Kogan B M, Trangeĭzer V A, Nikulina L S
Kardiologiia. 1976 May;16(5):64-71.
The paper presents an analysis of the results of a comprehensive clinical and instrumental examination (poly- and apex-cardiography) of 156 patients with essential hypertension (Stages I, I-II and II, according to L.I. Fogelson's classification) and of 40 normal individuals, that was undertaken to study the functional state and the reserves of the left ventricular myocardium. The disorders in the functional state and the reduction of the reserve capacity were shown to progress along with the stage of the disease. The clinical and labour prognosis of the patients with essential hypertension depend on the character of its course, stage of the disease, degree of functional disorders and reserve capacity of the myocardium, as well as on the profession and labour conditions. The employment of a broad complex of cardiological diagnostic techniques at rest and following dosaged bicycle ergometric load helps to determine the clinical and labour prognosis with greater precision and more objectively, and to solve the problems of timely employment of hypertensive patients.
本文对156例原发性高血压患者（根据L.I.福格尔森分类法分为I期、I-II期和II期）和40名正常个体进行了全面的临床和仪器检查（多导联和心尖心动图检查），以研究左心室心肌的功能状态和储备能力。结果表明，功能状态紊乱和储备能力降低随着疾病阶段的进展而加重。原发性高血压患者的临床和劳动预后取决于疾病的病程特点、疾病阶段、功能紊乱程度和心肌储备能力，以及职业和劳动条件。采用一系列广泛的心脏病诊断技术，在静息状态下以及在规定剂量的自行车测力计负荷后进行检查，有助于更精确、更客观地确定临床和劳动预后，并解决高血压患者适时就业的问题。
