[Treatment of pain in patients with ischemic heart disease and osteochondrosis of the cervicothoracic vertebrae].

A total of 124 patients with coronary disease (CD) and vertebral osteochondrosis (76 males and 48 females) were examined. Extended vertebral osteochondrosis was diagnosed in 68 patients, cervical osteochondrosis in 29, cervicothoracal osteochondrosis in 27. The patients were investigated by means of spinal X-ray, electro- and vectorcardiography, tetrapolar rheography. Bicycle ergometry was used in 72 patients, and tele-electrocardiography in 52, to uncover latent coronary insufficiency. Anginal manifestations, cardiac as well as extracardiac in origin, were shown to be numerous and varied, with CD signs being combined with symptoms typical for vertebral osteochondrosis with the visceral syndrome. The treatment with antianginal drugs in combination with orthopedic procedures was effective in 92.6% of the patients.