SU1500260A1 - Method of diagnosis of coronary and myocardial reserves of the heart - Google Patents
Method of diagnosis of coronary and myocardial reserves of the heart Download PDFInfo
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- SU1500260A1 SU1500260A1 SU874209335A SU4209335A SU1500260A1 SU 1500260 A1 SU1500260 A1 SU 1500260A1 SU 874209335 A SU874209335 A SU 874209335A SU 4209335 A SU4209335 A SU 4209335A SU 1500260 A1 SU1500260 A1 SU 1500260A1
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Abstract
Изобретение относитс к кардиологии. Цель изобретени - повышение точности диагностики - достигаетс путем сублингвального приема молсидомина в дозе 2-4 мг за 30-61 мин до повторной изометрической нагрузки, во врем которой регистрируют ЭКГ дл вы влени признаков ишемии миокарда, артериальное давление и эхокардиограмму дл определени сократительной функции левого желудочка. При исчезновении после приема молсидомина признаков ишемии миокарда диагностируют низкий коронарный резерв, при исчезновении признаков нарушени сократимости определ ют низкий миокардиальный резерв, а при исчезновении признаков ишемии и нарушени сократимости левого желудочка определ ют низкий коронарный и мнокардиальный резервы сердца.This invention relates to cardiology. The purpose of the invention is to improve the accuracy of diagnostics - achieved by sublingual administration of molsidomine in a dose of 2-4 mg 30–61 min before repeated isometric exercise, during which an ECG is recorded to detect signs of myocardial ischemia, blood pressure and an echocardiogram to determine the contractile function of the left ventricle. . With the disappearance of signs of myocardial ischemia after taking molsidomine, a low coronary reserve is diagnosed, a low myocardial reserve is determined with the disappearance of signs of contractility, and with a disappearance of signs of ischemia and a violation of left ventricular contractility, low coronary and monocardial cardiac reserves are determined.
Description
Изобретение относитс к медицине, а именно к кардиологии.The invention relates to medicine, namely cardiology.
Цель изобретени - дифференциальна диагностика коронарного и миокардиально- го резервов сердца.The purpose of the invention is the differential diagnosis of coronary and myocardial reserves of the heart.
Способ осуществл ют следующим образом .The method is carried out as follows.
Больной П. Диагноз: ИБС, стенокарди напр жени ФК Ш, постинфарктный кардиосклероз СНП. Определ ют артериальное давление (АД) 120/80 мм рт. ст. на ЭКГ рубцовые изменени миокарда передне- перегородочной области верхущки с переходом на боковую стенку. С помощью эхо- кардиографии определ ют фракцию изгнани левого желудочка 0,44. Провод т изометрическую нагрузочную пробу путем сжати ручек динамометра с силой в 1/3 от максимально возможной продолжительностью 3 мин. Регистрируют АД 160/ /100 мм рт. ст., ЭКГ - увеличение амплитуды Н„ и Syti ЭхоКГ - снижение фракции изгнани на 15,9%. Через 4 мин после восстановлени гемодинамических параметров больному дают сублингвально 4 мг молсидомина. Через 40 мин от момента введени препарата повтор ют изометрическую нагрузку с той же силой. Изменение на ЭКГ и ЭхоКГ не вы влено, АД увеличилось до 150/90 мм рт. ст. У больного определен низкий миокардиальный резерв. Способ позвол ет более точно дифференцировать коронарный и миокардиальный резерв сердца.Patient P. Diagnosis: coronary artery disease, angina, FC III, post-infarction cardiosclerosis, SNP. Blood pressure (BP) of 120/80 mm Hg is determined. Art. on ECG cicatricial myocardial changes in the anterior septum region of the apex with the transition to the side wall. Using an echocardiography, the left ventricular ejection fraction of 0.44 is determined. An isometric load test is performed by squeezing the dynamometer knobs with a force of 1/3 of the maximum possible duration of 3 minutes. Register HELL 160 / / 100 mm Hg. Art., ECG - an increase in the amplitude of H „and Syti EchoCG - a decrease in the ejection fraction by 15.9%. 4 minutes after the recovery of hemodynamic parameters, the patient is given sublingually 4 mg of molsidomine. After 40 minutes from the moment the drug was injected, the isometric load was repeated with the same force. The change in the ECG and EchoCG was not detected, the blood pressure increased to 150/90 mm Hg. Art. The patient has a low myocardial reserve. The method allows for a more accurate differentiation of the coronary and myocardial reserve of the heart.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU874209335A SU1500260A1 (en) | 1987-03-12 | 1987-03-12 | Method of diagnosis of coronary and myocardial reserves of the heart |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU874209335A SU1500260A1 (en) | 1987-03-12 | 1987-03-12 | Method of diagnosis of coronary and myocardial reserves of the heart |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1500260A1 true SU1500260A1 (en) | 1989-08-15 |
Family
ID=21290537
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU874209335A SU1500260A1 (en) | 1987-03-12 | 1987-03-12 | Method of diagnosis of coronary and myocardial reserves of the heart |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1500260A1 (en) |
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1987
- 1987-03-12 SU SU874209335A patent/SU1500260A1/en active
Non-Patent Citations (1)
| Title |
|---|
| Ольбинска Л. И., Литвицкий П. Ф. Коронарна и миокардиальна недостаточность. М.: Медицина, 1986, с. 29-34. * |
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