251
Training851596012886132194233304343412483
algorithmic1369596012867105176245292330370439549586648
task:2053596012844107162231270
dispensary2358596012875114168238301370425488533603
observation2995596012874145200263308379441479519588658
of3689596012874121
a3845596012867
patient3947596012875138175215278347385
with43725960128101140179249
stable465759601285997160230268331
coronary5023596012867136183253323386433503
heart851839012870133195242280
disease1167839012870108163225287341403
At85110800128101140
the10261080012861131193
appointment12541080012884154223293333402442551611681721
with201110800128121159199268
the23151080012860130193
therapist,25431080012860130192239301371409464503538
Ivan31161080012868138200270
Alekseevich342210800128122161224293348409472541580643712
Doronin417010800128122192239308378417487
(date46921080012868137200239301
of50281080012891139
birth:52021080012890129176214284322
29.12.1972)8511321012870141176245316351420489560630677
was157013210128101163217
diagnosed18231321012879117180249319389443506575
with244113210128101139179249
IHD27251321012854155256
for30151321012854124171
the32211321012846116179
first3435132101285392139193232
time3703132101284584194254
after39921321012869116155218264
undergoing42911321012878148218281327396467505575646
a49721321012869
medical508313210128110170240279342404442
examination.8511563012862133195305341412475514552622692728
He161415630128122184
was183315630128123185238
diagnosed21061563012891130192262332402457520589
with273015630128123161200269
stable30351563012876114177246284347
angina34171563012884153223262332394
pectoris38461563012891153216254324372409463
of43451563012891138
FC45171563012899192
II.47451563012867114149
Treatment492915630128107153216278316426486556595
was85118050128101163218
prescribed,11041805012880127188243306351390460523592627
but17661805012879149188
he19891805012879141
did21651805012880118189
not23891805012879148188
take26121805012847110179242
any28891805012872141211
medications.314418050128109170240280342404443482551622676711
He389918050128102164
occasionally40981805012878141203265319358428499560599638708
experienced48401805012871141212275322360422491554615684
chest8512046012862133195249288
pain11752046012876138176247
that14582046012844114177216
lasted17092046012845108161200262332
up20762046012877148
to22592046012845114
1024092046012877146
minutes,260120460128109146216287325388443478
only31152046012875146184255
when341020460128101171233304
he37492046012877140
went393120460128101163232271
outside42372046012877147186240279349412
in46842046012845115
the48342046012846115178
morning505420460128109177224295333403472
and8512287012862133202
started10892287012866105167214253315385
walking.152122870128101163201272310380450486
The20422287012896166228
pain23052287012882145183253
subsided25932287012866136206261300370432501
after31302287012874121158221268
stopping34332287012866105174245315354424493
for39622287012858128175
4-541722287012882133202
minutes.442022870128110146217287327390443479
He494522870128101163
denied51432287012882145215253316385
having8512529012870133202241311382
any12682529012863131202
bad15032529012870133203
habits.17402529012871133202242280335370
During85128710128101171218257327397
the12842871012866137199
examination,15182871012890161223333369440503541579650719755
his23082871012898137192
condition25352871012891160231300339378417487557
was312728710128130191245
satisfactory.34082871012883146184223277324387448487557604674707
Skin,415028710128107177216287322
peripheral45062871012898161208247317386449496558596
lymph51382871012867138246314385
nodes,8513112012870141210273327362
visible12483112012877115170209279318381
mucous167131120128109177240310379433
membranes,214731120128109171281349396458528591646682
thyroid28643112012845115186230301340411
gland33093112012877117180249318
b/O.36633112012877115217252
BMI39563112012894219265
3142563112012876147
kg/m2,44383112012876147185295363398
FROM48713112012885178280404
10053103112012877147216
cm,8513353012862173205
Chest109233530128118188251305344
is14703353012864118
regular,16233353012872133203273312374421456
symmetrical,21133353012879150258366427466514553615678716751
participates28993353012894157203241281342381451514553615669
in36043353012863132
the37723353012862132195
