Tursunov B Z, Gordeev V F, Satrapinskiĭ V Iu, Fitilev S B
Kardiologiia. 1990 Dec;30(12):49-51.
Systemic and intracardiac hemodynamic parameters were examined in 29 patients with arterial hypertension by radionuclide ventriculography. No impairments were found in resting left ventricular pump function in the patients. Left ventricular diastolic function exhibited 24 and 34.5% reductions in left ventricular filling rate and its peak filling rate, respectively, as well as a 44.8% increase in peak filling rate time. To assess the potentialities of myocardial adaptation to a postoperative decrease in blood pressure, artificial hypotension test by using the antihypertensive agent naniprus was performed in 15 patients. This test identified a group of patients with pronounced left ventricular diastolic dysfunctions who required a goal-oriented preoperative preparation. It also defined the principles of this preparation.
通过放射性核素心室造影术对29例动脉高血压患者的全身和心内血流动力学参数进行了检查。患者静息时左心室泵功能未发现损害。左心室舒张功能表现为左心室充盈率及其峰值充盈率分别降低24%和34.5%，以及峰值充盈率时间增加44.8%。为评估心肌对术后血压下降的适应潜力，对15例患者使用抗高血压药物尼普洛进行了人工低血压试验。该试验确定了一组左心室舒张功能明显障碍的患者，他们需要进行有针对性的术前准备。它还确定了这种准备的原则。
