Popov V G, Baryshnikova G A, Solov'ev V V, Rozova N K, Meshalkin L D
Kardiologiia. 1983 Jan;23(1):10-6.
The incidence and pattern of ventricular arrhythmias in acute, subacute, late hospital and posthospital periods of myocardial infarction were investigated, using Holter monitoring, in 121 patients with large-focal and transmural myocardial infarction. A high incidence of complex ventricular arrhythmias was noted after the transfer from intensive care unit (38.8%). The relationship of complex ventricular arrhythmias to ventricular arrhythmias at previous stages was reviewed. Factors contributing to arrhythmias at different stages of myocardial infarction were analysed; the informative value of clinical signs and electric myocardial instability parameters was assessed. Signs having the greatest predictive power were identified, and risk indices for the development of arrhythmias during the subacute and late hospital stages of myocardial infarction were established using linear discriminant analysis, to enable identification of patients at risk of developing ventricular arrhythmias.
采用动态心电图监测，对121例大面积透壁性心肌梗死患者在急性、亚急性、住院后期及出院后阶段室性心律失常的发生率及类型进行了研究。从重症监护病房转出后，复杂性室性心律失常的发生率较高（38.8%）。回顾了复杂性室性心律失常与前阶段室性心律失常的关系。分析了心肌梗死不同阶段导致心律失常的因素；评估了临床体征和心肌电不稳定参数的信息价值。确定了具有最大预测能力的体征，并采用线性判别分析建立了心肌梗死亚急性和住院后期心律失常发生的风险指数，以识别有发生室性心律失常风险的患者。
