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26,600
[Lercanidipine in the treatment of arterial hypertension].
This review summarizes data on the effectiveness of lercanidipine. Lercanidipine is dihydropyridine calcium antagonist of the third generation, characterized by high vazoselective, long duration of action and good antihypertensive effect. It may be assigned to elderly patients with isolated hypertension and has seve...
26,601
[Coronary stenting in patients with ischemic heart disease with multivessel involvement of coronary vascular bed and low Syntax score].
MATERIAL AND METHODS: We followed 619 patients with ischemic heart disease (IHD) and multivessel involvement of coronary arteries: 317 patients subjected to coronary artery bypass grafting (CABG, group 1) and 302 patients subjected to multivessel percutaneous coronary intervention (PCI, group 2) with implantation o...
26,602
[Comparative efficacy of pharmacoinvasive strategy of myocardial reperfusion and primary angioplasty in patients with acute ST elevation myocardial infarction].
In order to assess comparative efficacy of pharmacoinvasive strategy of myocardial reperfusion and primary angioplasty in ST elevation acute myocardial infarction 289 patients were randomized at prehospital stage within first 6 hours of the disease into 2 groups: primary angioplasty (group 1), and prehospital throm...
26,603
[The role of genetic factors in the prediction of myocardial infarction complications within one year follow up].
A sample of 165 patients with myocardial infarction (MI) with ST segment elevation has been studied to construct a prediction model for one-year period complications (recurrent nonfatal IM or cardiac death). Polymorphic genetic markers (n = 32) with confirmed role in pathogenesis of cardiovascular disease were anal...
26,604
[Organoprotective and metabolic effects of S-amlodipine in patients with arterial hypertension].
We compared effects of racemic amlodipine and S-amlodipine in 127 patients with 1-2 degree arterial hypertension (AH) on structural-functional parameters of the left ventricle and brachial artery as well as on characteristics of carbohydrate, lipid, electrolyte, and purine metabolism. Racemic amlodipine was given t...
26,605
[Realities and perspectives of stroke prevention in atrial fibrillation: physician's opinions analysis].
The purpose is to study the opinions of general practitioners and cardiologists on the issue of stroke prevention and the prospects of new oral anticoagulants treatment of patients with atrial fibrillation (AF). 240 physicians, of whom 139 were general practitioners and 101 cardiologists, were questioned. The physi...
26,606
[Potassium-preserving properties of magnesium].
Current fundamental research indicates importance of conducting clinical studies of the influence of magnesium content of the body on the potassium homeostasis. In this work we systematically analyze molecular mechanisms through which magnesium regulates potassium homeostasis: ATP-sensitive inward rectifier K-chann...
26,607
[Treatment of patients with chronic heart failure based on monitoring of concentrations of natriuretic peptides--to what extent it is justified in clinical practice?].
The review is devoted to consideration of novel pathways of treatment of patients with chronic heart failure (CHF) in particular of the high risk group. All main studies of the problem of treatment of patients with CHF based on monitoring of concentration of natriuretic peptides (MCNUP) BNP or NT-proBNP have been a...
26,608
[The strategy, tactical approaches and choice of combination therapy in the treatment of patients with arterial hypertension].
This review article presents approaches to the selection of strategy of antihypertensive therapy in hypertensive patients according to the degree of elevation of blood pressure (BP), the level of risk for cardiovascular complications, the doses of drugs used in accordance with current guidelines. A comparative anal...
26,609
[Blockers of renin-angiotensin-aldosterone system in the treatment of arterial hypertension: classics versus the modern].
According to results of large clinical studies angiotensin II receptor blockers (ARB) and aliskiren do not lower risk of cardiovascular complications and mortality in wide spectrum of clinical conditions and are able to worsen renal outcomes. It is expedient to prefer inhibitors of angiotensin converting enzyme in ...
26,610
[Factors associated with mitral regurgitation in men with ischemic heart disease without myocardial infarction].
Being independent predictor of cardiovascular mortality, mitral regurgitation (MR) has a negative influence on prognosis of ischemic heart disease (IHD) patients. Data on MR pathogenesis in IHD patients without myocardial infarction (MI) are insufficient. PURPOSE: To reveal factors associated with MR in CAD men with...
26,611
[Prehospital management of patients with acute coronary syndrome in Moscow. Data of the first Moscow "snapshot" register].
AIM: To characterize the state of prehospital management of patients with acute coronary syndromes (ACS) using data from Moscow snapshot registry of hospitalized patients with ACS. METHODS: The registry included data on consecutive patients with ACS admitted to coronary care units or their equivalents of participati...
