[Differential hemodynamically oriented therapy in the early hospital phase of acute myocardial infarction]

100 patients with acute myocardial infarction were examined by means of catheterization of the pulmonary artery, dilution of isotopes and phonoelectrocardiography immediately after admission to the clinic and under a therapy following haemodynamic viewpoints within 2-24 hours after the beginning of the treatment, taking into consideration 15 parameters. According to a classification of the behaviour of the coronary circulation into normal function, hypovolaemia, hyperfunction, compensated insufficiency of the left heart, forward failure, retrofailure and cardiogenic shock the differential-therapeutic approach is described and the effects are explained. The haemodynamic examinations render possible the recognition of beginning circulatory complications still before their clinical manifestation, they result in founded therapeutic methods which are aimed at the correction of incorrect parameters which affect the O2-balance of the myocardium and thus the protection of the myocardium as well as the stability of the circulation, they allow a prognostic assessment of the course of the infarction and are suited to reduce the mortality of acute myocardial infarction in the early hospital phase by early recognition of developing pumping disturbances and their early treatment.