Kniazev M D, Todorov R N, Kirichenko A A, Aslibekian I S
Vutr Boles. 1978;17(4):41-7.
The observations cover 96 male patients, aged from 30 to 61 suffering ischemic heart disease with clearly manifested stenocardia. The diagnosis in all patients was made on the base of a thorough clinical examination, the results from the electrocardiography and the selective coronarography. The data obtained from the clinical instrumental and clinical-angiographic examinations reveal that a correlation exists between the stage of the coronary arteries lesions, the patients's age, number of previous myocardial infarctions, severity of stenocardia and the state of the coronary reserve. The extent growth of the coronary arteries lesion goes in parallel with the patients' age advancement, the number of previous myocardial infarctions, severity of stenocardia and the diminution of coronary reserve. In this respect the character of stenocardia and the state of coronary reserve have the highest informative value. Our examinations failed to establish any correlation between the stage of the coronary arteries lesion and the stage and eytension of myocardial lesion on the electrocardiogram as well as between the stage of coronary arteries lesion and the duration of the illness.
观察对象包括96名男性患者，年龄在30至61岁之间，患有缺血性心脏病且心绞痛症状明显。所有患者的诊断均基于全面的临床检查、心电图检查结果以及选择性冠状动脉造影检查结果。从临床仪器检查和临床血管造影检查中获得的数据显示，冠状动脉病变阶段、患者年龄、既往心肌梗死次数、心绞痛严重程度与冠状动脉储备状态之间存在相关性。冠状动脉病变程度的增加与患者年龄增长、既往心肌梗死次数、心绞痛严重程度以及冠状动脉储备的减少并行。在这方面，心绞痛的特征和冠状动脉储备状态具有最高的信息价值。我们的检查未能确定冠状动脉病变阶段与心电图上心肌病变的阶段和范围之间以及冠状动脉病变阶段与疾病持续时间之间存在任何相关性。
