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Comparative characteristics of stress tests (bicycle exercise and psychoemotional test) in patients with ischemic heart disease
- Authors: Smakotina SA1, Bernes SA1, Mineeva EV1, Barbarash OL1
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- Issue: Vol 79, No 5 (2004)
- Pages: 72-75
- Section: Editorial
- URL: https://ter-arkhiv.ru/0040-3660/article/view/29848
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Abstract
Aim. To compare efficacy bicycle exercise (BE) and psychoemotional tests (PET) in provoking myocardial ischemia and arrhythmia in patients with acute and chronic forms of ischemic heart disease (IHD).
Material and methods. BE and PET (mathematical count test) were performed in 108 IHD patients. 30 patients had stable effort angina (FCII-III), 48 patients had progressing effort angina and 30 patients were at the subacute stage of myocardial infarction.
Results. PET was less efficient in detection of myocardial ischemia but is more adequate in detecting episodes of painless ischemia and ventricular rhythm disorders compared to BE. The greatest differences in efficiency of the tests occurred in patients with acute forms of IHD.
Conclusion. Application of different stress tests in IHD patients raises efficacy of detecting episodes of painful, painless myocardial ischemia and rhythm disorders, specifies mechanisms of coronary failure development.
Material and methods. BE and PET (mathematical count test) were performed in 108 IHD patients. 30 patients had stable effort angina (FCII-III), 48 patients had progressing effort angina and 30 patients were at the subacute stage of myocardial infarction.
Results. PET was less efficient in detection of myocardial ischemia but is more adequate in detecting episodes of painless ischemia and ventricular rhythm disorders compared to BE. The greatest differences in efficiency of the tests occurred in patients with acute forms of IHD.
Conclusion. Application of different stress tests in IHD patients raises efficacy of detecting episodes of painful, painless myocardial ischemia and rhythm disorders, specifies mechanisms of coronary failure development.
References
- Меерсон Ф. 3., Диденко В. В. Роль генетических механизмов в адаптационных реакциях на примере сердца. Кардиология 1992; 2: 82-90.
- Чевари С., Андял Т., Штенгер Я. Определение антиоксидантных параметров крови и их диагностическое значение в пожилом возрасте. Лаб. дело 1991; 10: 10.
- Стрижков В. С. Метаболизм клеток щитовидной железы под влиянием пролактина и эмоционального стресса. Пробл. эндокринол. 1991; 5: 54-56.
- Becker W. С., Pepine С. J., Bonsall R. et al. Left ventricular, peripheral vascular and neurohumoral responses to mental stress in normal middle aged men and women. Circulation 1995; 92 (suppl. 1): № 3249.
- Bayes de Luna A., Counrel P., Leclercy I. F. Ambulatory sudden death: Mechanisms of production of fatal arrhythmia on the basis of date from 157 cases. Am. Heart. J. 1989; 117: 151-159.
- Carney R. M., Rich M. W., Freeland К. Е. Major depressive disorder predicts cardiac events in patients with coronary artery disease. Psychosom. Med. 1988; 50: 627-633.
- Pagani M., Mazzuero G., Ferrari A. et al. Sympathovagal interaction during mental stress. Circulation 1991; 83 (suppl. II): 11-43-11-51.
- Николаева Л. Ф., Аронов Д. М. Реабилитация больных ИБС. М.: Медицина; 1988.
- Верткин А. Л., Мартынов И. В., Гасилин В. С. Безболевая ишемия миокарда. М.: Медицина; 1995.
- Bosimini E., Galli M., Guagliumi G. Electrocardiographic markers of ischemia during mental stress testing in postinfarction patients. Circulation 1991; 83: 1245-1247.
- Krantz D. S., Helemers K. F., Bairey С. N. et al. Cardiovascular reactivity and mental stress-induced myocardial ischemia in patients with coronary arterv disease. Psychosom. Med. 1991; 53: 1-12.
- Boltwood M. D., Iaulor С. В., Burke M. B. et al. Anger report predicts coronary artery vasomotor response to mental stress in atherosclerotic segments. Am. J. Cardiol. 1993; 72: 1361 - 1365.
- Abbate A. L., Simonetti I., Carpeggiani C. Coronary dynamics and mental arithmetic stress in humans. Circulation 1991; 83 (suppl. H): 11-94-11-99.
- Kamarck T. W., Annunzito В., Amateau L. M. Affiliation moderates the effects of socium on stress-related cardiovascular responses: boundary conditions for a laboratory model of social support. Psychosom. Med. 1995; 57: 183-194.
- Baireymers C. N., Krants D. S., Rozansky A. Mental stress and myocardial ischemia correlates and potential interventions. Texas Heart Inst. J. 1993; 20: 152-157.
- Меерсон Ф. 3. Аритмическая болезнь сердца. Кардиология 1993; 5: 58-65.
- Меерсон Ф. 3., Пшенникова М. Г. Адаптация к стрессорным ситуациям и физическим нагрузкам. М.: Медицина; 1988.
