Kokutsov A
Vutr Boles. 1984;23(3):73-6.
With the physical loading, performed under polyclinical conditions, on 78 subjects, aged from 22 to 53, with undistinguished and atypical precordial pains, combined with prevailing neurasthenic complaints, with vegetative symptomatics, positive ECG findings were established in 28 of them (35%) - horizontal and descending depression of the segment S-T - 23 patients, lowering of type J - 5 patients. Suspicious signs of IHD were found in 17 from the examined, manifested with insufficient decrease of the segment S-T. Resulting from the physical loading of the whole patient group, suspicious of IHD, cardiac neurosis was established in 65 per cent of them (having been loaded to 150 W). The electrocardiography with physical loading proved to be a particularly valuable method in the diagnostics of IHD with an atypical course as regards the clinical manifestations or as regards the electrocardiographic findings.
在综合临床条件下，对78名年龄在22岁至53岁之间、有不典型和非特异性心前区疼痛且伴有主要神经衰弱症状及自主神经症状的受试者进行体力负荷试验。其中28人（35%）心电图检查有阳性发现——23例S-T段水平型和下垂型压低，5例J点压低。在受检者中有17人发现有可疑的缺血性心脏病迹象，表现为S-T段压低不足。对整个疑似缺血性心脏病的患者组进行体力负荷试验的结果显示，其中65%（负荷至150瓦）被诊断为心脏神经官能症。对于临床表现或心电图表现不典型的缺血性心脏病，负荷心电图检查被证明是一种特别有价值的诊断方法。
