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[冠心病不同表现形式的缺血性心脏病患者的心肌血流及其与心肌功能的关系]

[Myocardial blood flow and its relation to myocardial function in ischemic heart disease patients with various manifestations of coronary arteriosclerosis].

作者信息

Furkalo N K, Lutaĭ M I, Belonozhko A G

出版信息

Kardiologiia. 1985 Feb;25(2):22-6.

PMID:3990075
Abstract

An analysis of variance applied to myocardial flow (MF) data obtained using 133Xe clearance technique, coronaro- and ventriculography in 53 coronary patients and 22 patients with intact coronary arteries, demonstrated a relationship between the MF level, myocardial contractility, oxygen requirement of the heart muscle and left-ventricular isovolumic relaxation time. The rate of myocardial fibres circular shortening and the ejection fraction were found to be the most sensitive indicators of myocardial contractility, responding to MF reduction. The latter was noted in coronary patients with ischemic and postinfarction asynergies. In cases of a normokinetic left ventricle, MF did not differ significantly from that of the controls, irrespective of the extent of lesion.

摘要

对53例冠心病患者和22例冠状动脉正常的患者,运用¹³³氙清除技术、冠状动脉造影和心室造影所获得的心肌血流(MF)数据进行方差分析,结果表明心肌血流水平、心肌收缩力、心肌需氧量与左心室等容舒张时间之间存在关联。发现心肌纤维圆周缩短率和射血分数是心肌收缩力最敏感的指标,对心肌血流减少有反应。在患有缺血性和梗死后协同失调的冠心病患者中观察到了后者(心肌血流减少)。在左心室运动正常的情况下,无论病变程度如何,心肌血流与对照组相比无显著差异。

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