[Early diagnostic possibilities in heart failure in myocardial infarct].
In 57 patients on different days of myocardial infarction a comparison of haemodynamic and myocardial contractility parameters was made with their predicted values which were calculated with due consideration of oxygen utilization, arterial pressure and the heart rate. It is established that the majority of patients with myocardial infarction have insufficiency of cardiac output and of contractile activity of the heart beginning with the 1-2d day of illness. At the same time, absolute values of the parameters, stress-caused, can exceed the analogous parameters in patients with ischaemic heart disease outside the period of exacerbation, at rest. It is concluded that the comparison of figures of haemodynamics and contractility with the predicted values constitute an important part in the early diagnosis of cardiac insufficiency.
D000328:Adult; D000368:Aged; D003327:Coronary Disease / Q000175:diagnosis; D006333:Heart Failure / Q000175:diagnosis* / Q000209:etiology; D006334:Heart Function Tests; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D009200:Myocardial Contraction; D009203:Myocardial Infarction / Q000150:complications*; D013815:Thermodilution / Q000379:methods; D013997:Time Factors
Vozmozhnosti ranneĭ diagnostiki serdechnoi nedostatochnosti pri infarkte miokarda.