A study is presented in 59 patients with dilated cardiomyopathy and 41 patients with ischemic heart disease. Diverse changes of the indices of lipid metabolism antioxidant system and metabolism of adenylic nucleotides, data of transesophageal stimulation of the left atrium indicate that these values along with clinical findings are of importance for the differential diagnosis of dilated cardiomyopathy and atherosclerotic myocardial sclerosis.

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