[Programmed ventricular stimulation in patients with acute forms of ischemic heart disease]

A group was formed of patients presenting with electrical instability of myocardium (those persons manifesting induction of ventricular tachicardia, ventricular fibrillation) after performing programmed stimulation of ventricles of the heart in 63 patients suffering from myocardial infarction and unstable angina pectoris. The main noninvasive markers of electrical instability were shown to be postinfarction cardiosclerosis, circulatory insufficiency, evolution of acute aneurysm of the heart. Institution of differentiated therapy involving correction of circulatory insufficiency with capoten, low doses of beta-blockers, specified use of antiarrhythmic drugs tailored to the individual, employing electrophysiologic testing, make it possible to improve the intrahospital diagnosis in myocardial infarction and select a group of patients to be surgically tested.