Shpak L V
Kardiologiia. 1978 Jul;18(7):62-7.
The data obtained by the author testifies to the fact that in various clinical forms of myocardial infarction, there are definite correlations between biologically active substances, reflecting the reactivity of the cholinergic and adrenergic systems. In non-complicated myocardial infarction the predominance of catecholamines is noted, as a rule. In complicated course of the disease with a favourable outcome, the absolute content of the biologically active substances is at maximum and the predominance of catecholamines remains; in some cases, however, the predominance of acetylcholine is observed. In myocardial infarction with a fatal outcome, there is practically no stable predominance of this or that substance with a distinct tendency to the growth of the acetylcholine content and an inadequate change in the content of catecholamines.
作者获得的数据证明,在心肌梗死的各种临床形式中,反映胆碱能和肾上腺素能系统反应性的生物活性物质之间存在明确的相关性。通常,在非复杂性心肌梗死中,儿茶酚胺占优势。在疾病转归良好的复杂病程中,生物活性物质的绝对含量最高,儿茶酚胺仍占优势;然而,在某些情况下,观察到乙酰胆碱占优势。在有致命结局的心肌梗死中,实际上不存在某种物质的稳定优势,乙酰胆碱含量有明显的增长趋势,儿茶酚胺含量变化不足。