Alekian B G, Lepikhova I I
Kardiologiia. 1985 Dec;25(12):30-6.
Intracardiac hemodynamic data obtained at catheterization of the heart in 110 patients with complete transpositions of major vessels (CTMV) are reviewed. The patients were divided into 6 hemodynamic groups depending on the presence of concomitant heart diseases. The age of the patients varied between 22 hours and 12 years. Blood oxygen saturation and pressure inside the cardiac cavities and the major vessels, total pulmonary and total peripheral resistance, pulmonary and systemic blood flow, effective pulmonary blood flow and intercavity pressure gradient were measured. Hemodynamic changes in patients with CTMV were shown to be associated with concomitant heart diseases. Low left-ventricular systolic blood pressure, an interatrial pressure gradient and high oxygen saturation of the blood in a pulmonary artery, as compared to the respective values in a systemic artery were the most specific features in these patients.
回顾了110例大血管完全转位（CTMV）患者心脏导管插入术中获得的心内血流动力学数据。根据是否存在合并心脏病，将患者分为6个血流动力学组。患者年龄在22小时至12岁之间。测量了心腔和大血管内的血氧饱和度和压力、总肺阻力和总外周阻力、肺血流量和体循环血流量、有效肺血流量和心腔间压力梯度。结果显示，CTMV患者的血流动力学变化与合并心脏病有关。与体循环动脉中的相应值相比，左心室收缩压降低、心房压力梯度以及肺动脉中血液的高氧饱和度是这些患者最具特异性的特征。
