Correlative classification of clinical and hemodynamic function after acute myocardial infarction

摘要: To characterize the relation between clinical and hemodynamic state in acute myocardial infarction, 200 patients with infarction were evaluated criteria. Patients classified clinically on basis of peripheral hypoperfusion (hypotension, tachycardia, confusion, cyanosis, oliguria) pulmonary congestion (rales, abnormal chest roentgenogram). Four subsets defined that correlated cardiac index (Cl, liters/min per m2) capillary pressure (PCP, mm Hg): (see article). Parallel developed independently depressed (2.2 m2 or less) elevated (greater than 18 Hg). The rate accuracy examination predicting abnormalities was 83 percent. Mortality rates similar subset calssifications, averaging 2.2 percent I, 10.1 II, 22.4 III 55.5 IV. Drug interventions course hospitalization resulted a 38 increase 34 decrease pressure. Resolution paralleled this improvement 70 patients. These data suggest performance both are directly relevant to establishing prognosis selection therapy infarction.