26,612
[Acute coronary syndrome: regional experience of rendering urgent aid at prehospital stage in Khanty-Mansi Autonomous Okrug--Yugra].
Aim of the study was assessment of efficacy of rendering urgent aid to patients with acute coronary syndrome (ACS) at prehospital stage on the territory of Khanty-Mansi Autonomous Okrug (KhMAO). The analysis showed that yearly about 5000 inhabitants of KhMAO-Yugra received prehospital medical care (30% because of a...
26,613
[Possibilities myocardial biopsy in the diagnosis of myocarditis verification in patients with idiopathic arrhythmias].
Aim of the study was to elucidate nosological nature of "idiopathic" arrhythmias by means of right ventricular endomyocardial biopsy (EMB) and to assess effect of etiotropic and pathogenetic treatment. MATERIAL AND METHODS: We included into this study 19 patients (mean age 42.6 +/-11.3 years, 9 women) with atrial fi...
26,614
[Evaluation of typical atrial flutter cycle duration during electric stimulation cardioversion].
We performed 225 transesophageal electric cardiac stimulation (TEECS) procedures in order to restore sinus rhythm in patients with atrial flutter (AF) and ischemic heart disease (IHD) (n = 161) and postmyocarditic cardiosclerosis (n = 64). Mean duration of history of arrhythmia was 7.1 years, mean duration of prese...
26,615
[Prognostic value of the myocardial performance (Tei) index in patients with chronic heart failure].
Aim of this study was to define the prognostic value of Tei index compared with other clinical and instrumental parameters in elderly patients with chronic heart failure (CHF) observed in outpatient conditions. A total of 97 patients aged 60 to 85 years with symptoms of CHF NYHA class II--IV due to coronary heart d...
26,616
[Prediction of effectiveness of antihypertensive treatment in patients with consideration of the role of polymorphisms of angiotensin receptors ATR1].
PURPOSE: to elucidate the prognostic role of angiotensin receptor (ATR1) gene polymorphism relative to progression of the disease and effectiveness of antihypertensive therapy. MATERIAL AND METHODS: We included in this study 132 consecutive patients (48 women [36.4%, mean age 51.6 years] and 84 men [63.6%, mean age ...
26,617
[Factors determining progression of atherosclerosis in extracoronary arteries after myocardial infarction].
Aim of the study was to determine association between clinical-anamnestic factors and degree of progression of atherosclerotic process in magistral noncocronary arteries during one year after ST-elevation (STE) myocardial infarction (MI). MATERIAL: We included into this study 168 men (mean age 59.5 years) with STEMI...
26,618
[Assessment of velocity of deformation of abdominal aorta wall with the help of the multivox working station].
Most frequent cause of abnormalities of elastic properties of walls of abdominal aorta is development of atherosclerosis resulting in replacement of elastin by simpler fibrillar proteins and collagen. This subsequently leads to dilation of the aorta and formation of aneurism. Increase of collagen content in the aort...
26,619
[Cardiac potassium channels: molecular structure, physiology, pathophysiology and therapeutic implications].
Potassium channels and currents play essential roles in cardiac repolarization. Potassium channel blockade by class III antiarrhythmic drugs prolongs cardiac repolarization and results in termination and prevention of cardiac arrhythmias. Excessive inhomogeneous repolarization prolongation may lead to electrical in...
26,620
[Multistage endovascular treatment of multifocal atherosclerosis].
We present a report of a clinical case of multistage endovascular treatment of multifocal atherosclerosis with involvement of coronary arteries, left renal artery, and arteries of lower extremities. A 54 year old patient with type 2 diabetes, impaired renal function, vasorenal hypertension, and lowered left ventric...
26,621
[Comparison of characteristics of atherosclerotic plaques in patients with acute coronary syndrome and stable ischemic heart disease: data of multispiral computed tomography].
AIM: To elucidate possibilities of multispiral computed tomography (MSCT) for assessment of morphology of atherosclerotic plaques in coronary arteries of patients with acute coronary syndrome (ACS) or stable ischemic heart disease (SIHD). MATERIAL AND METHODS: Assessment of internal relief of coronary arteries and ...
26,622
[Relationship between warfarin dosing and activity of CYP2C9 assessed by the content of losartan and its metabolite E-3174 in the urine of patients with mechanical prosthetic heart valves].
We evaluated effect of activity of cytochrome P450 CYP2C9 on maintenance doses of warfarin in 33 patients with implanted artificial heart valves. Losartan test was used for measurement of concentration of active metabolite E-3174 in urine. Concentration of E-3174 below 2500 ng/ml in patients with genotype CYP2C981/*...
