Martynov A I
Kardiologiia. 1981 Jul;21(7):77-83.
Forty-nine signs found on clinical examination of 192 patients with hypertensive disease were compared with the cardiac index determined by means of tetrapolar chest rheography. The patients were divided into 3 groups according to the type of hemodynamics: eukinetic, hyperkinetic, and hypokinetic. The types of hemodynamics were determined with due regard for the age variations of the systolic index. From the results of the correlation analysis of the systolic index, types of circulation, and the findings of clinical examination, 13 clinical signs with significant and greatly marked connection were distinguished. In accordance with these signs, it proved possible to identify correctly in retrospective the hypertensive type of circulation in 91.9% of patients, the hypokinetic type in 85.1%, and the eukinetic type in 78.9% of patients.
对192例高血压病患者进行临床检查所发现的49项体征,与通过四极胸血流图测定的心脏指数进行了比较。根据血流动力学类型,将患者分为3组:正常动力型、高动力型和低动力型。确定血流动力学类型时适当考虑了收缩指数的年龄差异。通过对收缩指数、循环类型和临床检查结果的相关分析,区分出13项具有显著和极显著关联的临床体征。根据这些体征,在回顾性研究中,能够正确识别出91.9%的患者为高血压循环型,85.1%的患者为低动力型,78.9%的患者为正常动力型。