Orlov M V
Kardiologiia. 1984 Oct;24(10):66-9.
Echocardiographic examination was conducted in 40 patients with acute myocardial infarction, in five cases the course of myocardial infarction was complicated by cardiorhexis. The echocardiograms of patients who died of cardiorrhexis showed marked hyperkinesia in the area of the posterior wall of the left ventricle (in 3 of the 4 cases of anterior myocardial infarction). In the control group compensatory hyperkinesia in the area of the posterior wall of the left ventricle was detected only in 21% of the patients. Moreover, the echocardiograms of those patients who died of cardiorrhexis showed dys- and akinesia in the focus of the affection, 80% of these patients exhibited an enlargement of the right ventricle as compared to 40% of the controls. The parameters of the central hemodynamics in the patients with hyperkinesia who died of cardiorrhexis indicated compensation of the cardiac activity although all patients had marked zones of dys- and akinesia. In the control group they were significantly reduced and pointed to impaired myocardial contractility.
对40例急性心肌梗死患者进行了超声心动图检查，其中5例心肌梗死病程并发心脏破裂。死于心脏破裂的患者的超声心动图显示左心室后壁区域有明显的运动亢进（在前壁心肌梗死的4例中有3例）。在对照组中，仅21%的患者检测到左心室后壁区域有代偿性运动亢进。此外，死于心脏破裂的患者的超声心动图显示病变部位有运动障碍和运动不能，这些患者中有80%的右心室增大，而对照组为40%。死于心脏破裂的运动亢进患者的中心血流动力学参数表明心脏活动得到代偿，尽管所有患者都有明显的运动障碍和运动不能区域。在对照组中，这些参数明显降低，表明心肌收缩力受损。
