[Analysis of the reserve capacity of the myocardium in patients with hypertensive disease and its importance for disability evaluation].

Abstract

The paper presents an analysis of the results of a comprehensive clinical and instrumental examination (poly- and apex-cardiography) of 156 patients with essential hypertension (Stages I, I-II and II, according to L.I. Fogelson's classification) and of 40 normal individuals, that was undertaken to study the functional state and the reserves of the left ventricular myocardium. The disorders in the functional state and the reduction of the reserve capacity were shown to progress along with the stage of the disease. The clinical and labour prognosis of the patients with essential hypertension depend on the character of its course, stage of the disease, degree of functional disorders and reserve capacity of the myocardium, as well as on the profession and labour conditions. The employment of a broad complex of cardiological diagnostic techniques at rest and following dosaged bicycle ergometric load helps to determine the clinical and labour prognosis with greater precision and more objectively, and to solve the problems of timely employment of hypertensive patients.