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6 Инфаркт миокарда Инфаркт миокарда (ИМ)
Запомните
Давление заклинивания легочной артерии (ДЗЛА) является важнейшей гемодинамической характеристикой. В большинстве случаев (хотя и не всегда!) оно соответствует давлению в левом предсердии и конечно-диастолическому давлению в левом желудочке (КДДЛЖ) и отражает, таким образом, состояние легочно-капиллярного кровотока и риск возникновения отека легких у пациентов с левожелудочковой сердечной недостаточностью.
| Катетеризация левых отделов сердца. Для катетеризации левых отделов сердца и аорты чаще используют два метода: 1) ретроградную артериальную катетеризацию аорты и левого желудочка и 2) транссептальный доступ. Чаще применяют ретроградный артериальный доступ. В этом случае специальный катетер вводят чрескожно в бедренную артерию или через небольшой разрез в плечевую артерию (рис. 6.50). Введение катетера в аорту и затем в левый желудочек контролируют с помощью рентгенотелеустановки.
Транссептальный доступ обычно используют в тех случаях, когда по каким-то причинам ретроградная артериальная катетеризация оказывается технически сложной, например, из-за выраженного сужения аортального клапана, наличия гипертрофической кардиомиопатии или механического протеза клапана и т.п. Катетер вводят в правую бедренную вену и продвигают его в направлении к сердцу. Когда катетер достигает правого предсердия, через него вводят длинную иглу с закругленным концом, пунктируют ею межпредсердную перегородку в области овального отверстия. После этого катетер вводят по игле в левое предсердие, затем в левый желудочек и, при необходимости, в аорту и регистрируют кривые давления.
Катетеризация правых отделов сердца является в настоящее время хорошо отработанной и практически безопасной процедурой, постановка же артериальных катетеров иногда чревата тяжелыми последствиями и поэтому применение ее ограничено.
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)
| Рис. 6.50. Схема ретроградного артериального доступа при катетеризации левых отделов сердца. Катетер введен в бедренную артерию, аорту и левые отделы сердца (ЛЖ и ЛП)
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Запомните
Катетеризация левых отделов сердца и аорты (в сочетании с постановкой катетера в правые отделы) показана в следующих клинических ситуациях:
кардиогенный шок или артериальная гипотония у больных ИМ; тяжелая левожелудочковая сердечная недостаточность с отеком легких, митральной регургитацией и/или разрывом межжелудочковой перегородки у больных острым ИМ; значительное повышение АД, осложняющее течение острого ИМ; выраженная и длительная синусовая или суправентрикулярная тахикардия с ЧСС 120–150 ударов в мин., сопровождающаяся сердечной и/или сосудистой недостаточностью; подозрение на ИМ правого желудочка; определение показаний для срочного хирургического вмешательства, а также проведение внутрикоронарного тромболизиса и чрескожной транслюминальной ангиопластики.
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