Martynov Iu S, Bashkirtseva N I
Zh Nevropatol Psikhiatr Im S S Korsakova. 1978;78(11):1601-8.
The authors examined 100 patients in whom cervical osteochondrosis developed with pain in the heart, intercostal, sternum area, left hand, as well as radicle, pain, vegetative and reflectory-dystrophical disturbances. The differential diagnosis between pseudocardialgia and cardialgia, on the one hand, and stenocardia, on the other, is not always simple and is based on clinical data, x-ray and ECG examinations. The basis of the pathogenesis in pseudocardialgia is the irritation of posterior sensory radicles by osteophytes or disc protrusion. Cardialgia is an incarceration and excitation of sympathical nerves, leading to disturbances in the myocardial metabolism. A comprehensive conservative treatment may give a favourable effect in the majority of patients, while indications for surgical operations are very rare.
作者对100例患有颈椎骨软骨病的患者进行了检查，这些患者伴有心脏、肋间、胸骨区域、左手疼痛，以及神经根痛、植物神经和反射性营养不良障碍。一方面，假性心绞痛与心绞痛之间的鉴别诊断，另一方面与狭窄性心肌病之间的鉴别诊断并不总是简单的，且基于临床数据、X线和心电图检查。假性心绞痛发病机制的基础是骨赘或椎间盘突出对后感觉神经根的刺激。心绞痛是交感神经的嵌顿和兴奋，导致心肌代谢紊乱。综合保守治疗对大多数患者可能会产生良好效果，而手术指征非常罕见。
