Kothe K, Aurisch R, Porstmann B
Klinik für Innere Medizin Theodor Brugsch, Humboldt-Universität zu Berlin.
Z Gesamte Inn Med. 1990 Apr 1;45(7):188-90.
A differentiated estimation of the acute re-infarction is individually necessary for the estimation of risk and prognosis. Thereby the methodical approach is of particular importance, since the further restriction of the remaining function of the myocardium in re-infarction is of fundamental significance. A monitoring for the establishment of CKmax as well as the measuring of the ejection fraction globally (EFg) allow a semiquantitative determination of the size of the myocardial infarction. This forms the basis for the evidence of smaller acute Q-wave re-infarctions and also of smaller acute re-infarctions of the posterior wall localization. The increase of the risk in non-Q-wave infarction (mean risk) and Q-wave infarction (high risk) in re-infarction could be confirmed by the ejection fraction globally. Thus significant differences of the surviving persons after acute re-infarction in comparisons to the primary infarction were elaborated.
对于风险和预后评估而言，对急性再梗死进行个体化的鉴别评估是必要的。因此，方法学途径尤为重要，因为再梗死时心肌剩余功能的进一步受限具有根本意义。监测CKmax的建立以及整体测量射血分数（EFg）可实现对心肌梗死面积的半定量测定。这为发现较小的急性Q波再梗死以及后壁定位的较小急性再梗死提供了依据。整体射血分数证实了再梗死中非Q波梗死（平均风险）和Q波梗死（高风险）的风险增加。因此，详细阐述了急性再梗死后存活者与初次梗死相比的显著差异。
