title: [Value of metabolic studies in diagnosis of ischemic cardiopathy].
abstract: 10 patients with documented heart disease were undergone to atrial pacing (AP) combined to metabolic study. A negative lactate utilization (-%L) noticed in SC (coronary synus) represents a sure proof of a subordinate pacing ischaemia. As the negative lactate utilization is absent a significative reduction of %L during AP or its persistence in recovery and a rise of L/P are further parameters of a subordinate pacing ischaemia. The Authors consider the usefulness of combining a metabolic study to AP in assessing the RC (coronary reserve).
mesh_terms: D000787:Angina Pectoris / Q000378:metabolism; D002304:Cardiac Pacing, Artificial; D003327:Coronary Disease / Q000175:diagnosis* / Q000378:metabolism / Q000628:therapy; D006801:Humans; D007773:Lactates / Q000378:metabolism*; D009206:Myocardium / Q000378:metabolism; D011773:Pyruvates / Q000378:metabolism*
chemical_list: D007773:Lactates; D011773:Pyruvates
vernacular_title: Valore dello studio metabolico nella diagnostica della cardiopatia ischemica.