[The value of early exercise testing in patients with myocardial infarction complicated by evolving left ventricular aneurysm].
The values of an early exercise test limited by criteria for test termination were compared with coronaro- and ventriculographic measurements made 2-3 days after the test in 51 males of working age who suffered from transmural myocardial infarction complicated by local aneurysm in 12 cases and by overall left ventricular aneurysm in 39. The exercise test performed in the early periods was found to substantially increased its sensitivity. The isolated ST-dominant segment elevation in patients with local aneurysm and isolated coronary artery lesion indicated that the patients had a favourable prognosis. On the contrary, the combination of two criteria or more of a positive test in patients with global aneurysm and multivessel disease suggests that the patients with temporary disability should be followed up. The presence of T-dominant ST-segment elevation, anginal pain concurrent with an inadequate BP elevation shows that there is a high risk for postinfarction complications.
Golikov
A P
AP
Gazarian
G A
GA
Spasskiĭ
A A
AA
D000328:Adult; D005080:Exercise Test; D006322:Heart Aneurysm / Q000209:etiology*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000503:physiopathology; D011379:Prognosis; D013997:Time Factors
Znachenie rannego nagruzochnogo tecta y bol'nykh infarktom miokarda, oslozhennym razvitiem anevrizmy levogo zheludochka.