[Left ventricular dynamics with exercise after revascularization in advanced coronary heart disease (author's transl)].

U Sigwart, G Trieb, K H Leitz, D Dragojevic, H M Mertens, H G Borst, U Gleichmann
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Abstract

66 patients with 2 and 3 vessel coronary heart disease were studied before and after complete successful revascularization. Hemodynamic measurements and biplane left ventricular angiograms were obtained at rest and during supine bicycle exercise.--After operation a significant overall decrease of LVEDP with exercise was seen; exercise LVEF increased in cases with left main disease and in most cases with double vessel disease and double bypass. Inconsistant response was present in 3 vessel disease. Improvement of left ventricular dynamics with exercise in advanced coronary disease after complete revascularization can be expected mainly in 2 vessel disease and left main coronary disease.

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[晚期冠心病血运重建术后运动左心室动力学[作者简介]。
对66例2支和3支冠脉冠心病患者在完全成功血运重建前后进行了研究。血液动力学测量和双翼左心室血管造影在休息和仰卧骑自行车运动。手术后,LVEDP随运动显著降低;左主干病变和大多数双血管病变及双搭桥患者运动时LVEF升高。3例血管疾病患者出现不一致的反应。晚期冠心病完全血运重建术后,运动对左室动力学的改善主要见于2支血管疾病和左主干冠心病。
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