Aebischer N, Bise A C, Gabathuler J, Lerch R
Schweiz Med Wochenschr. 1985 Nov 16;115(46):1641-6.
To evaluate the prognostic value of two-dimensional echocardiography we have studied 43 consecutive patients during the acute stage of myocardial infarction. Recording of sufficient quality where obtained in 74% of the patients. The extent of myocardial damage was estimated by a left ventricular wall motion index (SFR). Regional dyssynergy was found in all patients. Echocardiographic and electrocardiographic infarct localization were in agreement in 93%. Four patients died during hospitalization. The mean SFR in these patients (2.04 +/- 0.46) was significantly higher than in surviving patients (1.16 +/- 0.12; p less than 0.025). The SFR was higher than 2 in three of the four patients who died. All surviving patients had an SFR of 2 or less. In conclusion, two-dimensional echocardiography performed during the first hours of acute myocardial infarction serves to localize the infarct and estimate the extent of myocardial damage. In addition, this technique seems to offer an appropriate means of identifying high risk patients.
为评估二维超声心动图的预后价值，我们对43例连续的心肌梗死急性期患者进行了研究。74%的患者获得了质量足够的记录。心肌损伤程度通过左心室壁运动指数（SFR）进行评估。所有患者均发现有节段性运动失调。超声心动图和心电图梗死定位的符合率为93%。4例患者在住院期间死亡。这些患者的平均SFR（2.04±0.46）显著高于存活患者（1.16±0.12；p＜0.025）。4例死亡患者中有3例的SFR高于2。所有存活患者的SFR为2或更低。总之，在急性心肌梗死发病后的最初数小时内进行二维超声心动图检查有助于梗死定位并评估心肌损伤程度。此外，这项技术似乎为识别高危患者提供了一种合适的方法。
