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[陈旧性心肌梗死并发症所致心脏功能不全的初期]

[Initial stage of cardiac insufficiency as a complication of a past myocardial infarct].

作者信息

Komarov F I, Ol'binskaia L I, Kun I S, Ostrovskaia V I, Bobkov V V

出版信息

Kardiologiia. 1977 Feb;17(2):18-24.

PMID:870738
Abstract

An instrumental and roentgenological examination was conducted in 164 patients who had survived myocardial infarction 1 to 10 years before the examination and having been free of any clinically manifest signs of congestive heart failure. The investigation included a study of the inotropic and pump function of the myocardium of the left ventricle, the electric and mechanical activity of the left atrium, the pulmonary haemodynamics under bicycle tests of growing power, and under identical conditions after premedication with cardiac glycosides (0.00036 mg/kg of body weight of Strophanthin K). Proceeding from the study of the readaptation of the circulation system and its transit to the initial stage of cardiac insufficiency the authors developed criteria of the onset of therapy for latent cardiac failure in patients with postinfarction cardiosclerosis.

摘要

对164例在检查前1至10年曾患心肌梗死且无任何充血性心力衰竭临床表现的患者进行了器械检查和X线检查。研究内容包括对左心室心肌的变力和泵功能、左心房的电活动和机械活动、递增功率自行车试验时以及用强心苷(毒毛花苷K 0.00036mg/kg体重)预处理后相同条件下的肺血流动力学进行研究。根据对循环系统再适应及其向心功能不全初始阶段转变的研究,作者制定了心肌梗死后硬化患者潜在心力衰竭治疗起始标准。

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Kardiologiia. 1977 Feb;17(2):18-24.
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