Apex cardiography in non-invasive diagnostics of coronary occlusion in patients with stable angina pectoris
Abstract
One hundred one patients with coronary heart disease, aged 28-65, were examined: 23 had a myocardial infarction in anamnesis, another 78 had stable angina (functional class II). ECG, veloergometry (VEM), EchoCG, apex cardiography (ACG), ventriculo- and coronaroangiography were performed in each participant. Nitroglycerin-induced ACG dynamics in 89 patients with coronary occlusion was limited to insignificant reduction in asynergia of systolic wave, atrial complex. In 7 patients with CHD, but intact coronary arteries, nitroglycerin administration caused ACG normalization. Analyzing ACG and coronarography results, high-precision diagnostic coincidence (95 %) was demonstrated.
About the Authors
N. A. Kozinsky
Российский государственный медицинский университет
Russian Federation
Russian Federation
V. A. Lusov
Российский государственный медицинский университет
Russian Federation
Russian Federation
V. G. Stranin
ВНИИССХ им. А.Н. Бакулева
Russian Federation
Russian Federation
E. F. Andreev
ВНИИССХ им. А.Н. Бакулева
Russian Federation
Russian Federation
L. F. Pestereva
ВНИИССХ им. А.Н. Бакулева
Russian Federation
Russian Federation
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Review
For citations:
Kozinsky N.A., Lusov V.A., Stranin V.G., Andreev E.F., Pestereva L.F. Apex cardiography in non-invasive diagnostics of coronary occlusion in patients with stable angina pectoris. Russian Journal of Cardiology. 2004;(2):54-59. (In Russ.)
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