title: [Problem in the selection of patients with ischemic heart disease for surgical treatment (summary of 15 years' experience)].
abstract: A review of data reported in Soviet and foreign literature and the authors' own experience allowed specifying a number of clinical and angiographic criteria for the selection of coronary patients for surgical treatment. Clinical criteria include the pain syndrome, progressive angina pectoris, severe pain with a sharp ST displacement during an effort, low physical stress tolerance, and heart rhythm disorders. Angiographic criteria include total coronary arterial involvement reaching 75%, intact peripheral channel in all coronary arteries fit for aortocoronary shunting and satisfactory myocardial contractility.
mesh_terms: D000787:Angina Pectoris / Q000209:etiology; D001145:Arrhythmias, Cardiac / Q000175:diagnosis; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000175:diagnosis / Q000601:surgery*; D005080:Exercise Test; D006333:Heart Failure / Q000175:diagnosis; D010347:Patient Care Planning; D005082:Physical Exertion; D011379:Prognosis; D013997:Time Factors
vernacular_title: Problema otbora bol'nykh ishemicheskoĭ bolezn'iu serdtsa dlia khirurgicheskogo lecheniia (obobshchenie 15-letnego opyta).