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肺舒张压及肺楔压与左心室舒张压的关系:急性心肌梗死部位的作用

Relationship of pulmonary diastolic and pulmonary wedge pressures to left ventricular diastolic pressures: role of acute myocardial infarction localization.

作者信息

Saadjian A, Cassot F, Torresani J

出版信息

Cardiology. 1981;67(3):148-63. doi: 10.1159/000173238.

DOI:10.1159/000173238
PMID:7273044
Abstract

Right and left hemodynamics have been simultaneously studied in 127 patients with acute myocardial infarction with respect to electrocardiographic localization. Hemodynamic profiles of the different localizations suggest a high incidence of right ventricular dysfunction in infero-posterior infarcts. The comparison with the other localizations suggests that such a right ventricular dysfunction is likely to be responsible for an additional underestimation of left ventricular end-diastolic pressure when estimated by pulmonary diastolic pressure.

摘要

对127例急性心肌梗死患者的左右血流动力学进行了同步研究,并与心电图定位相关联。不同定位的血流动力学特征表明,下后壁梗死患者右心室功能障碍的发生率较高。与其他定位的比较表明,这种右心室功能障碍可能会导致在用肺动脉舒张压估计左心室舒张末期压力时出现额外的低估。

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