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[冠心病的比较临床与放射心脏学研究]

[Comparative clinical and radiocardiographic studies in coronary disease].

作者信息

Nikolova P

出版信息

Vutr Boles. 1980;19(6):56-9.

PMID:7010787
Abstract

A clinical-functional characteristics was carried out of 124 patients with coronary disease (104 patients with a past history of myocardial infarction in a post-convalescent stage and 20 patients with atherosclerotic myocardiosclerosis). The patients were distributed into three groups depending on the functional state of the cardiovascular system. Manifestations of decompensation were found only in one of the groups--postinfarction states. A comparison was made of the changes in the central hemodynamics, assessed radiocardiographically. In all the three groups, a decrease of the minute and stroke volumes was radiocardiographically established as well as stasis in the pulmonary circulation, confirmed by the changes in the pulmonary volume of blood and velocity of blood within the pulmonary circulation, a manifestation of left-ventricular insufficiency. Left ventricular insufficiency is found in the patients with coronary disease in the absence of clinical manifestations of cardiac insufficiency.

摘要

对124例冠心病患者(104例处于心肌梗死后恢复期且有心肌梗死病史,20例为动脉粥样硬化性心肌硬化患者)进行了临床功能特征研究。根据心血管系统的功能状态,将患者分为三组。仅在其中一组——心肌梗死后状态组中发现了失代偿表现。对通过放射心电图评估的中心血流动力学变化进行了比较。通过放射心电图证实,所有三组患者的每分输出量和每搏输出量均下降,同时肺循环出现淤血,这由肺血容量变化和肺循环内血流速度变化所证实,是左心室功能不全的表现。在无心脏功能不全临床表现的冠心病患者中也发现了左心室功能不全。

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