Areshev G P, Gratsianskiĭ N A, Oganov R G
Kardiologiia. 1988 Aug;28(8):40-3.
A total of 130 patients with angina of new onset (ANO), i.e. first three months after the onset of anginal attacks, were investigated by means of 24- and 48-hour Holter's electrocardiographic monitoring. All the patients underwent selective coronarography. Ventricular arrhythmias (isolated and paired extrasystoles, ventricular tachycardias) and their correlation to acute myocardial ischemia were analysed. Ventricular tachycardia was more common in unstable ANO, as compared to stable angina, and in patients with signs of coronary spasm, as compared to anginal patients showing no such signs. The combination of unstable angina with signs of coronary spasm is the least favorable ANO variant in terms of the risk of grave ventricular arrhythmias.
对总共130例初发性心绞痛（ANO）患者，即心绞痛发作后头三个月的患者，采用24小时和48小时动态心电图监测进行研究。所有患者均接受选择性冠状动脉造影。分析室性心律失常（孤立性和成对期前收缩、室性心动过速）及其与急性心肌缺血的相关性。与稳定型心绞痛相比，不稳定型ANO患者中室性心动过速更为常见；与无冠状动脉痉挛体征的心绞痛患者相比，有冠状动脉痉挛体征的患者中室性心动过速更为常见。就严重室性心律失常风险而言，不稳定型心绞痛合并冠状动脉痉挛体征是最不利的ANO变体。
