METHOD OF PREDICTING SPASM OF CORONARY ARTERIES IN PATIENTS WITH ISCHEMIC HEART DISEASE DURING TRANSCUTANEOUS SURGERY

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, cardiology, and can be used for predicting spasm of coronary arteries in patients with ischemic heart disease during transcutaneous coronary surgery. For this purpose on empty stomach at room temperature initial indices of cheek mucosa and skin temperature are measured. After that difference of said values Δt₁ is calculated. Xantinol nokotiniate in dose 0.3 g is introduced to patient. 15-20 minutes later temperature is remeasured in said points. After that their difference Δt₂ is calculated. Temperature coefficient ΔT is calculated by formula: ΔT=Δt₁-Δt₂. If value ΔT is higher than 1, prognosis of intraoperative coronary spasm development is considered to be unlikely. If value ΔT is lower than 1, prognosis of intraoperative coronary spasm development is considered to be probable to a considerable extent.;EFFECT: method makes it possible to predict development of intraoperative coronary spasm with high accuracy in order to take corresponding measures on its prevention and treatment, reduce the number of intraoperative complications.;1 tbl, 2 ex