[Clinical aspects and haemodynamic parameters for monitoring patients with acute myocardial infarct (AIM)]

In acute myocardial infarct (AIM) incomes to a local disturbances in contractility: hypokinesia, akinesia, diskinesia, asynchronia. With repeated AIM esspecially in high oclussive coronary disease incomes to diffuse disturbance in contractility of myocard, with disorder in systolic and diasystolic function of heart. The aim is to point on significance of clinical and haemodynamic parameters in revealing heart weakness in AIM. By retrograded analysis in our study was embraced 86 patients deseased from AIM, average age of 58.42 years. Front wall infarct had 60,46%, backwall infarct had 39.54% of deseased patients. Patients were monitored clinically, electrocardiographically and haemodynamically with microcatetherisation of the right heart by Schwan-Ganz threeluminal thermodilutional catether with regulation of heart minute volumen. By haemodynamic values they were splitted in four groups. In clinical study, silent heart tones had 33%, systolic murmurs on ictus 19%, gallop rhythm 26% and lung failure 22% of patients. The most reliable clinical sign for heart weakness were low heart tones and gallop rhythm as well as lung failure. By haemodynamic values aquired by microcatetherisation of right heart with regulation of minute heart volumen, deseased with AIM were 15% in first group, 28% in second group, 3% in third group and 54% in fourth group of patients.