METHOD OF DIAGNOSING ISCHEMIC HEART DISEASE BY METHOD OF STRESS-ECHOCARDIOGRAPHY WITH COMBINED ISOMETRIC AND PSYCHOEMOTIONAL STRESS

摘要

FIELD: medicine.;SUBSTANCE: test is carried out by an application of a combined approach with simultaneous application of isometric and psychoemotional stress. Isometric stress is performed by means of two ring expanders, which a patient compresses in each hand with the maximal effort for the maximally possible time interval - usually for 2-3 minutes. In the process of performing an isometric test additional psychoemotional stress in the form of constant psychological setting of the patient to the maximal pressure of the hand expanders for the entire test is carried out. Simultaneously a registration of echocardiographic scans is performed from the apical access in a projection of a four-chamber and two-chamber section with an application of 16-segmented model in a combination with ECG AND AP registration.;EFFECT: method makes it possible to increase an accuracy and self-descriptiveness of non-invasive ultrasonic diagnostics of ischemic heart disease in clinical practice due to the creation of the powerful synergic effect from two stressing factors.