Popov V G, Gruzdev A K
Kardiologiia. 1979 Sep;19(9):11-8.
Daily echocardiographic examination was conducted of 31 patients in the acute period of macrofocal myocardial infarction with anteroseptal and posterior localization of left ventricular affection. The hemodynamic indices were determined and regional contractility both in the zone of infarction and in areas opposite the infarction was studied. The authors point to the possibility of partial restoration of the contractility of the wall in the zone of disturbed circulation beginning with the third day of the disease. In the absence of signs of partial restoration of regional contractility in the zone of affection the prognosis is much worse. It is concluded that the hemodynamic disorders in the acute period of macrofocal myocardial infarction are determined by the size of the affected area, the possibility of partial restoration of contractility in the zone of impaired circulation and by the compensatory reserves of areas remote from the infarction.
对31例左心室受累呈前间隔和后壁定位的大片心肌梗死急性期患者进行了每日超声心动图检查。测定了血流动力学指标，并研究了梗死区和梗死对侧区域的局部收缩性。作者指出，从疾病第三天开始，循环紊乱区域的心肌壁收缩性有可能部分恢复。如果受累区域没有局部收缩性部分恢复的迹象，预后会差得多。得出的结论是，大片心肌梗死急性期的血流动力学紊乱取决于受累面积的大小、循环受损区域收缩性部分恢复的可能性以及远离梗死区域的代偿储备。
