Ganelina I E, Kesler D F, Koniukhova M M, Petrenko E I
Kardiologiia. 1977 Aug;17(8):49-55.
A retrospective analysis of the informativeness of certain methods of examination for ascertaining the possibility of cardiac failure developing in the subacute period of penetrating, predominantly primary transmural myocardial infarction with no clinical signs of cardiac failure in the first three days after the onset of the disease. In 60 patients circulation time in the "arm--ear" area and in 25 of them the stroke and minute volumes by the dye dilution method were studied. The state of the fluid spaces was investigated in 18 patients and daily natriuresis in 23. In 36 patients the condition of the pulmonary circulation was judged by means of roentgenogram. The high value of the information gained from study of circulation time and natriuresis and X-ray examination in the prognostication of the development of cardiac failure is shown.
对某些检查方法的信息价值进行回顾性分析,这些检查方法用于确定在穿透性、主要为原发性透壁性心肌梗死的亚急性期发生心力衰竭的可能性,该疾病在发病后头三天无心力衰竭的临床体征。研究了60例患者“臂 - 耳”区域的循环时间,其中25例通过染料稀释法研究了每搏量和每分钟心输出量。对18例患者的体液间隙状态进行了研究,对23例患者的每日尿钠排泄量进行了研究。通过X线检查判断了36例患者的肺循环状况。结果显示,从循环时间、尿钠排泄量研究及X线检查中获得的信息在心力衰竭发生的预后判断方面具有很高的价值。