Carrying out of tests with physical activity. A pain in the field of heart

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The Pain in the field of heart except an angina pectoris can be a sign miokardita, perikardita, an osteochondrosis of cervical and chest departments of a spine column, an intercostal neuralgia, diseases of a pleura, etc. приапизм At revealing of a pain in the field of heart and behind a breast (and its equivalents) it is necessary to spend careful kliniko-tool (at necessity and biochemical) inspection for specification of its character that will allow to find out deterioration of coronary blood circulation in due time.

During a stenocardia attack on an electrocardiogram changes of tooth T (voltage decrease, two-staging, negative or high, ' huge ' a peaked tooth, displacement of interval S - T downwards (is much more rare upwards) from an isoelectric line which after attack knocking over through 1-2 ch are usually normalised can be observed. at not complicated stenocardia of increase of quantity of leukocytes, SOE, activity of enzymes it is not observed. It is necessary to consider that change of tooth T and displacement of segment S - T downwards are possible not only at an angina pectoris, but also at a hypertrophy zheludochkov, reception of preparations naperstjanki and for other reasons. Why it is very important to track changes of an electrocardiogram in dynamics, carefully having studied a background and the possible reasons of these changes. if elektrokardiograficheskie angina pectoris signs are absent, but are available clinical, to remove the diagnosis ' an angina pectoris ' it is impossible, as it is faster clinical, than kliniko-tool.