[Overall assessment of the state of the coronary bed in patients with ischemic heart disease].
A method of summated assessment of atherosclerotic lesions in the coronary bed of patients with ischaemic heart disease based on selective coronary angiography data is introduced. To simplify the calculations of the total lesion of the coronary bed a special chart-table was complied that permits to determine the percentage of the lesion. A unified assessment of the degree of the coronary lesions will permit to interpret in comparable values the state of different groups of patients, the efficacy of different therapeutic methods, and will permit to determine the correlation of clinical, electrocardiographic, haemodynamic and other parameters with the degree of the lesion. The introduced technique of determining the total lesion of the coronary bed takes into account narrowins exceeding 50% of the arterial lumen, the type of blood supply to the heart, the localization of the narrowings, the effect of centrally located narowings upon the subsequent stenoses of all the most important arteries of the heart. The conducted comparisons have demonstrated a high degree of correlation between the frequency of anginal attacks, the tolerance of physical exercises, the level of end-diastolic pressure in the left ventricle, and the severity of the lesion in the arterial bed.
D001794:Blood Pressure; D003097:Collateral Circulation; D017023:Coronary Angiography; D003326:Coronary Circulation; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D005082:Physical Exertion
O summarnoĭ otsenke sostoianiia koronarnogo rusla u bol'nykh ishemicheskoĭ bolezn'iu serdtsa