Pavel'chuk L K, Ashmarin I Iu, Markarian S S, Nikolaeva L F
Kardiologiia. 1979 Dec;19(12):89-93.
In most patients who had suffered from myocardial infarction 3 1/2 to 12 months (7.6 months on the average) previously and had no clinical symptoms of circulatory insufficiency, ultrasonic scanning of the heart showed normal stroke volume and stroke index, and normal minute volume and cardiac index against the background of low indices of left ventricular contractility function (ejection fraction, % delta S, VcF) and large end-diastolic and end-systolic left ventricular volumes. Normal stroke ejection was achieved due to an increase of the end-diastolic volume, the decrease in the contractility of the left ventricular was thus compensated for with the participation of the Frank-Starling mechanism.
在大多数先前曾患心肌梗死3个半月至12个月(平均7.6个月)且无循环功能不全临床症状的患者中,心脏超声扫描显示,在左心室收缩功能指标(射血分数、%△S、VcF)较低以及左心室舒张末期和收缩末期容积较大的情况下,每搏量和每搏指数正常,分钟量和心脏指数也正常。由于舒张末期容积增加,实现了正常的每搏射血,左心室收缩力的降低因此通过Frank-Starling机制的参与得到了代偿。