Laane P G, Shipilova T V
Kardiologiia. 1992 Sep;32(9-10):31-4.
Long-term (5-15-year) prospective surveys of 171 angina patients have yielded clinical, coronarographic, and bicycle ergometric criteria for predicting the favourable course of the disease. A prolonged (at least 3 years) clinical anginal remission was observed in 43 (25.1%) patients. The patients had typical features: a short (less than 6-9 months) history of classical angina, the age at the onset of CHD under 50 years; high performance during bicycle ergometric test, lack of angina after sustained so-called "accomplished" myocardial infarction. The coronarograms of patients with a long-term anginal remission most frequently displayed severe stenosis or occlusion of "unsafe" site of a large coronary artery. The duration of remission was less than 10 years if atherosclerosis also affected the remaining coronary arteries. That of remission was more than 10-15 years, if the remaining coronary arteries proved completely intact.
对171例心绞痛患者进行了为期5至15年的长期前瞻性调查，得出了预测疾病良好病程的临床、冠状动脉造影和自行车测力计标准。43例（25.1%）患者出现了持续较长时间（至少3年）的临床心绞痛缓解。这些患者具有典型特征：典型心绞痛病史短（少于6至9个月），冠心病发病年龄在50岁以下；自行车测力计测试表现良好，在所谓“完全性”心肌梗死后无心绞痛。长期心绞痛缓解患者的冠状动脉造影最常显示大冠状动脉“不安全”部位严重狭窄或闭塞。如果动脉粥样硬化也累及其余冠状动脉，缓解期持续时间少于10年。如果其余冠状动脉完全正常，缓解期持续时间超过10至15年。
