Ioseliani D G, Koval' A N, Iarlykova E I, Filatov A A
Kardiologiia. 1992 Jun;32(6):8-11.
The myocardial perfusion and left ventricular function were evaluated by bicycle ergometry and myocardial scintigraphy in 23 patients with primary angina taking into account the status of coronary collateral circulation in response to stenotic and occlusive atherosclerosis. In addition to severe occlusive disease of the coronary bed, most patients had significant disturbances of myocardial perfusion and left ventricular function, which were detected during exercise tests. In patients with compensatory collateral circulation in the coronary bed, such disturbances were less marked than in those without anastomoses. However collateral coronary circulation cannot be regarded to be of real value as it compensates impaired perfusion incompletely, but in some cases it can result in impaired myocardial vascularization apparently due to the steal syndrome.
通过自行车测力计和心肌闪烁显像对23例原发性心绞痛患者的心肌灌注和左心室功能进行了评估，评估时考虑了冠状动脉侧支循环在应对狭窄和闭塞性动脉粥样硬化时的状况。除冠状动脉床的严重闭塞性疾病外，大多数患者在运动试验中检测到心肌灌注和左心室功能有明显紊乱。在冠状动脉床有代偿性侧支循环的患者中，这种紊乱比没有吻合支的患者要轻。然而，冠状动脉侧支循环不能被认为具有实际价值，因为它不能完全补偿受损的灌注，但在某些情况下，它显然会由于窃血综合征而导致心肌血管化受损。
