[The early and subclinical forms of cerebrovascular pathology in patients with chronic ischemic heart disease].

The results of a cardioneurological follow-up enabled the authors to develop the principles of the angioneurological evaluation of patients with chronic coronary heart disease (CCHD). The survey covered 118 CCHD males aged 40-59 of functional class I and II. A differential complex of tests involving neuropathological and neuropsychological examinations, rheoencephalography with pharmacological and bicycle ergometry tests, biomicroscopy of bulbar conjunctiva allows early detection of subclinical and initial manifestations of cerebral circulatory failure (CCF) in CCHD patients. Quantitation of cerebral circulation at graded exercise test according to specially devised criteria is intended for differentiation of subclinical CCF in CCHD patients from age-specific changes in cerebral vessels and residual brain pathology of nonvascular genesis. Using a discriminant analysis of risk factors, ECG and echo-CG findings, the authors have designed a method of predicting dyscirculatory encephalopathy in CCHD patients free of cerebrovascular symptoms. The method can contribute to advanced efficacy of preventive and therapeutic measures in coronary patients.