Opasich C, Assandri J, Calsamiglia G, Febo O, Pozzoli M, Tramarin R, Traversi E, Cobelli F, Specchia G
G Ital Cardiol. 1984 Aug;14(8):614-7.
A retrospective study was conducted on 488 patients admitted in our rehabilitation center after a recent acute myocardial infarction. Purpose of the study was to assess the incidence and prognostic value of exertional hypotension in these patients. Of 488 patients admitted to the study 33 (6%) were found to have exertional hypotension; 14 patients had an inferior myocardial infarction, 18 patients had an anterior myocardial infarction, 3 patients had a history of previous myocardial infarction. In the follow-up period (28.3 +/- 13.2 months) the worse prognosis (death or pulmonary oedema) was associated with the presence during exercise of hypotension, ST segment elevation in leads were Q waves were present and no ST depression in other leads. In conclusion, recent anterior myocardial infarctions associated with hypotension and ST segment elevation during exercise appear to be at risk for future cardiac events.
对近期急性心肌梗死后入住我们康复中心的488例患者进行了一项回顾性研究。该研究的目的是评估这些患者中运动性低血压的发生率和预后价值。在纳入研究的488例患者中，发现33例（6%）有运动性低血压；14例为下壁心肌梗死，18例为前壁心肌梗死，3例有既往心肌梗死病史。在随访期（28.3±13.2个月），预后较差（死亡或肺水肿）与运动时出现低血压、存在Q波导联的ST段抬高以及其他导联无ST段压低有关。总之，近期前壁心肌梗死伴运动时低血压和ST段抬高似乎有发生未来心脏事件的风险。
