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Clinical course of ischemic heart disease in arteriosclerotic lesions of the anterior interventricular branch of the left coronary artery



Clinical course of ischemic heart disease in arteriosclerotic lesions of the anterior interventricular branch of the left coronary artery



Kardiologiia 27(7): 63-65



A study of 67 coronary patients with isolated stenosing atherosclerosis of the anterior interventricular branch of the left coronary artery demonstrated proximal arterial stenosis in 2/3 of the cases; it was hemodynamically significant in 83% of those. Clinically, coronary heart disease in this condition was manifested as severe angina pectoris. Fifty-two percent of the patients had a history of myocardial infarction. Long-term conservative treatment, administered in 33 cases, produced an improvement in 67%, and controlled anginal attacks in 20%. Aortocoronary shunting, performed in 34 patients, had a complete antianginal effect in 2/3 of those. Clinical improvement was accompanied with somewhat improved stress tolerance.

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Accession: 039569530

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PMID: 3116318


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