Troshin V D, Gonzova I P
Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(9):1300-5.
Initial manifestations of cerebrovascular pathology (CVP) in the presence of arterial hypertension (n-26) and atherosclerosis (n-428) were combined with various cardiovascular disorders ranging from cardialgia to coronary heart disease in 67.4% of the patients. Cardial disturbances were expressed as an atypical pain syndrome in 47% and as angina of effort and postinfarction cardiosclerosis in 23.2% of the patients. Electrocardiographic changes were elicited in 52.6-62% of the patients. Bicycle ergometry revealed a decrease in all parameters of tolerance to physical exercise. Disorders of the general and cerebral hemodynamics were more pronounced in atherosclerotic patients; at the first stages of cerebral pathology they predominantly presented the normokinetic type of the hemodynamics (40.6%) while its more marked forms were associated with the hypokinetic type of the circulation (52). The early diagnosis of cardial and hemodynamic disorders is necessary for the presention of acute disturbances of the cerebral circulation.
在患有动脉高血压（n = 26）和动脉粥样硬化（n = 428）的情况下，脑血管病变（CVP）的初始表现与各种心血管疾病相关，从心痛到冠心病，在67.4%的患者中出现。心脏紊乱在47%的患者中表现为非典型疼痛综合征，在23.2%的患者中表现为劳力性心绞痛和心肌梗死后的心硬化。52.6% - 62%的患者出现心电图变化。自行车测力计显示对体育锻炼的所有耐受性参数下降。全身和脑血流动力学紊乱在动脉粥样硬化患者中更为明显；在脑病变的第一阶段，它们主要表现为血流动力学的正常动力型（40.6%），而其更明显的形式与循环的低动力型相关（52）。心脏和血流动力学紊乱的早期诊断对于脑循环急性紊乱的预防是必要的。
