[Unsolved problems of the diagnosis of acute focal dystrophy and microfocal myocardial infarction]

The use of up-to-date diagnostic methods and the estimation of the extent of myocardial lesion in patients with intermediate coronary conditions (serial assays of CPK and MV-CPK activity with subsequent computation of the weight of affected myocardium, ECTG and myocardial 99mTc-Sn-pyrophosphate scintigraphy using a gamma-counter) demonstrated: the presence of necrotic foci in patients with acute focal myocardial dystrophy; a considerable variation in the weight of affected myocardium; and high diagnostic value of ECTG for the assessment of the extent of myocardial lesion in patients with intermediate coronary conditions. Objective criteria have been worked out for the differential diagnosis of various intermediate coronary conditions.