Aslibekian I S, Todorov R N, Kirichenko A A, Borovkov A I
Vutr Boles. 1978;17(4):47-52.
Sixty three patients were examined. The diagnosis of all was made on the base of clinical picture, electrocardiographic examinations and the results from the selective coronarography. The following indices of the oxygen consumption and gas metabolism were analysed in the paper: oxygen consumption per kilogram body weight, oxygen consumption per kilogramometer work performed, labour effectivity and restoration coefficient. The results obtained reveal that the adaptation ability of the respiratory and cardiovascular system in conditions of physical loading was disturbed in patients with chronic ischemic heart disease. At the same time, the physical capacity for work and the restoration coefficient were also disturbed. The decrease of oxygen consumption per kilogram body weight, deteriorated labour effectivity, restoration coefficient and the increased oxygen consumption per kilogramometer work performed occur in parallel with the extension of the lesions of the coronary arteries and the diminution of coronary reserve. The results from those examinations, together with the results from a series of non-invasive methods for the examination of cardio-vascular system could aid the thorough diagnostic-prognostic character of ischemic heart disease and give a tentative idea for the stage of the coronary arteries lesions prior to coronarography.
对63例患者进行了检查。所有患者的诊断均基于临床表现、心电图检查以及选择性冠状动脉造影的结果。本文分析了以下耗氧量和气体代谢指标：每千克体重的耗氧量、每千克米工作量的耗氧量、劳动效率和恢复系数。所得结果表明，慢性缺血性心脏病患者在体力负荷条件下呼吸和心血管系统的适应能力受到干扰。同时，工作体能和恢复系数也受到干扰。每千克体重耗氧量的降低、劳动效率和恢复系数的恶化以及每千克米工作量耗氧量的增加与冠状动脉病变的扩展和冠状动脉储备的减少同时出现。这些检查结果，连同一系列用于心血管系统检查的非侵入性方法的结果，有助于深入了解缺血性心脏病的诊断预后特征，并在冠状动脉造影之前对冠状动脉病变阶段给出初步概念。
