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[心肌梗死急性期中心血流动力学的某些特征]

[Certain characteristics of central hemodynamics in acute period of myocardial infarct].

作者信息

Golikov A P, Berestov A A, Maiorov N I, Esaian M A, Riabinin V A

出版信息

Kardiologiia. 1977 Aug;17(8):65-70.

PMID:926573
Abstract

Changes in the indices of central hemodynamics and contractility of the heart muscle in the acute period of macrofocal myocardial infarction were studied. In many cases heart ejection and performance of the left ventricle in the first 24 hours of the disease were greater than those in the control group of patients with ischemic heart disease in the period of remission. The increase coincided in time with sharp activation of the sympathico-adrenal and other systems of the organism in myocardial infarction, occurred on a background of deteriorated cardiac contractility, and ended by the third day of the acute period. Such changes in the first day of the disease were less manifest in the group of individuals in whom preceding cardiac failure had been more severe.

摘要

研究了大面积心肌梗死急性期中心血流动力学指标和心肌收缩性的变化。在许多病例中,发病头24小时内心脏射血和左心室功能大于缺血性心脏病缓解期对照组患者。这种增加与心肌梗死时机体交感 - 肾上腺及其他系统的急剧激活在时间上相吻合,发生在心脏收缩性恶化的背景下,并在急性期第三天结束。在先前心力衰竭较为严重的个体组中,疾病第一天的这种变化不太明显。

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