METHOD OF PREDICTION OF SURGICAL EFFECTIVENESS IN MYOCARDIAL REVASCULISATION IN PATIENTS SUFFERING ISCHEMIC HEART DISEASE WITH HIGH GRADE VENTRICULAR ARRHYTHMIAS

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, specifically cardiology. The preoperative echocardiography, load treadmill test and Holter (ECG) monitoring are conducted. There are evaluated an anamnestic length of ischemic heart disease, a daily number of single ventricular ectopic beats, a circadian index, a left ventricular ejection fraction, a number of load stages, a rate pressure product, a maximum load heart rate as related to a maximum calculated heart rate. The derived values are used to predict the long-term combined anti-ischemic and antiarrhythmic surgical effectiveness in myocardial revasculisation (MR).;EFFECT: method enables the preoperative prediction of the long-term combined anti-ischemic and antiarrhythmic surgical effectiveness in myocardial revasculisation (MR) that promotes an early case monitoring of the CHD patients suffering high grade ventricular arrhythmias, the choice of a therapeutic approach including as to the need of prescribing an antiarrhythmic therapy, interventions for the purpose of treating arrhythmia, and well-timed diagnosis of postoperative persistence and/or recurrence of myocardial ischemia and ventricular arrhythmia.;4 ex