Zubarev M A, Vaĭnberg A G
Kardiologiia. 1978 Jan;18(1):106-11.
The management of 164 patients with a paroxysm of angina pectoris by a cardiologic emergency aid unit included, besides a clinical examination, the recording of the ECG in 12 commonly accepted and additional leads suggested by Neb, N.F. Gurevich, and Slapac--Partilla. The values of the atrial and the end portion of the ventricular complexes of the ECG were analysed. Three groups of patients were distinguished; group 1 with uncomplicated (stable) angina pectoris; group 2 with subacute and group 3 with acute preinfarction state. It was established that the severity of ischemic changes in the left ventricular myocardium and the pronounced character of changes in values charaterizing definite deficiency of left atrial bio-electric potentials correlate and grow successively from group 1 to group 3. Among the patients hospitalized with a state of preinfarction 53.9% developed myocardial infarction; in 89.9% of patients the localization of the necrosis coincided with the ischemic zones in the preinfarction state.
一家心脏病急救单位对164例心绞痛发作患者的治疗，除临床检查外，还包括按照内布、N.F. 古列维奇和斯拉帕克 - 帕尔蒂拉建议的12个常用导联及附加导联记录心电图。对心电图的心房和心室复合波终末部分的值进行了分析。区分出三组患者：第1组为无并发症（稳定型）心绞痛患者；第2组为亚急性患者，第3组为急性梗死前状态患者。已确定，左心室心肌缺血变化的严重程度以及表征左心房生物电电位明显缺乏的数值变化特征，从第1组到第3组依次相关且逐渐加重。在因梗死前状态住院的患者中，53.9%发生了心肌梗死；在89.9%的患者中，坏死部位与梗死前状态的缺血区相符。
