[The characteristics of the Holter monitoring data on patients with a vasospastic reaction during the performance of transesophageal electrocardiostimulation].
Along with organic involvement of the coronary arteries their spasm is one of the mechanisms of development of acute myocardial ischemia. Transesophageal electrocardiostimulation in 314 patients with non-stable stenocardia revealed in 32 (10.2%) increased vasospastic activity. Holter monitoring allowed to find essential differences in patients with vasospasm manifested in a significant increase of the frequency and duration of nonpainful myocardial ischemia in the absence of distinct changes in painful ischemia. Two-week treatment with calcium antagonists allowed to reduce the ischemia level in the group of patients with vasospasm tendencies.
Tashchuk
V K
VK
Malinovskaia
I E
IE
D000789:Angina, Unstable / Q000175:diagnosis / Q000188:drug therapy; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D003329:Coronary Vasospasm / Q000175:diagnosis* / Q000188:drug therapy; D004359:Drug Therapy, Combination; D015716:Electrocardiography, Ambulatory; D004947:Esophagus; D006801:Humans; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000188:drug therapy; D009566:Nitrates / Q000627:therapeutic use
D002121:Calcium Channel Blockers; D009566:Nitrates
Osobennosti dannykh kholterovskogo monitorirovaniia u bol'nykh s vazospasticheskoĭ reaktsieĭ pri provedenii chrespishchevodnoĭ élektrokardiostimuliatsii.