Romano S, Dagianti A, Tocchi M, Rosanio S, Aurigemma G, Vizza C D, Penco M
I Cattedra di Cardiologia, Dipartimento di Scienze Cardiovascolari e Respiratorie, Università degli Studi La Sapienza, Roma.
Cardiologia. 1995 Aug;40(8):585-91.
We have studied 455 consecutive patients with acute myocardial infarction to assess the early and mid-term prognostic value of clinical and laboratory findings in the acute (i.e. Killip classification, arterial PO2, echocardiographic extent of necrotic area) and subacute phase (exercise test, ambulatory ECG). Results showed that clinical examination, blood gas analysis and two-dimensional echocardiography have a high predictivity for in-hospital risk stratification. In particular, two-dimensional echocardiography showed that patients with diffuse wall motion abnormalities had a worse prognosis during the follow-up. Exercise test and, to a lesser extent, ambulatory ECG have well identified patients at risk for new coronary events.
我们研究了455例连续性急性心肌梗死患者，以评估急性（即Killip分级、动脉血氧分压、坏死区域的超声心动图范围）和亚急性期（运动试验、动态心电图）临床及实验室检查结果的早期和中期预后价值。结果显示，临床检查、血气分析和二维超声心动图对住院期间风险分层具有较高的预测性。特别是二维超声心动图显示，弥漫性室壁运动异常的患者在随访期间预后较差。运动试验以及在较小程度上动态心电图能很好地识别有新发冠状动脉事件风险的患者。
