[Use of a psychoemotional stress test in ischemic heart disease, hypertension and heart rhythm disorders].

Forty male patients with coronary heart disease and essential hypertension, as well as 10 normal subjects, were examined, using a psychoemotional test with simultaneous monitoring of arterial blood pressure (BP), heart rate and ECG patterns. The test revealed disorders of cardiac rhythm in 28.6% of coronary patients and induced signs of myocardial ischemia and an anginal attack in 2. Signs of myocardial ischemia were more often provoked in coronary patients by physical stress tests as compared to those involving psychoemotional stress. In hypertensive patients, psychoemotional stress was associated with a more pronounced arterial BP rise, as compared to the results in normotensive individuals (normal subjects and coronary patients). Psychoemotional stress tests can be used alongside other kinds of tests in patients with coronary disease, essential hypertension and cardiac rhythm disorders.