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[心肌梗死存活患者的冠状动脉和左心室状况]

[Status of the coronary arteries and left ventricle of patients surviving myocardial infarction].

作者信息

Solov'ev G M, Klembovskiĭ A A, Portnenko V V, Petrovskiĭ P F

出版信息

Kardiologiia. 1987 Feb;27(2):28-31.

PMID:3573520
Abstract

The condition of coronary arteries and left-ventricular function were assessed in 62 patients with a history of myocardial infarction 1 month to 4 years prior to coronarographic investigation. It was demonstrated that the detectability of an occlusion in the artery supplying blood to the infarcted area decreased with time elapsed since myocardial infarction, the correlation being more characteristic of the anterior interventricular branch of the left coronary artery. An analysis of ventriculograms showed that myocardial infarction due to a lesion of the left coronary artery results in a smaller left-ventricular dysfunction and is less commonly associated with circulatory insufficiency. The frequency of spontaneous thrombolysis is shown to be relatively high in postmyocardial-infarction patients.

摘要

在冠状动脉造影检查前1个月至4年有心肌梗死病史的62例患者中,对冠状动脉状况和左心室功能进行了评估。结果表明,自心肌梗死后随着时间推移,梗死区域供血动脉闭塞的可检测性降低,这种相关性在左冠状动脉前室间支中更为显著。心室造影分析显示,左冠状动脉病变导致的心肌梗死引起的左心室功能障碍较小,且较少与循环功能不全相关。结果表明,心肌梗死后患者自发溶栓的频率相对较高。

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