Neri M, Natale E, Bovelli D, Marsocci A, Neri E, Chiantera A, Marsocci G
Centro per le Malattie Cardiovascolari, USL della Conca Ternana, Terni.
Medicina (Firenze). 1990 Apr-Jun;10(2):137-44.
The detection and the assessment of ischaemic heart disease require the utilization of several diagnostic techniques and skills; non-invasive tools, like echo-doppler cardiography and nuclear cardiology, are gaining more and more importance. This paper describes a sequential approach to the diagnosis of several manifestations of ischaemic heart disease--angina, unstable angina, post-infarction angina, pump failure, arrhythmias--, purposing a sequence of tests for each manifestation, starting from the simplest techniques to end with more complex investigations. Indications to coronary angiography and to medical or surgical therapy are also discussed.
缺血性心脏病的检测和评估需要运用多种诊断技术和技能;非侵入性工具,如超声心动图和核心脏病学,正变得越来越重要。本文描述了一种针对缺血性心脏病的几种表现形式(心绞痛、不稳定型心绞痛、梗死后心绞痛、泵衰竭、心律失常)进行诊断的序贯方法,为每种表现形式制定了一系列检查,从最简单的技术开始,以更复杂的检查结束。还讨论了冠状动脉造影以及药物或手术治疗的适应症。