Mirchev V
Vutr Boles. 1979;18(3):178-81.
Twenty five patients with myocardial infarction were followed up under the conditions of systematic rehabilitation. They were tested by the veloergometer at the beginning of the fourth and seventh month post the coronary incident. The dynamics of the indices concerning the outer work and oxygen consumption of the myocardium was followed up. The author found that the indices of outer work (capacity of threshold loading and volume of the work carried out) reflect the improved physical capacity of the patients respectively. The dynamics of the indices for the heart work, myocardial oxygen consumption respis not so regular and puts certain problems forward. That fact demanded the inclusion of additional parameters, being revelant to the myocardial contractility. In this way, the rehabilitation regimen could be more precisely determined as well as the effectivity of the therapeutic measures carried out.
25例心肌梗死患者在系统康复条件下接受随访。在冠状动脉事件发生后的第四个月和第七个月初，他们接受了自行车测力计测试。跟踪了与心肌外部功和氧消耗有关的指标动态。作者发现，外部功指标（阈负荷能力和完成的工作量）分别反映了患者身体能力的改善。心脏功、心肌氧消耗指标的动态不太规律，并提出了一些问题。这一事实要求纳入与心肌收缩力相关的额外参数。这样，康复方案可以更精确地确定，同时实施的治疗措施的有效性也可以确定。
