Savchenko A P, Smirnov A A
Kardiologiia. 1990 Oct;30(10):9-12.
An analysis was made of the findings of angiographic studies (coronary angiography and left ventriculography) performed in 57 patients with myocardial infarction along with successful coronary thrombolysis before thrombolytic therapy, at coronary reperfusion (CR), and on days 24 and 28 of the disease. The analysis defined two types of restoration of coronary blood flow: (1) gradual ("slow") and (2) single ("rapid") CR. Angiographic signs of coronary thrombosis in the first hours of myocardial infarction, complicated pattern of a residual stenosis, and more marked left ventricular myocardial dysfunction on day 28 of the disease were more frequently encountered in patients who had undergone "rapid" CR, whereas the uncomplicated pattern and high degree of a residual stenosis were seen in patients who had received "slow" CR. At the same time left ventricular myocardial contractility changed to a lesser extent on day 28 of myocardial infarction.
对57例心肌梗死患者在溶栓治疗前、冠状动脉再灌注（CR）时以及疾病第24天和第28天进行的血管造影研究（冠状动脉造影和左心室造影）结果进行了分析。该分析确定了两种冠状动脉血流恢复类型：（1）逐渐（“缓慢”）恢复和（2）单次（“快速”）CR。在经历“快速”CR的患者中，心肌梗死最初几小时冠状动脉血栓形成的血管造影征象、残余狭窄的复杂模式以及疾病第28天更明显的左心室心肌功能障碍更为常见，而接受“缓慢”CR的患者则出现不复杂的模式和高度的残余狭窄。同时，心肌梗死第28天时左心室心肌收缩力变化较小。
