Carrying out of tests with physical activity. Sharp ochagovaja a dystrophy

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At an angina pectoris during the period between attacks those or other signs of chronic coronary insufficiency can be defined.

Depending on degree of expressiveness clinical, elektrokardiograficheskih, veloergometricheskih and other data the All-Union cardiological centre of science (VKNTS) allocates three basic groups of patients IBS. The specified three groups are close to (1972 three degrees of chronic coronary insufficiency earlier offered L.I.Fogelsonom.

Sharp ochagovaja a myocardium dystrophy. Last years there were descriptions of an angina pectoris with the unusual current characterised by more long, than usually, frequent attacks and incomplete knocking over of a pain by nitroglycerine and others anti-anginalnymi means. Inspection of patients with the similar complaints, spent by N.I.Perevodchikovoj (1953), M.V.Vov-si (1958), With. V.Shestakov (1962), A.L.Mjasnikovym (1962) and other authors, has shown that long (long) attacks of a stenocardia lead to an ischemia of a myocardium with dystrophic processes in it.

For a designation of this form of A.L.Mjasnikovym the term ' ochagovaja a myocardium dystrophy ', corresponding to the term lesion (damage), accepted abroad has been offered. according to morphological and gistohimicheskogo heart researches, the prolonged stenocardia is often accompanied by a myocardium hypostasis, disappearance in a cardiac muscle glikogena, fall fermentativnoj activity of cytoplasm of muscular fibres, change of its colouring, plasmatic propityvaniem walls of vessels, small intramuralnymi and perivaskuljarnymi hemorrhages, a dystrophy intramuralnoj nervous system, increase in number of the groups testifying to disintegration of molecules of fiber, etc.