[Predicting postoperative acute heart failure after surgical treatment of patients with post-infarction heart aneurysm].
The clinoco-hemodynamic and angiocardiographic indices were analysed in 122 patients to determine the risk factors of postoperative development of acute cardiac insufficiency after surgery for chronic postinfarction aneurysm of the heart. The risk of the development of the complication was high in patients with the ejection fraction of the contracting part less than 38%, the stoke index below 38 ml/m2, and affection of the trunk of the left coronary artery. Other prognostically unfavourable indices are a clinical picture of cardiac asthma, a history of more than two infarctions, poor blood supply to the lateral wall of the left ventricle, total ejection fraction of less than 25%, cardiac index below 2.5 l/min/m2, and end diastolic pressure of more than 24 mm Hg. Appraisal of the risk index in marks made it possible to determine quantitatively the significance of each prognostic index, classify the patients according to the degree of the initial severity, and prognosticate the development of acute cardiac insufficiency objectively.
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D000208:Acute Disease; D002311:Cardiomyopathy, Dilated / Q000209:etiology*; D006322:Heart Aneurysm / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*; D011183:Postoperative Complications / Q000209:etiology*; D011379:Prognosis; D012307:Risk Factors
Prognozirovanie posleoperatsionnoĭ ostroĭ serdechnoĭ nedostatochnosti pri khirurgicheskom lechenii bol'nykh s postinfarktnoĭ anevrizmoĭ serdtsa.