Starr I, Shelburne J C
Bibl Cardiol. 1979(37):119-22.
A group of patients in whom the Bcg, the pulse derivative and the ventriculogram all agreed that cardiac incoordination was present has been compared with another group in which the same three tests agreed that the heartbeat was well coordinated. By pairing the cases we have demonstrated that those with cardiac incoordination showed significantly more angina pectoris, more coronary arteriosclerosis, more abnormal electrocardiograms, a slowed pulse rate and a smaller ejection fraction than did the corresponding cases. The other physiological functions measured were not significantly different in the two groups. Evidently, incoordination of the cardiac contraction is associated with other evidences of severe coronary heart disease. One can regard it as the physiological consequences of the irregular interruptions of coronary blood supply which characterize the pathological anatomy of this disease, and can expect it to appear late in its course.
一组患者的卡介苗试验、脉搏衍生物检查和心室造影均显示存在心脏不协调，将这组患者与另一组进行了比较，后一组的相同三项检查均显示心跳协调良好。通过对病例进行配对，我们发现，与相应病例相比，心脏不协调的患者表现出明显更多的心绞痛、更多的冠状动脉硬化、更多异常心电图、脉搏率减慢和射血分数降低。两组测量的其他生理功能没有显著差异。显然，心脏收缩不协调与严重冠心病的其他证据相关。人们可以将其视为冠状动脉供血不规则中断的生理后果，这是该疾病病理解剖学的特征，并且可以预期它会在病程后期出现。
