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[心肌梗死康复综合诊疗阶段患者病情客观动态评估的可能性]

[Possibilities for the objective dynamic evaluation of patient status in myocardial infarct at the polyclinic stage of rehabilitation].

作者信息

Mirchev V

出版信息

Vutr Boles. 1980;19(4):42-6.

PMID:7415159
Abstract

Nineteen patients with non-complicated myocardial infarction were followed-up. A veloergometric testing was carried out by the fourth and seventh month after the coronary incident. The dynamics of a considerable number of indices (obtained via non invasive way), with regards to the external work and the work of the heart were followed up. The author found that the capacity of threshold loading, quantity of the work performed, PWC170, maximum loading capacity/maximum pulse rate, tension-frquency index and coronary reserve were changed in a more undeviating and one-way and when followed in dynamics, they could serve for the objectivization of the state of the patients. The data from the psycho-somatic state and the concomitant chronic diseases were recommended to be given consideration in the complex evaluation. All that provided grounds for a more precise evaluation of the results from the rehabilitation and effective readjustment of the patients.

摘要

对19例无并发症的心肌梗死患者进行了随访。在冠状动脉事件发生后的第四个月和第七个月进行了踏车运动试验。对大量(通过非侵入性方法获得的)指标在外部工作和心脏工作方面的动态变化进行了跟踪。作者发现,阈负荷能力、完成的工作量、PWC170、最大负荷能力/最大脉搏率、张力-频率指数和冠状动脉储备以更一致和单向的方式发生变化,并且在动态跟踪时,它们可用于客观评估患者的状态。建议在综合评估中考虑心理-躯体状态和伴随的慢性疾病的数据。所有这些为更精确评估患者的康复结果和有效调整提供了依据。

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