[Dynamics of clinical and functional parameters in patients with ischemic heart disease after aortocoronary bypass surgery].

Complete myocardial revascularization was examined for effects on long-term results of aortocoronary bypass surgery in 219 patients. Myocardial revascularization was proposed to be divided into: (1) truely complete; (2) tentatively complete; and (3) partial. Clinical and functional parameters deteriorated in tentatively complete and partial myocardial revascularization as compared with truely complete revascularization. A positive dynamics in abnormal Q wave signs was found in 9% of the patients after the surgery in the presence of the wave in ECG leads corresponding to the anterior left ventricular wall, in the absence of signs of myocardial asynergy prior to the surgery, and on complete recovery of blood flow in the shunts supplying the diseased myocardial areas.