DIFFERENTIAL DIAGNOSTIC TECHNIQUE FOR CARDIOGENIC MYOCARDIAL ISCHEMIA AND SPINAL-CARDIAL INHIBITORY REFLEX

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, to cardiology. At first on background of pain syndrome, specific for myocardial ischemia and ischemia of upper part of back, ECG is recorded. Then double-sided paravertebral block is made with anaesthetic solution in amount of 5.0-10.0 ml in each injection at level of VII cervical and I, II, III, IV and V thoracic vertebrae. Then after 30-45 min ECG is recorded again and obtained record is compared to ECG record, made before block. At positive dynamics in ECG results, ischemia is diagnosed, caused by spinal-cardial inhibitory reflex. In absence of positive dynamics cardiogenic myocardial ischemia is diagnosed.;EFFECT: method increases efficiency of differential diagnostics of cardiogenic myocardial ischemia and spinal-cardial inhibitory reflex, accompanied by pain syndrome, specific for myocardial ischemia and ischemia of upper thoracic spine.;1 cl, 1 ex