Kheĭnonen I M, Barats S S, Iulanov L P, Serebrennikov V A, Iordanidi S A
Kardiologiia. 1979 Jun;19(6):79-85.
The results of serial echocardiographic examination of 51 patients with primary myocardial infarction are discussed. Echocardiography was performed on the 1st, 3rd, 5th, 7th, 10th, and 20th days of the disease and before discharge. Thirty patients had infarct of the anterior wall and 21 of the posterior wall. The dynamics of left ventricular asynergy, end diastolic index, and volume/pressure coefficient suggested by Corya et al. were studied. The findings were compared with the indices of 20 healthy persons. The indices of regional and general contractile function of the left ventricle grew worse beginning with the first hours of the disease, the changes were most marked on the 3rd day while in cases with a fatal outcome they progressed or did not change. In cases with a fatal outcome they progressed or did not change. In cases with a favourable outcome, the indices improved gradually, first the volume/pressure coefficient and later the end diastolic index. The zones of asynergy disappeared before discharge in only 5 patients. Differences were found depending on the presence and severity of cardiac insufficiency and the localization of the myocardial infarction.
本文讨论了对51例原发性心肌梗死患者进行系列超声心动图检查的结果。在疾病的第1天、第3天、第5天、第7天、第10天和第20天以及出院前进行了超声心动图检查。30例患者为前壁梗死，21例为后壁梗死。研究了Corya等人提出的左心室协同失调、舒张末期指数和容积/压力系数的动态变化。并将这些结果与20名健康人的指标进行了比较。从疾病发作的最初几个小时开始，左心室局部和整体收缩功能指标就逐渐变差，在第3天变化最为明显，而在出现致命结果的病例中，这些指标则持续恶化或没有变化。在出现有利结果的病例中，指标逐渐改善，首先是容积/压力系数，随后是舒张末期指数。仅5例患者在出院前协同失调区域消失。根据心脏功能不全的有无和严重程度以及心肌梗死的部位发现了差异。
