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[心肌梗死时肺动脉血压的变化]

[Changes in blood pressure in the pulmonary artery in myocardial infarct].

作者信息

Senenko A N, Ipatov P V, Krynskiĭ O M, Kuznetsov E I

出版信息

Kardiologiia. 1984 Apr;24(4):21-6.

PMID:6547190
Abstract

A polygraphic study involved 122 patients with acute myocardial infarction mostly of transmural nature. In 42 cases using parallel catheterization, barograms of the right portion of the heart and pulmonary artery were recorded. The above non-invasive techniques were tested in relation to their suitability for the indirect determination of the pulmonary circulation pressure. Mathematically substantiated formula are presented designed for the indirect measurement of right atrium and pulmonary pressure. The localization of the primary infarction in the left ventricle anterior wall, recurrent necrosis of the cardiac muscle, attendant essential hypertension and diabetes mellitus are shown to be associated with a more pronounced pulmonary hypertension. An attempt is made to elicit the mechanisms of pulmonary hypertension by correlating the phasic structures of the systole of the right and left ventricles.

摘要

一项多导睡眠图研究涉及122例急性心肌梗死患者,大多为透壁性。在42例采用平行导管插入术的病例中,记录了右心和肺动脉的压力图。对上述非侵入性技术进行了测试,以确定其对间接测定肺循环压力的适用性。给出了经数学论证的公式,用于间接测量右心房和肺动脉压力。结果显示,左心室前壁原发性梗死的定位、心肌反复坏死、伴发的原发性高血压和糖尿病与更明显的肺动脉高压有关。试图通过关联左右心室收缩期的相位结构来揭示肺动脉高压的机制。

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