Urbaszek W, Schauer J, Günther K, Pankau H
Z Gesamte Inn Med. 1976 Jan 15;31(2):314-7.
From 4 weeks to several months after infarction the patients revealed an altogether clearly decreased total physical functional capacity compared with healthy persons. Behaviour of pulse and blood pressure as well as ventilatory indices in comparable Watt-degrees did not reveal any significant differences compared with persons with a healthy heart. The stroke volume pro surface and the heart-time-volume did also not reveal any determinable deviation concerning the mean values compared with normal persons. In patients with compensated infarction the pulmonary arterial pressure in rest was, as a rule, within the normal. However, under load it increased more than in healthy persons. Patients with decompensated infarction revealed a PAEDP in rest between 20 and more than 30 Torr. The question about a critical PAEDP under load should further be pursued. The ECG gives reliable limiting findings in functional examinations.
在心肌梗死后4周乃至数月，与健康人相比，患者的整体身体功能能力明显下降。在相同瓦度数下，脉搏、血压及通气指标的表现与心脏健康者相比未显示出任何显著差异。每平方米体表面积的每搏输出量及每分心输出量与正常人相比，也未显示出任何可测定的均值偏差。在梗死代偿期患者中，静息肺动脉压通常在正常范围内。然而，在负荷状态下，其升高幅度大于健康人。梗死失代偿期患者静息时的肺动脉舒张末压在20至30多托之间。关于负荷状态下肺动脉舒张末压临界值的问题应进一步探究。心电图在功能检查中可提供可靠的临界结果。
