Rykke E O, Gjesdal K, Skjaeggestad O, Grønseth K, Hol R
Medisinsk klinikk, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1990 Sep 30;110(23):3003-4.
We describe a patient with stenosis on the left main stem and severe impairment of the left ventricular function. Because of reversible myocardial ischaemia in a patient whose clinical situation prohibited surgery, angioplasty on the left main stem was performed, leading to considerable improvement of the ventricular function. Improvement was slow, however, probably due to "stunning" of the myocardium. We underline the importance of early angiography in patients when it is suspected that a larger part of the myocardium is affected by severe, reversible ischaemia.
我们描述了一位患有左主干狭窄且左心室功能严重受损的患者。由于该患者临床情况不允许进行手术，但存在可逆性心肌缺血，因此对左主干进行了血管成形术，结果心室功能得到了显著改善。然而，改善过程较为缓慢，这可能是由于心肌“顿抑”所致。我们强调，当怀疑大部分心肌受到严重可逆性缺血影响时，对患者进行早期血管造影的重要性。
