Shtern S V, Eveleva L V, Labunskiĭ V Iu
Kardiologiia. 1985 Aug;25(8):43-5.
Hemodynamics and left-ventricular segmental contractility were examined in 72 patients, subjected to selective coronarography and ventriculography. Forty-six patients had a history of anterior, and 26, posterior, transmural myocardial infarction (MI). Atherosclerotic stenosis of coronary arteries (more than 75% of vascular diameter) was revealed in 67 of 72 patients. Residual occlusion was shown to occur more commonly in the right coronary artery. Collateral flow was more commonly associated with a history of myocardial infarction affecting the posterior wall of the left ventricle, while segmental contractility disorders, even aneurysms, and generalized disturbance of left-ventricular contractility, as manifested in reduced mean rate of myocardial circular fibre shortening, were more typical for the affection of the anterior wall of the left ventricle.
对72例接受选择性冠状动脉造影和心室造影的患者进行了血流动力学和左心室节段收缩功能检查。46例患者有前壁透壁性心肌梗死病史，26例有后壁透壁性心肌梗死病史。72例患者中有67例发现冠状动脉粥样硬化狭窄（血管直径超过75%）。残余闭塞在右冠状动脉中更常见。侧支血流更常见于有影响左心室后壁心肌梗死病史的患者，而节段性收缩功能障碍，甚至室壁瘤，以及左心室收缩功能的普遍紊乱，表现为心肌环形纤维缩短平均速率降低，在左心室前壁受累时更为典型。
