title: [Extracellular fluid compartment in patients with a varying course of acute myocardial infarct].
abstract: It is shown that the main trend of changes in water homeostasis in complicated myocardial infarction consists in the development of intercellular hypohydration. Three variants of cardiogenic shock are distinguished: (a) normovolemic shock with intercellular hypohydration; (b) hypovolemic shock with intercellular hypohydration; (c) hypovolemic shock without intercellular hypohydration. Acute congestive cardiac insufficiency in most patients occurs without an increase in the volume of interstitial fluid. Approximately 12% of these patients have a reduced volume of circulating plasma. A syndrome of intercellular hyperhydration develops in the presence of satisfactory hemodynamics on the 3rd day after electrical defibrilation in individuals restored to life after clinical death. The VCP/VIF coefficient may serve as an index of the transcapillary flow of fluid and may be used in determining the indications for infusion therapy.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001810:Blood Volume; D002496:Central Venous Pressure; D004418:Dyspnea, Paroxysmal / Q000503:physiopathology; D005110:Extracellular Space / Q000502:physiology*; D005260:Female; D006321:Heart / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000503:physiopathology*; D011654:Pulmonary Edema / Q000503:physiopathology; D012770:Shock, Cardiogenic / Q000503:physiopathology
vernacular_title: Vnekletochnyĭ sektor zhidkosti u bol'nykh s razlichnym techeniem ostrogo infarkta miokarda.