Dorofeeva Z Z, Riabykina G V, Sheremeta V M
Kardiologiia. 1977 Dec;17(12):59-65.
On the basis of ECG recorded in 35 precordial leads and subsequent cartographic analysis of the results obtained, the state of the necrotic and periinfarction zones in 38 patients with complicated myocardial infarction (development of circulatory insufficiency, acute aneurysm of the left ventricle, and pericarditis epistenocardica) was analysed. In circulatory insufficiency being the only complication, significantly smaller values of the indices characterizing the necrotic and periinfarction zones were found. In pericarditis, dynamics of the most mobile ECG indices was observed which characterized the state of the periinfarction zone in the direction of diminution (by half) by the end of the 1st week; in aneurysm the same degree of diminution was noted only by the end of the 2nd week of the process. In fatal outcomes of the disease these indices fluctuated within the range of the individual levels of the initial values without showing any obvious tendency to decrease in the first 2 weeks of the disease.
根据在35个胸前导联记录的心电图以及对所得结果进行的后续图谱分析，对38例并发心肌梗死（出现循环功能不全、左心室急性动脉瘤和心外膜炎）患者的坏死区和梗死周边区状态进行了分析。在仅以循环功能不全为并发症的情况下，发现表征坏死区和梗死周边区的指标值明显较小。在心外膜炎中，观察到最易变化的心电图指标的动态变化，这些指标表征梗死周边区状态，到第1周结束时减小（减半）；在动脉瘤中，仅在病程第2周结束时才观察到相同程度的减小。在疾病的致命结局中，这些指标在初始值的个体水平范围内波动，在疾病的前2周内未显示出任何明显的下降趋势。
