CLINICAL POSSIBILITIES OF HIGH-RESOLUTION RHYTHMOCARDIOGRAPHY AT ANALYSIS OF HEART RATE VARIABILITY IN PATIENTS WITH CORONARY ARTERY DISEASE (INNOVATION EXPERIENSE)
Presented here results of 30-years researches of the clinical high-resolution rhythmocardiography (RCG) for heart rate variability (HRV) analysis at the coronary artery disease (CAD) from diagnostics till interventional myocardial revascularization. Chronic ischemia was characterized by reduction of all HRV waves. Every ischemic episode was registered on the rhythmocardiogram, as HRV stabilization during stenocardia, decrease of the autonomic spectral shares and increase of the humoral-metabolic influence in sinus node (SN). At the RCG investigation of 96 patients with acute myocardial infarction (AMI) there was defined different breaches SN regulation at anterior and posterior AMI, and also at subendocardial and subepicardial acute coronary syndromes. At the coronary shunting every period of operation accompanied different deregulation of the SN. In patients with initial autonomic cardioneuropathy was the high risk of life-dangerous cardioarrhythmias (CA) during surgical manipulations, for example atrial flutter. At the researches of HRV in 4620 patients with CA there was defined that a number clinical forms of CA may be registered on rhythmocardiogram. The most important possibilities of RCG connect with definition of hemodynamic breaches and the arrhythmogenic autonomic background of every arrhythmic episode.