Golikov A P, Ishmukhametov A I, Sergienko I V
Kardiologiia. 1979 Jan;19(1):37-42.
Changes in central hemodynamics in patients suffering from acute macrofocal and transmural myocardial infarction with or without circulatory insufficiency were studied by radiocardiography. Cardiac output was found to be increased in the first 24 hours of the disease in persons without circulatory insufficiency as compared to the control group, which may be linked with marked activation of the sympatheticoadrenal system. In the groups of patients with circulatory insufficiency the cardiac output during this period was diminished. In most patients myocardial infarction was preceded by marked changes in teh myocardium. Diminution of hemodynamic values was recorded in all groups of patients on the third day, which was most conspicuous in cases with circulatory insufficiency.
通过放射心动描记法研究了患有急性大片透壁性心肌梗死伴或不伴循环功能不全患者的中心血流动力学变化。结果发现，与对照组相比，在疾病的最初24小时内，无循环功能不全的患者心输出量增加，这可能与交感肾上腺系统的明显激活有关。在循环功能不全的患者组中，此期间的心输出量减少。大多数患者在心肌梗死之前心肌有明显变化。在第三天，所有患者组的血流动力学值均降低，这在循环功能不全的病例中最为明显。
