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METHOD FOR ASSESSMENT OF CORONARY ARTERIES IN MALES SUFFERING FROM STABLE ANGINA

机译:稳定型心绞痛患者中冠状动脉的评估方法

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, specifically to cardiology. History indicators are determined. Method includes performing x-ray imaging of chest, bicycle exercise and echocardiography. Based on said investigations, determining in points: experience angina; load lifting on staircase, causing chest pain; average frequency of aggravations in year; value of atherosclerosis aortic chest x-ray imaging data; volume of work done in kgm based on bicycle exercise sample; presence of pulmonary hypertension based on by echocardiography; left ventricular ejection fraction based on echocardiography; value of atherosclerosis based on echocardiography; average value of global longitudinal left ventricular strain in crown 2-chamber position according to speckle tracking echocardiography; left ventricular mass index (lvmi) based on echocardiography; type of diastolic dysfunction; average value of systolic longitudinal left ventricular strain at level of basal rear segment according to speckle tracking echocardiography; average value of systolic longitudinal left ventricular strain at level of average posteroseptal segment according to speckle tracking echocardiography. Results are put into a mathematical formula for determination of coronary artery injury (PPKA). If PPKA≤1, absence of coronary artery injury is determined. If PPKA 1, structural affection of coronary arteries is determined.;EFFECT: method enables more effective diagnosis of coronary artery state, reduces radiation exposure, without cancellation antianginal therapy.;1 cl, 2 ex
机译:技术领域本发明涉及医学,特别是心脏病学。确定历史指标。方法包括执行胸部X射线成像,自行车运动和超声心动图。根据上述调查,确定以下几点:经验型心绞痛;在楼梯上抬起重物,导致胸痛;年平均加重频率;动脉粥样硬化主动脉x线胸片影像学资料的价值;根据自行车运动样本以公斤/米为单位的工作量;通过超声心动图检查是否存在肺动脉高压;基于超声心动图的左心室射血分数;超声心动图对动脉粥样硬化的价值;根据斑点跟踪超声心动图,冠状2腔室位置的整体纵向左心室应变的平均值;基于超声心动图的左心室质量指数(lvmi);舒张功能障碍的类型;根据斑点追踪超声心动图检查,在基底后段水平的收缩期纵向左心室应变的平均值;散斑跟踪超声心动图显示平均后房间隔水平时收缩期左心室纵向应变的平均值。将结果放入确定冠状动脉损伤(PPKA)的数学公式中。如果PPKA≤1,则确定不存在冠状动脉损伤。如果PPKA> 1,则确定冠状动脉的结构影响。效果:该方法可以更有效地诊断冠状动脉状态,减少放射线照射,而无需取消抗心绞痛治疗。1 cl,2 ex

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