ACUTE AND CHRONIC CORONARY HEART DISEASE.

摘要: Summary The accumulated data and clinical experience of many decades seem to imply that in the evaluation coronary heart disease, it is crucially important determine whether disorder a chronic stable phase or there has been an acute spontaneous change status. Such should be assumed cases cardiac pain recent onset, when pattern pre-existing angina pectoris cannot accounted for by such extracoronary factors as exertion, tachycardia, shock, others. It noted change, regardless appears guise exertional nonexertional pectoris, myocardial infarction, attended early days weeks threat extension process sudden death. suggested designation acuteness chronicity essential terminology various states disease. This particularly case syndrome which this differentiation critical prognosis therapy. picture variously referred “acute insufficiency” “pre-infarction angina” may appear with, without, evidence necrosis. Hence, these disease (coronary attack), with without recognizable more accurate tend clarify field confused overlapping terminology. likely that, refinements diagnostic methods detection necrosis, increasing number attacks infarction will placed category small infarcts. reclassification, however, not alter outlook treatment cases, since available indicates development status rather than presence area necrosis largely determines course