[The diagnosis and treatment of the epiphrenal-cardial syndrome in patients with axial hiatal hernias].
An examination of 63 patients with hiatal hernias was performed in order to detect the epiphrenic-coronary reflex. Changes in the ECG in performing the Börnstein test were analyzed. The pathological epiphrenic-coronary reflex was found in 80.4% of patients with retrosternal pains or ischemic heart disease. This reflex was proved to disappear after surgical treatment of the hiatal hernia in 93.1% of the patients.
Chernov
V N
VN
Khitar'ian
A G
AG
Aboian
I A
IA
D002299:Cardia; D002637:Chest Pain / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D004562:Electrocardiography; D004947:Esophagus / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication; D006551:Hernia, Hiatal / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008365:Manometry; D008875:Middle Aged; D013577:Syndrome
Diagnostika i lechenie épifrenal'no-kardial'nogo sindroma u bol'nykh s aksial'nymi gryzhami pishchevodnogo otverstiia diafragmy.