Alekian B G, Kulikova A T
Kardiologiia. 1979 Apr;19(4):37-40.
The results of the examination (electrocardiography, selective coronary arteriography, and left ventriculography) of 100 patients with ischemic heart disease and a history of myocardial infarction are discussed. All patients with postinfarction cicatricial changes in the myocardium of the anterior wall had severe affection (occlusion or stenosis by more than 75%) of the anterior interventricular branch of the left coronary artery, while 93% of patients with cicatricial changes in the myocardium of the inferior wall had affection of the right coronary artery. The parameters of myocardial contractility (ejection fraction, left ventricular and diastolic pressure, and Vmax) in patients with microfocal postinfarction cardiosclerosis both of the anterior and the inferior walls and in patients with macrofocal cardiosclerosis of the inferior wall remain within the lowest normal level. The contractility of the myocardium is sharply impaired in patients with macrofocal cardiosclerosis of the anterior wall and in those with combined cardiosclerosis of the anterior and inferior walls.
讨论了100例患有缺血性心脏病且有心肌梗死病史患者的检查结果（心电图、选择性冠状动脉造影和左心室造影）。所有前壁心肌梗死瘢痕形成改变的患者，左冠状动脉前室间支均有严重病变（闭塞或狭窄超过75%），而下壁心肌瘢痕形成改变的患者中，93%有右冠状动脉病变。前壁和下壁微灶性心肌梗死后心肌硬化患者以及下壁巨灶性心肌硬化患者的心肌收缩参数（射血分数、左心室和舒张压以及Vmax）仍处于最低正常水平。前壁巨灶性心肌硬化患者以及前壁和下壁合并心肌硬化患者的心肌收缩力严重受损。
