Walters M B
Can Med Assoc J. 1966 Dec 24;95(26):1356-8.
Cineradiographic examination appears to be the best method for the study of cardiac pulsations. Fifty consecutive patients, who had sustained transmural myocardial infarction at least six months previously, were studied by this technique. Thirty-six had some abnormality of pulsation and eight had dynamic ventricular aneurysm. Six of the eight had suffered severe infarct. Functional recovery in those with aneurysm was not as complete as in the rest of the group. Two made a poor functional recovery, two a fair recovery, and four a moderately good recovery. Clinically, there were no systemic emboli in the patients with dynamic aneurysms. Five of the 50 had persistent ST-segment elevation and "coving" of the T waves; three of these patients had aneurysms. There was no good correlation between the electrocardiographic site of the infarct and the site of the abnormal pulsation.
电影放射摄影检查似乎是研究心脏搏动的最佳方法。采用该技术对50例至少在6个月前发生透壁性心肌梗死的连续患者进行了研究。36例存在搏动异常，8例有动力性室壁瘤。8例中有6例曾发生严重梗死。有室壁瘤患者的功能恢复不如该组其他患者完全。2例功能恢复差，2例恢复一般，4例恢复尚可。临床上，有动力性室壁瘤的患者未发生全身性栓塞。50例中有5例ST段持续抬高且T波“穹隆样”改变；其中3例有室壁瘤。梗死的心电图部位与异常搏动部位之间无良好相关性。
