Rosival V, Prónay K
Z Kardiol. 1979 Jan;68(1):32-5.
In 850 patients with acute myocardial infarction, cardiac output has been checked daily with acid-base-balance determinations, respiratory alcalosis being a sign of decreased cardiac output. In 84 patients without spontaneous increase of low cardiac output, treatment with cardiac glycosides has been started with the aim to prevent delayed cardiogenic shock: only 1 patient died in delayed cardiogenic shock and 3 patients in delayed heart failure. In the remaining 766 patients, only 1 patient died in delayed heart failure. With this successful prevention, the overall hospital lethality has dropped to 11.06% as compared with 21.70% in 3272 comparable patients in the literature.
在850例急性心肌梗死患者中，每天通过酸碱平衡测定检查心输出量，呼吸性碱中毒是心输出量降低的一个迹象。在84例低心输出量无自发增加的患者中，已开始使用强心苷进行治疗，目的是预防延迟性心源性休克：仅1例患者死于延迟性心源性休克，3例患者死于延迟性心力衰竭。在其余766例患者中，仅1例患者死于延迟性心力衰竭。通过这种成功的预防措施，总体医院死亡率降至11.06%，而文献中3272例可比患者的死亡率为21.70%。
