Bondareva Z G, Khromenkov I I
Kardiologiia. 1986 Jul;26(7):27-31.
The questioning of highly-qualified cardiologists, using the expert assessment technique, demonstrated that 4 groups of signs could be identified in unstable angina which differed significantly (p less than 0.01) with respect to the risk of myocardial infarction. Nine of 18 signs, associated with the poorest prognosis are listed in order of significance. There is no basic agreement among highly qualified cardiologists as to the assessment of risk signalled by the individual signs. Patients with unstable angina are not a homogeneous sample as regards the short-term prognosis of myocardial infarction where infarction risks seem to increase at a relatively even pace rather than by peaks. Therefore, the assessment of myocardial infarction risks requires that more than 2 groups be identified. Patients with different types of unstable angina may have similar prognosis. The prognosis tended to be particularly poor in patients with spontaneous angina.
运用专家评估技术对资深心脏病专家进行询问后发现，在不稳定型心绞痛中可识别出4组体征，就心肌梗死风险而言，它们存在显著差异（p小于0.01）。与最差预后相关的18个体征中的9个，已按重要性顺序列出。对于各个体征所预示的风险评估，资深心脏病专家之间并未达成基本共识。就心肌梗死的短期预后而言，不稳定型心绞痛患者并非同质样本，梗死风险似乎是以相对均匀的速度增加，而非呈峰值状。因此，评估心肌梗死风险需要识别出两组以上的情况。不同类型不稳定型心绞痛的患者可能有相似的预后。自发性心绞痛患者的预后往往特别差。
