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[冠状动脉溶栓再灌注与急性心肌梗死时左心室功能]

[Thrombolytic reperfusion of coronary arteries and the function of the left ventricle in acute myocardial infarction].

作者信息

Pomerantsev E V, Savchenko A P, Staroverov I I, Zharov I N, Mirrakhimov E M

出版信息

Kardiologiia. 1989 Feb;29(2):13-8.

PMID:2724764
Abstract

Left-ventricular myocardial contractility was assessed in thrombolytically-treated patients with acute myocardial infarction. General and local left-ventricular activity was shown to deteriorate progressively in patients with "late" or altogether absent recovery of coronary flow, whereas patients with early recovery of coronary flow demonstrated intact general contractility parameters and better contractility in the affected area. Coronary reperfusion within 5-6 hours helps to maintain functional capacity, which is less marked than the one in patients with early reperfusion.

摘要

对接受溶栓治疗的急性心肌梗死患者的左心室心肌收缩力进行了评估。结果显示,冠状动脉血流“延迟”恢复或完全未恢复的患者,其左心室整体和局部活动逐渐恶化,而冠状动脉血流早期恢复的患者,其整体收缩力参数正常,梗死区域的收缩力更好。在5至6小时内实现冠状动脉再灌注有助于维持功能能力,但其效果不如早期再灌注的患者显著。

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