Dolbikova N V, Mazurov V I, Petrovskiĭ V I, Mironova O A
Klin Med (Mosk). 2003;81(2):51-3.
The results of a study dealing with the specific features of silent myocardial ischemia (SMI) in male patients aged over 70 years are presented. Prolonged episodes of silent myocardial ischemia have been ascertained to be more frequently encountered in patients with ischemic heart disease (IHD) as high functional class angina pectoris on exertion, postinfarct cardiosclerosis, arterial hypertension, atherogenic blood lipid disturbances and they increase a total risk for SMI provided that they are combined. All this leads to destabilization of coronary blood flow and becomes a trigger for the development of prognostically significant cardiac arrhythmias by complicating the course of IHD and increasing the cost of drugs.
本文呈现了一项关于70岁以上男性患者无症状心肌缺血（SMI）特征的研究结果。已确定在患有缺血性心脏病（IHD）的患者中，如劳力性心绞痛高功能分级、心肌梗死后心脏硬化、动脉高血压、动脉粥样硬化性血脂紊乱患者，更常出现无症状心肌缺血的长时间发作，并且若这些情况合并存在，会增加无症状心肌缺血的总体风险。所有这些都会导致冠状动脉血流不稳定，并通过使缺血性心脏病病情复杂化和增加药物费用，成为预后严重的心律失常发生的触发因素。