act40023353012886148187
of42253353012892140
breathing,44003353012893140202264303373413482552587
BH502233530128117219
(per52753353012871141204250
minute)85135960128109146216287327389436
–13223596012876
1614333596012874144
per16133596012873136183
minute.183535960128110146217288327390425
SaO222953596012882144246314
=26453596012883
98%.27633596012875146263297
During310035960128101171217256326396
auscultation35323596012866135190253322361400463501539610680
of42473596012875122
the44043596012842112175
lungs,46143596012843113183253307343
breathing49923596012874121183246284353393463532
is851383701283994
vesicular,98138370128102165219258320389429491537573
there15893837012872141204251313
is19373837012871126
no209838370128103174
wheezing.230838370128134204266328390429499568604
During294738370128134204251289358429
auscultation,34153837012896165219281352390429491530569639709745
the41953837012872141204
rhythm44333837012880150221258329438
of490538370128104151
cardiac50913837012895158205275313376437
activity8514078012862125164202273311351421
is13064078012847101
correct,14424078012871140187234296358396432
the19094078012845116178
heart21224078012878141202249288
rate24444078012855117155218
(per26974078012855124187234
minute)297340780128109145216287326389435
is34434078012847101
8635794078012877147
per37614078012877140187
minute.399140780128109146216287325388423
BP44564078012894172
139/8946634078012877147217256326396
mmHg.510240780128109217317387423
The8514319012886155218
abdomen11044319012881151220291400460531
is16704319012858112
soft18184319012872141189228
and20804319012881152221
painless.23374319012887150188258297360413469504
There287543190128104174237282345
are32544319012881127190
no34794319012888157
peripheral36724319012888150197235306375438485546585
edema.42924319012881150212322382417
Physiological47444319012897167238290330400439510579618680743781
functions8514562012847117188249289327397467521
are14084562012862109171
normal.16134562012870140188297357396431
Over85149030128101171234281
the11674903012846115178
past13804903012877140193233
time,1648490301284584194254289
when198049030128101171234304
the23204903012845115178
patient25334903012876138177216279348390
visited29594903012876115169209247309379
the33744903012845115178
clinic,35874903012869108147216256319354
the39764903012845115178
following41894903012853122162200270372410480551
examinations47754903012869138201310347417480519558628698752
were85151440128101163210272
carried11585144012863125172219258319390
out:15825144012870140179217
general18355144012870132202264310373412
blood22815144012870109179249319
test26365144012837100155193
and28655144012864133203
general31035144012870133202264311374412
urine35505144012870117155225288
testwithout38735144012839100155193295334372443512582620
pathology.45295144012870133171240311349420490560594
Parameters9055491012878140187249359419458520567622
Values203354910128101163202273336389
Biochemical9055737012894133203265335397506543606668707
blood9055979012870110179249320
test:12605979012838100155193232
Creatinine20335737012894140203265304343412452521584
8826525737012875145
micromol/L,283857370128110146209256326435503542582668702
AST358157370128101178264
4238805737012875146
U/L,406757370128102140226261
ALT436857370128102187272
3846745737012876147
U/L,486257370128101140226261
total51585737012844115153216255
cholesterol20335979012862133202242304358396459506575614
6.0268359790128136171240
mmol/L,295859790128176284354394432519553
HDL354659790128168269354
1.0393559790128139175245
mmol/L,421459790128176284352391431517551
LDL480159790128152253338
2.5517359790128137173243
mmol/L,203362210128109218286326365451486
venous25536221012871133203273343398
plasma29856221012870109172226334395
glucose34166221012870109180243312366428
6.038806221012870105174
mmol/L408962210128110217285325365452
ECG:9056619012886179280319
ECG:20336619012886179280319
Sinus238766190128131170240310364
rhythm27876619012899169240277347457
of327866190128122170
80348366190128122192
beats371066190128123186248286340
per408666190128122185232
minute,435366190128160197268338378440476
impaired48646619012891200268331370417479549
repolarization20336861012847109179249289351397436499560599637708778
processes.28456861012870117187249311366420483538573