[Prognosis of conservative and surgical treatment in angina pectoris at the onset].
Altogether 130 patients with angina pectoris of new onset have been examined. Besides the routine cardiologic methods of examination, bicycle exercise, 24-hr ECG monitoring, selective coronary arteriography, and left ventriculography have been employed. In cases with clinical symptoms of coronary artery spasms the ergometrine test has been used and, if positive, repeated during arteriography. Surgical treatment (direct revascularization of the myocardium) has been administered to 49 patients, 81 patients have been treated conservatively. The prediction has been studied both at the prehospital stage and in late periods of the follow-up. Surgical treatment significantly increased the survival rate of angina pectoris patients with impaired myocardial function (the ejection fraction under 50%); the clinical course of the disease also improved as compared to that in patients treated conservatively. In the patients with a decent function of the myocardium (the ejection fraction surpassing 50%) the mode of treatment did not essentially influence the survival rate or the possibility of a myocardial infarction both in the immediate and late periods after treatment.
Rishko
N V
NV
Suanov
A N
AN
D000787:Angina Pectoris / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D009204:Myocardial Revascularization; D011379:Prognosis; D013318:Stroke Volume; D013997:Time Factors
Prognoz konservativnogo i khirurgicheskogo lecheniia vpervye vozniksheĭ stenokardii.