Chikvashvili D I, Staroverov I I, Mirrakhimov E M, Pomerantsev E V, Dorogun B N
Kardiologiia. 1988 Dec;28(12):57-61.
Total and local left-ventricular contractility was assessed by computerized two-dimensional echocardiography in 52 patients with acute myocardial infarction. Three groups of patients were identified: those with recovered coronary flow (group 1), reperfusion failure (group 2) and the lack of occlusion at first coronarography (group 3). Patients from group 3 showed the most intact left-ventricular myocardial contractility and the most favorable clinical course of the disease, while second-group patients had particularly impaired left-ventricular contractility. In the first group, the size of the asynergic area diminished by day 28 of the disease to a greater extent, as compared to the second group. Therefore, coronary reperfusion within the first 6 hours after the attack shows correlation to a smaller asynergic zone and a more favorable clinical course of the disease.
通过计算机二维超声心动图对52例急性心肌梗死患者的左心室整体和局部收缩功能进行了评估。确定了三组患者：冠状动脉血流恢复的患者（第1组）、再灌注失败的患者（第2组）和首次冠状动脉造影时未发现闭塞的患者（第3组）。第3组患者的左心室心肌收缩功能最完整，疾病的临床病程最有利，而第2组患者的左心室收缩功能特别受损。与第2组相比，第1组患者无运动区的大小在疾病第28天时缩小程度更大。因此，发作后6小时内的冠状动脉再灌注与较小的无运动区和更有利的疾病临床病程相关。
