[Relation between indices of ECG cartography, central hemodynamics and myocardial energy metabolism in acute infarct].
A study of 30 patients with acute myocardial infarction, including the assessment of central hemodynamic parameters, ECG records from 35 leads and the investigation of myocardial energy metabolism by means of lactate, nonesterified fatty acids and glucose measurement in coronary venous blood, demonstrated that hyperkinetic hemodynamics was associated with a great spread of the necrotic and ischemic zone and predominant myocardial extraction of nonesterified fatty acids in uncomplicated acute myocardial infarction. It is suggested that propranolol should be used in those cases where hyperkinetic hemodynamics complicate the course of acute myocardial infarction.
D000208:Acute Disease; D001786:Blood Glucose / Q000378:metabolism; D004562:Electrocardiography; D005230:Fatty Acids, Nonesterified / Q000378:metabolism; D006439:Hemodynamics; D006801:Humans; D007773:Lactates / Q000378:metabolism; D019344:Lactic Acid; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000503:physiopathology*; D009206:Myocardium / Q000378:metabolism*
D001786:Blood Glucose; D005230:Fatty Acids, Nonesterified; D007773:Lactates; D019344:Lactic Acid
Vzaimosviaz' mezhdu pokazateliami kartografirovaniia EKG, tsentral'noĭ gemodinamiki i énergeticheskogo metabolizma miokarda pri ostrom infarkte.