[Severe dysfunction of the left ventricle in patients with ischemic heart disease].

The practicability of the diagnosis of "ischemic cardiomyopathy (ICMP)" was examined on the basis of clinical and angiocardiographic data in 32 coronary patients with left-ventricular diffuse hypo- and akinesia, and its angiocardiographic markers were identified. The ICMP patients show a typical clinical picture, its major signs being congestive circulatory insufficiency, cardiomegaly and electrocardiographic evidence of large-focal scarry changes. The ICMP diagnosis is based on considerably increased ventriculographic volumetric parameters, and diffuse hypo- and akinesia of the left ventricle with the ejection fraction falling below 30% in patients with coronarographically-documented coronary arterial lesions.