急性透壁性心肌梗死中的左心室血栓形成
Left ventricular thrombosis in acute transmural myocardial infarction.
作者信息
Chamsi-Pasha H, Barnes P C
机构信息
Department of Medicine, University of Manchester Medical School, Hope Hospital, Salford, UK.
出版信息
Postgrad Med J. 1988 Mar;64(749):188-90. doi: 10.1136/pgmj.64.749.188.
To determine the incidence and natural history of left ventricular thrombosis in acute transmural myocardial infarction we performed serial two-dimensional echocardiography in 51 patients. Seventeen patients had inferior infarcts. None of these developed left ventricular thrombosis. The remaining 34 patients had anterior infarcts. Ten of these developed left ventricular thrombus at an average of 4 +/- 2 days after admission. All patients with left ventricular thrombosis had apical akinesia or dyskinesia. Patients with anterior myocardial infarction and akinesia or dyskinesia of the apex are at high risk of developing left ventricular thrombosis. Peak aspartate aminotransferase and lactate dehydrogenase enzyme activity were of little value in identifying this high risk group.
为了确定急性透壁性心肌梗死患者左心室血栓形成的发生率和自然病程，我们对51例患者进行了系列二维超声心动图检查。17例患者为下壁梗死，这些患者均未发生左心室血栓形成。其余34例患者为前壁梗死，其中10例在入院后平均4±2天发生左心室血栓形成。所有左心室血栓形成患者均有心尖运动减弱或运动障碍。前壁心肌梗死伴心尖运动减弱或运动障碍的患者发生左心室血栓形成的风险很高。天冬氨酸转氨酶和乳酸脱氢酶活性峰值对识别这一高危组价值不大。
Zotero 插件