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[缺血性心脏病和高血压患者心脏功能不全在法医学中的早期诊断]

[Early diagnosis of cardiac insufficiency in patients with ischemic heart disease and hypertension in medical jurisprudence].

作者信息

Kogan B M, Sokolova D A, Kuz'mishin L E

出版信息

Kardiologiia. 1977 Jun;17(6):116-20.

PMID:894894
Abstract

Results of a study into the myocardium function in 440 patients with ischemic heart and hypertensive diseases are presented. In the study poly-kineto-apex-cardiography, rheography of the aorta and lungs, ultrasonic cardiography at rest in 123 of 440 patients were used after veloergometric loading. The application of the mentioned methods in conjunction with the veloergometric test helped diagnose a latent cardiac insufficiency that proved most frequent among patients with myocardial infarction in their past history (84.5%) and among those suffering from hypertensive disease with prevalence of the cardiac syndrome. An inference is drawn on the need for a complex investigation of patients at the clinic and especially in the practice of the medical expert testimony on the work capacity.

摘要

本文介绍了对440例缺血性心脏病和高血压病患者心肌功能的研究结果。在该研究中,对440例患者中的123例进行了多级运动心尖心动图、主动脉和肺部血流图检查以及静息超声心动图检查,这些检查均在运动负荷试验后进行。将上述方法与运动负荷试验相结合,有助于诊断潜在的心功能不全,这种情况在有心肌梗死病史的患者中最为常见(84.5%),在患有以心脏综合征为主的高血压病患者中也较为常见。由此推断,临床上需要对患者进行综合检查,尤其是在医学专家对工作能力进行鉴定的实践中。

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1
[Early diagnosis of cardiac insufficiency in patients with ischemic heart disease and hypertension in medical jurisprudence].[缺血性心脏病和高血压患者心脏功能不全在法医学中的早期诊断]
Kardiologiia. 1977 Jun;17(6):116-20.
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[Analysis of the reserve capacity of the myocardium in patients with hypertensive disease and its importance for disability evaluation].[高血压病患者心肌储备能力分析及其对伤残评定的重要性]
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