CORONARY DISEASE RISK ASSESSMENT IN ASYMPTOMATIC PATIENTS

- to assess the risk of coronary disease in patients with asymptomatic ischemia. The work was based on the results of 185 patients' investigation, aged 35-55, among them 159 men and 26 women. All of them underwent selective coronarography. The patients were distributed according to the coronarography data - the first group consisted of individuals who had any coronary stenosis. The second group consisted of patients with intact coronaries. Statistical analysis was performed using the program packet SPSS v. 22. Our investigation showed that patients' median age did not credibly differ in the group of stenosis - 47.18 ± 5.14 and the group of intact coronaries 46.14 ± 5.06. More than 50% of any coronary stenosis shows convincing positive correlation with LV moderate dilatation - r=0.531; p=0.000 and 30 to 50% stenosis - r=0.531; p=0.000. Dyslipidemia, EF<53.8 p=0.000, obesity, ventricular extrasystoles, ST ↓ or ST ↑, positive treadmill test, low tolerance to treadmill test, arterial hypertension, cardiac insufficiency (heart failure), occupational dust, occupational hazards, stressful job, heavy physical load or professional sport; ischemic disease in 1st degree relatives, hereditary heart diseases, frequent alcohol consumption, urban living place, diabetes mellitus, smoking, male gender show convincingly positive correlation with coronary artery stenosis. Negative correlation is shown by the nondiagnostic treadmill test and the sinus rhythm. In patients with silent ischemia, the coronary disease predictors are: left ventricular moderate dilatation, male gender, dyslipidemia, arterial hypertension, smoking, positive treadmill test, ischemic disease in 1st degree relatives, low tolerance to treadmill test.