Kireev P M, Martynov I F, Budaeva K B
Kardiologiia. 1977 Feb;17(2):66-70.
The function of pulmonary respiration was studied in 28 patients with acute postinfarction aneurysms of the heart, in 20 normal individuals and in 25 patients with transmural myocardial infarction non-complicated by by cardiac aneurysm. A comparative analysis of the obtained data has shown that patients with acute postinfarction aneurysms of the heart have more severe pulmonary respiration disorders than those with transmural myocardial infarctions. The degree of these disorders grows in accordance with the degree of circulation insufficiency. The authors believe the main cause of such pulmonary respiration disorders in cardiac aneurysms to consist in a reduced contractile capacity of the heart muscle with subsequent disturbances in the intracardiac haemodynamics and the development of pulmonary hypertension. The authors recommend to take into account the degree of pulmonary respiration disorders when determining the vital and occupational prognosis, as well as the indications for a surgical management of this complication of myocardial infarction.
对28例急性心肌梗死后心脏动脉瘤患者、20名正常个体以及25例无心脏动脉瘤并发症的透壁性心肌梗死患者的肺呼吸功能进行了研究。对所得数据的比较分析表明，急性心肌梗死后心脏动脉瘤患者的肺呼吸障碍比透壁性心肌梗死患者更为严重。这些障碍的程度随着循环功能不全的程度而加重。作者认为，心脏动脉瘤中这种肺呼吸障碍的主要原因在于心肌收缩能力降低，随后导致心内血流动力学紊乱和肺动脉高压的发展。作者建议在确定生命和职业预后以及心肌梗死这一并发症的手术治疗指征时，应考虑肺呼吸障碍的程度。
