Schaller K
Z Gesamte Inn Med. 1984 Jul 15;39(14):346-8.
In 40 patients (33 men, 7 women) at the age of 62 +/- 9 years with acute definitive myocardial infarction after the end of the rehabilitation phase I a Pulmoflex catheter was introduced through an arm vein into the pulmonary artery. After having measured the rest values in lying position the systolic, diastolic, end-diastolic and mean pressure of the pulmonary artery in sitting position were established. After this the continuous pressure determination during increasing ergometer loading in sitting position was performed. At the transition into sitting position the systolic pressure of the pulmonary artery decreased by on an average 4 Torr, while the diastolic and end-diastolic values remained constant. In the trend the mean value decreased by 2 Torr. During the ergometry the pressure values could be recorded in good quality. With increasing load all measuring values continuously increased. Thus it was possible to determine the blood pressure in the pulmonary artery during the ergometer load in the physiological and for the practice more evident sitting position.
在40例(33例男性,7例女性)年龄为62±9岁、处于康复I期结束后的急性明确心肌梗死患者中,通过臂静脉将Pulmoflex导管插入肺动脉。在测量卧位休息值后,测定坐位时肺动脉的收缩压、舒张压、舒张末期压和平均压。此后,在坐位增加测力计负荷期间进行连续压力测定。在转变为坐位时,肺动脉收缩压平均下降4 Torr,而舒张压和舒张末期值保持不变。平均而言,平均值下降2 Torr。在测力计测试期间,压力值能够以良好的质量记录下来。随着负荷增加,所有测量值持续升高。因此,有可能在测力计负荷期间、在生理上且在临床上更明显的坐位状态下测定肺动脉血压。