[Prinzmetal angina. Questions of pathogenesis, clinic, diagnosis and treatment].

Current problems of Prinzmetal angina (vasospastic angina, variant angina) considers in this review. Attention is drawn to early diagnosis, which should be comprehensive, taking into account possible atypical courses and the development of complications. The important role of electrocardiographic monitoring (including using implantable recorders) is highlighted. It is emphasized that patients with cardiac arrhythmias, syncope are at high risk of developing sudden cardiac death. In this category of patients, it is recommended to timely determine the indications for implantation of a cardioverter - defibrillator. Authors consider the prospects of using new methods of treatment of angina pectoris.

[Hemostasis and pathogenetic therapy of unstable angina pectoris]. / Gemostaz i patogeneticheskaia terapiia nestabil'noi stenokardii.

Peculiar features of clinical course and outcomes of unstable angina are outlined with respect to severity of disturbances of interrelated coagulation, fibrinolytic and kallikrein systems, variants of DIC-syndrome run and antithrombotic treatment. The authors also give the description of laboratory methods of control over adequacy of anticoagulant and thrombolytic therapy and the analysis of effectiveness of transcutaneous transluminal coronary angioplasty and its action on factor Hageman system. The highest response was obtained in the group of patients on combined prolonged heparic treatment.