myocardial infarction (MI) and occurrence of mural thrombi examined with two dimensional echocardiography (2Decho). The examinations were undertaken in 47 patients (pts) (age 40-86 years) after transmural anterior MI. 2Decho was performed in all pts according to American Society of Echocardiography from the is day to the 4th month after MI. Heger index was used for the estimation of LV wall motion disturbances. The criterion of mural thrombus was the presence of an additional echo by LV wall visible in at least two echocardiographic views. It was determined that the incidence of mural thrombi is correlated with statistically significant larger LV damage expressed with higher Heger index and higher number of hypo-, a-, and dyskinetic LV segments. The study revealed the relationship between the extent of LV damage after MI, the presence of LV dyskinesia, LV enlargement, ST segment elevation in ecg and the incidence of mural thrombi.
本研究的目的是通过二维超声心动图（2Decho）评估心肌梗死（MI）后左心室损伤程度与壁血栓形成之间的详细关系。对47例透壁性前壁心肌梗死后的患者（年龄40 - 86岁）进行了检查。根据美国超声心动图学会的标准，在所有患者心肌梗死后第1天至第4个月进行2Decho检查。使用赫格指数评估左心室壁运动障碍。壁血栓的标准是在至少两个超声心动图视图中可见左心室壁有额外回声。结果确定，壁血栓的发生率与赫格指数较高以及左心室运动减弱、无运动和运动障碍节段数量较多所表示的左心室损伤在统计学上显著相关。该研究揭示了心肌梗死后左心室损伤程度、左心室运动障碍的存在、左心室扩大、心电图ST段抬高与壁血栓发生率之间的关系。
