Parameters of myocardial metabolism and central hemodynamics in acute myocardial infarct
Vakhliaev, V.D.; Syrkin, A.L.; Pomerantsev, E.V.; Alliluev, I.G.; Sulimov, V.A.
Kardiologiia 21(12): 33-38
1981
ISSN/ISBN: 0022-9040 PMID: 7329017 Document Number: 180719
The study in 15 patients with myocardial infarction of the content in the arterial blood and the blood of the coronary sinus of lactate, glucose, nonesterified fatty acids has shown the increase of utilization of these substances in 5 cases, appearance of lactate production and enhancement of glucose and insulin extraction in 4, decrease of extraction of glucose, lactate, insulin in 4 patients. In the complicated cases of myocardial infarction it was established that the extraction of glucose, insulin decrease and in a number of cased production of lactate by the myocardium supervenes. It is concluded that interrelationship exists between the type of metabolic disorders and the frequency of complications in myocardial infarction.