26,623
[Optimization of pharmacotherapy in patients with essential hypertension with neurohumoral modulators with consideration of data on heart rate variability].
Long-term treatment of patients with essential hypertension (EH) and autonomic dysfunction (sympathicotonia type) with lisinopril in combination with indapamide augmented activity of humoral systems and improved heart rate variability. Addition of a selective beta-blocker bisoprolol to lisinopril/indapamide combina...
26,624
[Predictive value of cardiopulmonary exercise testing in various categories of patients with chronic heart value].
AIM: To specify the prognostic value of parameters of cardiopulmonary exercise testing (CPET) in patients with chronic heart value (CHF) on optimal medical treatment depending on gender, age, left ventricular ejection fraction (LVEF), cardiac rhythm and achievement of target respiratory exchange ratio (RER) > or = ...
26,625
[Noncoronary dilated cardiomyopathy after reverse remodeling heart surgery].
We present here analysis of surgical treatment of 24 patients (5 women, 19 men, age 20-75, mean age 50.7 +/- 2.5 years) with dilated cardiomyopathy (DCM) operated during the period from 2008 to 2013. Duration of the disease ranged from 4 months to 12 years (mean 49.4 +/- 7.5 months). According to symptoms and resul...
26,626
[Treatment of arteril hypertension in patients with chronic kidney disease: a fixed combination of lercanidipine and enalapril].
The review of literature presents the basic principles of treatment of arteril hypertension in patients with chronic kidney disease. The possibilities of combination therapy with dihydropyridine calcium antagonist lercanidipine and third-generation ACE inhibitor enalapril. Presented studies showing nephroprotective...
26,627
[Modern conceptions of cardiac amyloidosis].
Cardiac amyloidosis is accumulation in the heart of a pathologic fibrillar protein amyloid. It represents a heterogeneous group of states from clinically insignificant amyloid accumulation in isolated atrial amyloidosis to severe involvement of the heart in primary amyloidosis when mean duration of life equals to 6...
26,628
[Significance of echocardiography in acute coronary syndrome].
The paper contains description of possibilities and limitations of ultrasound diagnosis in patients with acute coronary syndrome (ACS). Main attention is paid to possibilities of echocardiographic diagnosis of myocardial infarction (MI) and its complications, as well as to differential diagnostics of ACS and nonisc...
26,629
[Adherence to guidelines on management of acute coronary syndrome in Russian hospitals and outcomes of hospitalization (data from the RECORD-2 Registry)].
BACKGROUND: Complete following existing guidelines for management of acute coronary syndrome (ACS) is known to be associated with better outcomes. Partly this is explained by lesser adherence to recommendations in high risk patients. Aim of our study was to assess relationship between degree of following current gu...
26,630
[Effect of intracoronary and intravenous administration of tirofiban loading dose in patients underwent percutaneous coronary interventions because of acute coronary syndrome].
Aim of this multicenter retrospective study was assessment of effect of intracoronary administration of tirofiban loading dose in troponin positive patients with acute coronary syndrome (ACS). We analyzed multicenter data base of patients subjected to percutaneous coronary interventions (PCI) because of ST-elevatio...
26,631
[Factors associated with mitral regurgitation in patients with coronary artery disease in the absence of myocardial infarction].
It is known that not only postinfarction left ventricular (LV) remodeling but also chronic regional myocardial hypoperfusion may cause a compensatory hypertrophy of undamaged areas of the left ventricle. Can chronic LV hypoperfusion lead to the development of mitral regurgitation (MR) in CAD patients without previo...
26,632
[24-hour heart rate profile in assessment of target organs in women with arterial hypertension].
AIM: To study relationships of 24-hour heart rate (HR) profile with involvement of the heart and kidney in women with arterial hypertension (AH). MATERIAL: We examined women (n=273) aged 40-70 years with essential 2-3 degree AH. METHODS: Blood pressure (BP) measurements (8 times in a week), electrocardiography, echo...
26,633
[Epicardial adiposity as risk factor of coronary atherosclerosis].
AIM: To study effect of epicardial adiposity on risk of development and severity of coronary atherosclerosis. MATERIAL AND METHODS: We registered classical metabolic risk factors (RF) and additional factors of cardiovascular risk in 138 men aged 55.47+/-9.07 years with ischemic heart disease (IHD), functional class ...
26,634
[Factors affecting results of coronary bypass surgery in elderly patients].
Study aim was to compare rates of perioperative complications of coronary bypass surgery in patients of various age groups and to analyze factors associated with their appearance. We retrospectively studied 2411 case histories of patients subjected to coronary artery bypass surgery between January 2006 and December ...
26,635
[Arterial hypertension in diabetes mellitus: classical concepts and modern tendencies].
