Scotto di Quacquaro G, Giovine F, Franciulli V, Punzi M
Minerva Med. 1979 Apr 21;70(19):1410-4.
The cholecysto-coronary syndrome already many times observed by various Authors at the standard electrocardiogram and after effort with not much significative results, has been studied by our group with a polygraphic and echocardiographic method. 55 subjects aged between 30 and 55 years have been examined, to each of them besides a standard electrocardiogram and after effort a polygraphic examination including a tracing of electrocardiogram, a phonocardiogram, and a carotid pulse has been made, after the STEM, TEVS, TC, TCIV, PPE and the TEVS/PPE have been calculated. The parameters obtained have been compared with the ideal values of the subject in examination, calculated according to the formula of Diamond and Killip. Moreover an echocardiographic examination has been performed in 10 of the 55 patients, both to exclude valvular anomalies and ventricle enlargements, and to calculate the velocity of the contraction of the circumferential fibres (Vcf). The examination performed pointed out an increase of the TCIV and PPE with decrease of the ratio TEVS-PPE at the polygraphic examination and moreover a decrease of the Vcf at the echocardiogram. From the whole of the results obtained we can conclude that the cholecysto-coronary reflex determines a decrease of the contribution of the O2 to the myocardium, of a limited entity, so much that it doesn't give clear signs in the standard ECG, but sufficient to establish a suffering of the sarcomer that manifests itself with an alteration of its contraction velocity.
胆囊冠状动脉综合征已被众多作者多次观察到，在标准心电图及运动后检查时结果意义不大，我们小组采用多导记录和超声心动图方法对其进行了研究。我们检查了55名年龄在30至55岁之间的受试者，除了给他们做标准心电图及运动后检查外，还进行了多导记录检查，包括心电图描记、心音图和颈动脉搏动描记，并计算了STEM、TEVS、TC、TCIV、PPE以及TEVS/PPE。将获得的参数与根据戴蒙德和基利普公式计算出的受检者理想值进行了比较。此外，对55例患者中的10例进行了超声心动图检查，以排除瓣膜异常和心室扩大，并计算圆周纤维收缩速度（Vcf）。检查结果显示，在多导记录检查中，TCIV和PPE增加，TEVS - PPE比值降低，而且在超声心动图检查中Vcf降低。从所获得的全部结果来看，我们可以得出结论，胆囊冠状动脉反射导致氧气对心肌的供应减少，程度有限，以至于在标准心电图中未出现明显迹象，但足以确定肌小节存在病变，表现为其收缩速度改变。
