[Painless myocardial ischemia in patient with extensive constrictive atherosclerosis of coronary arteries].
We describe in this article a clinical case of a patient with arterial hypertension, painless myocardial ischemia and extensive constrictive atherosclerosis of coronary arteries. Coronary heart disease (painless ischemia) was suspected basing on results of transesophageal electrostimulation coupled with stress echocardiography and was confirmed by coronary angiography. This description is followed by discussion of possibilities of different instrumental methods in diagnostics of painless ischemia, classification of painless ischemia, treatment, and prognosis.
E V
EV
Oshchepkova
N V
NV
Lazareva
D017130:Angioplasty / Q000379:methods*; D000924:Anticholesteremic Agents / Q000008:administration & dosage; D058070:Asymptomatic Diseases; D000069059:Atorvastatin; D002317:Cardiovascular Agents / Q000008:administration & dosage; D017023:Coronary Angiography / Q000379:methods; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D003331:Coronary Vessels / Q000473:pathology / Q000503:physiopathology; D054855:Drug-Eluting Stents; D004452:Echocardiography / Q000379:methods; D022062:Electrophysiologic Techniques, Cardiac / Q000379:methods; D005080:Exercise Test / Q000379:methods; D006538:Heptanoic Acids / Q000008:administration & dosage; D006801:Humans; D006949:Hyperlipidemias / Q000150:complications / Q000188:drug therapy; D006973:Hypertension / Q000150:complications / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D011758:Pyrroles / Q000008:administration & dosage; D012720:Severity of Illness Index; D016896:Treatment Outcome
D000924:Anticholesteremic Agents; D002317:Cardiovascular Agents; D006538:Heptanoic Acids; D011758:Pyrroles; D000069059:Atorvastatin