[Problem in the selection of patients with ischemic heart disease for surgical treatment (summary of 15 years' experience)]. / Problema otbora bol'nykh ishemicheskoi bolezn'iu serdtsa dlia khirurgicheskogo lecheniia (obobshchenie 15-letnego opyta).

ABSTRACT

A review of data reported in Soviet and foreign literature and the authors' own experience allowed specifying a number of clinical and angiographic criteria for the selection of coronary patients for surgical treatment. Clinical criteria include the pain syndrome, progressive angina pectoris, severe pain with a sharp ST displacement during an effort, low physical stress tolerance, and heart rhythm disorders. Angiographic criteria include total coronary arterial involvement reaching 75%, intact peripheral channel in all coronary arteries fit for aortocoronary shunting and satisfactory myocardial contractility.