Goliakov V N, Zimin Iu V, Melent'ev A S, Matiushkina V V, Baranov Iu P
Kardiologiia. 1987 May;27(5):27-30.
Repeated annual 24-hour Holter's ECG monitoring sessions were used as a basis for 4-year follow-up of 108 male coronary patients with episodes of painless myocardial ischemia in the course of their everyday routines, and 144 control patients showing no signs of transient asymptomatic ischemia at 24-hour Holter's ECG monitoring. Four years of follow-up demonstrated no differences between the two groups, compared with respect to the incidence of myocardial infarction and associated mortality as well as aggravations of coronary heart disease, in terms of clinical pattern of the disease, the incidence of acute coronary episodes and survival rates. There were no sudden deaths in either of the groups. Transient painless myocardial ischemic episodes are shown to carry no additional risk of myocardial infarction and sudden death in elderly coronary patients with occasional anginal attacks.
对108例在日常活动中出现无症状心肌缺血发作的男性冠心病患者以及144例在24小时动态心电图监测中未显示短暂无症状缺血迹象的对照患者，进行了连续4年的年度24小时动态心电图监测随访。四年的随访结果显示，在心肌梗死发生率、相关死亡率以及冠心病加重情况、疾病临床类型、急性冠脉事件发生率和生存率方面，两组之间没有差异。两组均未发生猝死。研究表明，对于偶尔发作心绞痛的老年冠心病患者，短暂无症状心肌缺血发作不会增加心肌梗死和猝死的额外风险。
