title: [Assessment of the coronary circulation regulation by means of the so-called isometric contraction index].
abstract: The index of isometric contraction formed from the quotient period of isometric contraction in the erect position by period of isometric contraction in lying position gives the possibility to separate between cardially sufficient and cardially insufficient patients with adequately disturbed regulation of the cardiac circulation. The recognition of early stages of the disturbed left-ventricular function is possible. The use of an adequate exact technique in gaining the primary data is to be presumed. Corrections of the frequency of the index of isometric contraction do not improve the evidence. In the borderline region of the index of isometric contraction with values between 1.03 and 1.1 in questionable cases a further differentiation into still normal or already latent insufficient will do by the analysis of the trend of the index of isometric contraction after the application of medicaments. The determination of the change of the direction of the index of isometric contraction after peroral application of nitroglycerin would be justifiable in routine work after the recognition of the initiaction increases in patients with latent heart insufficiency, in patients with a healthy heart it decreases. The clinical value of the index of isometric contraction as a simple test of the circulatory function is highly to be estimated.
mesh_terms: D003326:Coronary Circulation / Q000187:drug effects; D005665:Furosemide / Q000494:pharmacology; D006333:Heart Failure / Q000175:diagnosis* / Q000503:physiopathology; D006334:Heart Function Tests / Q000379:methods*; D006801:Humans; D009200:Myocardial Contraction / Q000187:drug effects; D005996:Nitroglycerin
chemical_list: D005665:Furosemide; D005996:Nitroglycerin
vernacular_title: Die Beurteilung der Herz-Kreislauf-Regulation mit dem sog. Anspannungsindex