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[右心室梗死患者康复期的应激耐受性]

[Stress tolerance in patients with right ventricular infarct during the rehabilitation period].

作者信息

Szász K, Somfay A, Horváth L, Mester J, Mizsei I

机构信息

Csongrád Megyei Tanács Tüdökórház-Gondozóintézet, Kardiológiai Rehabilitációs Osztály, Deszk.

出版信息

Orv Hetil. 1990 Feb 18;131(7):349-50, 353-4.

PMID:2326068
Abstract

199 patients with myocardial infarction were divided into 4 groups according to the localisation of necrosis (anterior, inferior, anterior + right ventricle, inferior + right ventricle). Exercise capacity was determined by bicycle ergometer test at the beginning of rehabilitation and 3 weeks later. Exercise capacity and ejection fraction were better in case of inferior comparing with anterior infarction. There was no significant change in exercise capacity whether inferior or anterior left ventricle necrosis was accompanied by right ventricle infarction. In chronic phase of myocardial infarction exercise capacity of patients is not influenced by right ventricle necrosis accompanied by left ventricle infarction.

摘要

199例心肌梗死患者根据坏死部位(前壁、下壁、前壁+右心室、下壁+右心室)分为4组。在康复开始时和3周后通过自行车测力计测试来确定运动能力。与前壁梗死相比,下壁梗死患者的运动能力和射血分数更好。无论左心室下壁或前壁坏死是否伴有右心室梗死,运动能力均无显著变化。在心肌梗死慢性期,伴有左心室梗死的右心室坏死对患者的运动能力没有影响。

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