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一些影响心肌梗死后患者预后的因素。

Some factors influencing the prognosis of patients after myocardial infarction.

作者信息

Kolesár J, Mikes Z, Dukát A, Petrovicová J, Brveník P, Stukovský R, Gregorová M

出版信息

Cor Vasa. 1982;24(1):38-46.

PMID:7067463
Abstract

302 patients after acute myocardial infarction were followed up. The average age was 52.28 years, the average time elapsed since discharge from hospital to the first examination by an exercise test was 45.35 days. 141 patients went through an out-patients' rehabilitation programme, 161 patients abstained from rehabilitation. The initial values of both groups of patients were identical. On the basis of a two and three-year observation the authors conclude that a low tolerance of physical load and heart volume above 790 ml are among the factors worsening the long-term prognosis of patients after myocardial infarction. The lower mortality of rehabilitated patients is certainly the result of all components of more intensive therapeutic care, surveillance and health education.

摘要

对302例急性心肌梗死后的患者进行了随访。平均年龄为52.28岁,从出院到首次进行运动试验检查的平均时间为45.35天。141例患者参加了门诊康复计划,161例患者未进行康复。两组患者的初始值相同。基于两年和三年的观察,作者得出结论,体力负荷耐受性低和心脏容积超过790毫升是心肌梗死后患者长期预后恶化的因素。康复患者较低的死亡率肯定是更强化的治疗护理、监测和健康教育所有组成部分的结果。

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