Kiss E, Prachar H, Jobst C, Kobienia G, Nobis H, Spiel R, Enenkel W
Wien Klin Wochenschr. 1976 Sep 3;88(16):521-7.
29 patients with acute myocardial infarction were subdivided into 3 groups using the information gained by continuous measurement of the pulmonary artery end-diastolic pressure (PAEDP) during a stay of 3 to 5 days in the coronary care unit of this hospital. Group I comprised patients with a PAEDP of below 12 mm Hg (without treatment), group II those with a PAEDP of between 12 and 20 mm Hg and group III those patients with a PAEDP of above 20 mm Hg. 3 to 6 months after rehabilitation and ambulant ""coronary training'' a follow-up control PAEDP measurement was performed at rest and during ergometric stress with the bicycle exercise test. 2 out of the 15 patients in group I had a pathological PAEDP at rest, whilst exercise of 50 watts raised the PAEDP to pathological values in 40% of this group of patients. Group II: 58% of the patients with an initially-raised PAEDP showed a normal value at follow-up examination 3 months subsequently. Exercise of 50 watts raised the PAEDP to pathological values in 66% of the patients in this group. Group III. The pathologically high PAEDP recordings at rest made it impossible to subject these patients to stress with the bicycle ergometer. The prognostic value of the classification of patients with myocardial infarction into pressure groups and the importance of PAEDP follow-up measurements on patients after myocardial infarction at rest and after ergometric stress are discussed.
29例急性心肌梗死患者在本院冠心病监护病房住院3至5天期间，通过连续测量肺动脉舒张压（PAEDP）所获得的信息被分为3组。第一组包括PAEDP低于12 mmHg的患者（未接受治疗），第二组是PAEDP在12至20 mmHg之间的患者，第三组是PAEDP高于20 mmHg的患者。在康复及门诊“冠状动脉训练”3至6个月后，通过自行车运动试验在静息和运动负荷状态下进行了PAEDP的随访对照测量。第一组的15例患者中有2例在静息时PAEDP病理性升高，而在该组40%的患者中，50瓦功率的运动使PAEDP升高至病理性值。第二组：最初PAEDP升高的患者中有58%在随后3个月的随访检查中显示为正常值。50瓦功率的运动使该组66%的患者PAEDP升高至病理性值。第三组：静息时PAEDP病理性升高的记录使得无法让这些患者进行自行车测力计负荷试验。本文讨论了将心肌梗死患者按压力分组的预后价值以及PAEDP在心肌梗死患者静息及运动负荷后随访测量的重要性。
