[Vasospastic reactions in patients with ischemic heart disease (data of the ergometrin test)].
A study of 157 patients with verified or suspected coronary disease, subjected to the intravenous ergometrin test, is reported. A clear-cut correlation is demonstrated between the rate of clinically and electrocardiographically positive tests, the pattern of the pain syndrome and the clinical course of the disease. Vasospastic response was particularly common in patients with unstable angina. Of those, patients prone to attacks of acute coronary insufficiency in the presence of progressive angina with recent clinical coronary manifestations were particularly sensitive to ergometrin. Among patients with stable angina, angina of the higher functional classes was associated with a considerable rate of positive ergometrin tests. Vasoconstrictive response was rather uncommon in individuals with intact stress tolerance and spontaneous chest pains, suggestive of spontaneous angina. There were no vasospastic reactions in patients with the atypical pain syndrome.
Kuleshova
E V
EV
Ermilov
L P
LP
Nifontov
E M
EM
Drovosekov
V M
VM
D000328:Adult; D000368:Aged; D000789:Angina, Unstable / Q000503:physiopathology; D003327:Coronary Disease / Q000503:physiopathology*; D003329:Coronary Vasospasm / Q000503:physiopathology*; D004562:Electrocardiography; D004874:Ergonovine; D006801:Humans; D008875:Middle Aged
D004874:Ergonovine
Vazospasticheskie reaktsii u bol'nykh ishemicheskoĭ bolezn'iu serdtsa (po dannym prob s érgometrinom).