METHOD OF DETERMINING CHANGE OF ADAPTATIVE-COMPENSATORY POSSIBILITIES OF ORGANISM IN CHD PATIENTS WITH PAINLESS MYOCARDIAL ISCHEMIA

摘要

FIELD: medicine.;SUBSTANCE: invention relates to field of medicine, namely to cardiology and disease prevention. Before and after treatment by means of tetrapolar chest rheography coefficient of vasomyocardial ratios of central hemodynamics (CVMRCH) is determined and echocardiography with calculation of index of left ventricle myocardium weight and 24-hour Holter monitoring with determination of myocardium ischemia duration, circadium index, total integral of segment ST displacement are performed. Integral index (II) is calculated by formula: II= TID/(DI*CI*IIMHR), where IIMHR - integral index of myocardial-hemodynamic ratios, IIMHR= ILVMW / CVMRCH, CVMRCH - coefficient of vasomyocardial ratios if central hemodynamics in per cent. CVMRCH =(SV+SI+HI)*100%/SPR, SV - stroke volume in ml; SI -stroke index in ml/ m²; HI -heart index in l/min/ m²; SPR - specific peripheral resistance in din*sec cm^-5/m; ILVMW - index of left ventricle myocardium weight in g/ m²; DI -duration of painless ischemia in min/24-hours; CI - circadium index; TID - total integral of segment ST displacement in mcV*min. If II value grows, treatment is estimated as efficient, if II decreases - progressing of coronary insufficiency.;EFFECT: method extends arsenal of means for determining change of adaptative-compensatory possibilities of organism in CHD patients with painless myocardium ischemia.;2 ex