Stejfa M
I. vnitrní klinika, Brno.
Vnitr Lek. 1991 Jan;37(1):6-12.
Based on data in the literature and his own experience, the author presents modern views on angina pectoris. He discusses anamnestic signs of typical and atypical angina and non-anginous chest pain. He mentions the pathogenesis and clinical picture of stable angina (secondary and mixed angina, syndrome X), unstable angina (mixed and primary angina) and silent ischaemia. As to examinations, he emphasizes in addition to the case-history the importance of the objective finding and stress tests. On the latter indications for invasive examinations are based. The author recapitulates treatment, prognosis an assessment.
基于文献数据和自身经验,作者阐述了关于心绞痛的现代观点。他讨论了典型和非典型心绞痛以及非心绞痛性胸痛的既往症状。他提及了稳定型心绞痛(继发性和混合型心绞痛、X综合征)、不稳定型心绞痛(混合型和原发性心绞痛)和无症状性心肌缺血的发病机制及临床表现。关于检查,他强调除了病史外,客观检查结果和负荷试验的重要性。侵入性检查的依据正是后者的指征。作者总结了治疗、预后及评估。