[Features of the clinical course of ischemic heart disease in patients with accompanying bronchial asthma in older age groups].

The data are presented on the incidence and the course of coronary heart disease (CHD) in senior group patients with concomitant bronchial asthma (BA). The clinical symptomatology in the given case differs in some respects from the classical concepts of the conventional course of the disease under consideration. The patients with concomitant BA show, in a considerable number of cases, (21.9 percent), an asymptomatic course of CHD. Among the patients with the angina pectoris syndrome, the proportion of the patients with functional class I angina pectoris is relatively low. Among such patients, there predominate subjects with a brief history of CHD (lasting less than 5 years). The incidence of the arrhythmic patterns of CHD (paroxysmal or constant atrial fibrillation, stable ventricular premature heart beat of high brades) is not great either. The clinical interrelations between CHD and BA when combined are characterized, as a rule, by the fact that exacerbation of one of the diseases is accompanied by regression of the symptoms of the concomitant pathology that withdraws as if to the background. The data obtained appear to suggest that the given group of the patients require a goal-oriented instrumental examination (exercise tests, ECG-monitoring, etc.) followed by administration of adequate coordinated drug treatment.