Pomerantsev E V, Vakhliaev V D, Petriĭ V V, Matevosian A G, Serova I V
Kardiologiia. 1986 Sep;26(9):41-4.
A study of 30 patients with acute myocardial infarction, including the assessment of central hemodynamic parameters, ECG records from 35 leads and the investigation of myocardial energy metabolism by means of lactate, nonesterified fatty acids and glucose measurement in coronary venous blood, demonstrated that hyperkinetic hemodynamics was associated with a great spread of the necrotic and ischemic zone and predominant myocardial extraction of nonesterified fatty acids in uncomplicated acute myocardial infarction. It is suggested that propranolol should be used in those cases where hyperkinetic hemodynamics complicate the course of acute myocardial infarction.
一项对30例急性心肌梗死患者的研究，包括评估中心血流动力学参数、35导联心电图记录以及通过测定冠状静脉血中的乳酸、非酯化脂肪酸和葡萄糖来研究心肌能量代谢，结果表明，在无并发症的急性心肌梗死中，高动力血流动力学与坏死和缺血区的广泛扩展以及非酯化脂肪酸在心肌中的主要摄取有关。建议在高动力血流动力学使急性心肌梗死病程复杂化的情况下使用普萘洛尔。
