[Measured physical load test and the atrial stimulation test in the differential diagnosis of ischemic heart disease in patients with unchanged coronary angiograms]. / Proba s dozirovannoi fizicheskoi nagruzkoi i test predeserdnoi stimuliatsii v differentsial'noi diagnostike ishemicheskoi bolezni serdtsa u bol'nykh s neizmenemnymi koronarogrammami.

Assessment of the clinical findings and the results of the bicycle ergometry test conducted in 17 patients and the atrial stimulation test performed in 13 patients allowed the diagnosis of ischemic heart disease to be made in 8 of 20 patients with normal coronary arteriogram. It is noted that the combined performance of the test with dosed physical load on a bicycle ergometer and the atrial stimulation test raises their values in differential diagnosis. The authors content that to improve the differential diagnosis of ischemic heart disease and functional cardiopathy in patients with normal coronary arteriogram it is advisable to study coronary microcirculation and myocardial metabolism during performance of the atrial stimulation test.

[Characteristics of anginal pains in chronic ischemic heart disease]. / Osobennosti anginoznykh bolei pri khronicheskoi ishemicheskoi bolezni serdtsa.

A special questionnaire chart was used to analyse the "structure" of the cardiac pain syndrome in 77 patients with ischaemic heart disease and atypical pains: protracted attacks were recorded in 53 (out of them 13 had Prinzmetall angina pectoris), 11 had attacks with a vegetative crisis background. In 6 patients localization of pains was atypical, in 15 the pains bore the character of cardialgia. To avoid diagnostic errors the physician must analyze thoroughly subjective feelings of the patient with pains in the heart.