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[早搏后增强在缺血性心脏病左心室协同失调可逆性术前评估中的意义]

[Significance of postextrasystole potentiation in the preoperative assessment of the reversibility of left ventricular asynergy in ischemic heart disease].

作者信息

Ekha Ia E, Leĭssoo A R, Lukha O A

出版信息

Kardiologiia. 1982;22(6):10-4.

PMID:6181283
Abstract

The influence of post-extrasystolic potentiation of asynergy of the left ventricle of the heart has been analysed in 89 patients with ischaemic heart disease. Left ventriculography and coronarography after Judkins was performed in all the patients. It was established that asynergy of the left ventricle of the heart as a result of the post-extrasystolic potentiation became normal in 37.5% of cases and was reversible in 55.6% of cases. With initial hypokinesia normalization was seen more often (in 70%), with akinesia it was seen less often (18.8%). Dyskinesia never disappeared. Patients, having survived myocardial infarction, showed improvement in asynergia 3.2 times more rarely than those who had had no infarction.

摘要

对89例缺血性心脏病患者分析了心脏左心室协同失调的早搏后强化的影响。所有患者均进行了Judkins法左心室造影和冠状动脉造影。结果表明,早搏后强化导致的心脏左心室协同失调在37.5%的病例中恢复正常,在55.6%的病例中是可逆的。初始运动减弱时,正常化更常见(70%),运动不能时则较少见(18.8%)。运动障碍从未消失。心肌梗死存活患者协同失调改善的频率比未发生梗死的患者低3.2倍。

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