[Clinical instrumental and clinical angiographic studies of patients with the anginose forms of ischemic heart disease]. / Kliniko-instrumentalni i kliniko-angiografski prouchvaniia u bolni s angiozni formi na iskhemichna bolest na surtseto.

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.

[Ergospirometry study of the functional state of the cardiovascular system in chronic ischemic heart disease]. / Izsledvane na funktsionalnoto sustoianie na surdechno-sudovata sistema s pomoshtta na ergospirometriia u bolni s khronichna iskhemichna bolest na surtseto.

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.