Masliuk V I, Polosova T A, Neporent M I, Abbakumov S A, Shatikhin A I
Kardiologiia. 1977 Sep;17(9):42-6.
Electrokymography was used to assess by pulmonary densograms and pulmonary artery pulse curves treatment-induced changes in cardiac contractility and lesser circulation in 455 patients with rheumatic heart disease and stage IIA, IIB, and III circulatory insufficiency. Treatment with cardiac glycosides in combination with metabolic preparations (ATP methionine, vitamin B12, inosine-F, and extract of the heart muscle) leads to a more conspicuous reduction in the symptoms of congestion in the lesser circulation than that encountered in treatment with cardiac glycosides alone. The reduction in these symptoms following treatment with ATP and heart-muscle extract may be explained not only by improved myocardial contractility but also by the direct vasodilating effect of adenyl compounds.
采用心电图描记术,通过肺密度图和肺动脉脉搏曲线,对455例患有风湿性心脏病且处于循环功能不全IIA、IIB和III期的患者,评估治疗引起的心脏收缩力和微循环变化。与单独使用强心苷治疗相比,强心苷与代谢制剂(三磷酸腺苷蛋氨酸、维生素B12、肌苷-F和心肌提取物)联合治疗可使微循环充血症状得到更明显的减轻。使用三磷酸腺苷和心肌提取物治疗后这些症状的减轻,不仅可以用心肌收缩力的改善来解释,还可以用腺苷化合物的直接血管舒张作用来解释。