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[Clinical course of acute myocardial infarction and left ventricular function in long-term epidural analgesia].

The study of 76 patients with macrofocal myocardial infarction (MI) evaluated effects of epidural and standard analgesia on pumping capacity of the left ventricle (LV) and clinical course of MI. The study group consisted of 37 patients exposed to long-term morphine-clopheline epidural analgesia. In the control 39 patients analgesia was induced conventionally (intravenous injection of morphine). Both groups received the same routine treatment. Long-term morphine-clopheline epidural analgesia noticeably improves pumping LV function and clinical course of MI.