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[等长运动对心肌梗死后患者左心室功能的影响]

[The effect isometric exertion on left ventricular function in patients after myocardial infarct].

作者信息

Kozák P, Hes I, Spacek R, Stárek A, Salava T

出版信息

Cas Lek Cesk. 1989 Feb 3;128(6):165-7.

PMID:2720748
Abstract

24 patients, after transmural cardiac infarction, were exposed to isometric exercise ("handgrip"). The haemodynamic response was checked by means of impedance plethysmography. The stroke volume decreased on average from 64 +/- 14 to 60 +/- 15 ml (p less than 0.05), cardiac output increased from 4.8 +/- 1.0 to 5.4 +/- 1.2 l/min. (p less than 0.01). Peripheral resistance significantly increased and left ventricular performance was non-significantly reduced. Compared with a group of healthy control, their stroke and cardiac output and cardiac work kept increasing during isometric exercise. Isometric exercise is an adequate means of checking left ventricular performance.

摘要

24例透壁性心肌梗死后的患者进行了等长运动(“握力”)。通过阻抗体积描记法检查血流动力学反应。每搏量平均从64±14ml降至60±15ml(p<0.05),心输出量从4.8±1.0l/min增加至5.4±1.2l/min(p<0.01)。外周阻力显著增加,左心室功能无显著降低。与一组健康对照相比,他们在等长运动期间每搏量、心输出量和心脏作功持续增加。等长运动是检查左心室功能的一种合适方法。

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