Some actual problems of arterial hypertension (AH) in metabolic disturbances and type 2 diabetes mellitus are considered in this review. Target arterial pressure levels and principles of correction of AH are specifically analyzed. Metaanalysis of large studies of efficacy of various groups of antihypertensive drugs...
26,636
[Andersen-Tawil syndrome. Efficacy of class IC drugs].
A case of a rare disease - Andersen-Tawil the syndrome (ATS) is presented. Diagnosis of ATS, 7-th molecular-genetic variant of long QT syndrome was made basing on the characteristic clinical picture (periodic stress induced syncopal states), data of ECG and its Holter monitoring (pronounced QT prolongation, bouts o...
26,637
[Characteristic of the complement system in patients with ischemic heart disease with moderate and marked hemolysis after operations with cardiopulmonary bypass].
A study of the complement system in cardiosurgical patients with moderate (40 patients) and marked (18 patients) hemolysis after coronary artery bypass grafting in conditions of cardiopulmonary bypass was carried out. Before and after operation the content of D35+-, D55+-erythrocytes and reticulocytes in blood, fre...
26,638
[The role of multispiral computed tomography in assessment of viability of the myocardium and prognostication of left ventricular remodeling in patients with ST-elevation myocardial infarction].
Aim of the study was to assess perfusion defect and viability of the myocardium by the method of multispiral computed tomography (MSCT) in patients with ST-elevation acute myocardial infarction (AMI) and to assess their prognostic role in development of remodeling of the left ventricle (LV). We included into the st...
26,639
[Prognosis of hospital mortality in patients with acute decompensation of chronic heart failure].
We assessed prognostic value of clinical-laboratory and instrumental parameters in 100 patients with acute decompensation of chronic heart failure (CHF) in relation to hospital mortality. Independent predictors of lethal outcome in patients with acute decompensation of CHF were low systolic arterial pressure at adm...
26,640
[Atrial fibrillation registered for the first time: characteristics of clinical course, treatment, prognosis].
To study the clinical presentation of the first episode of atrial fibrillation (AF), treatment tactics and its compliance with current recommendations, features of the further clinical course and prognosis in patients with AF we performed a retrospective study on data of Polyclinic No 1 of the General Management De...
26,641
[Gender related characteristics of clinical status and pharmacotherapy of patients with paroxysmal and persistent atrial fibrillation].
Aim of the study was to elucidate gender related characteristics of clinical status and treatment of patients with atrial fibrillation (AF) hospitalized in a department of urgent cardiology of multiprofile clinical hospital. In a retrospective pharmacoepidemiological study we analyzed case histories of 114 men and ...
26,642
[Effect of angiotensin converting enzyme lisinopril on the state of vascular bed in premenopausal women with arterial hypertension].
We assessed effect of lisinopril on structural-functional state of vascular bed in 82 premenopausal women with hypoestrogenia and arterial hypertension (AH). Test with postocclusion reactive hyperemia showed that at the background of significant lowering of endothelial vasomotor function before treatment 47.5% of w...
26,643
[Spousal concordance of blood pressure levels (results of 17-year follow-up)].
Study aim was investigation of blood pressure levels (BP) in spouses and assessment of the role of arterial hypertension (AH) in a spouse as risk factor (RF) of AH in a 17-years prospective study. Primary study based on a random sample of citizens of Tomsk (1546 men and women aged 20-59 years) was carried out in 19...
26,644
[Effect of monotherapy with nebivolol, bisoprolol, carvedilol on the state of vegetative nervous system and sexual function in men with arterial hypertension].
Aim of the study was to assess effect of monotherapy with nebivolol, bisoprolol, carvedilol for 2 months on sexual function in men with arterial hypertension (AH). Men with 1-2 degree of AH (n=75, age 35-55 years, mean age 48+/-3,5 years) received monotherapy with these drugs for 2 months. Registration of parameters...
26,645
[Mitral regurgitation and coronary stenosis in postmyocardial infarction patients].
The results of investigations devoted to relationship of mitral regurgitation (MR) and scars are contradictive, data on relationship of MR and localization of coronary lesions are few. Purpose. To determinate relationship of moderate or severe MR to localization of coronary stenosis in postmyocardial infarction pat...
26,646
[Prediction of severe cardiac complications with the help of myocardial perfusion scintigraphy in patients with residual chronic total occlusion after percutaneous coronary interventions].
Aim of the study was assessment of prognostic value of exercise myocardial perfusion scintigraphy in patients with stable and unstable angina in whom revascularization by percutaneous coronary intervention (PCI) was incomplete and at least one chronic total coronary artery occlusion (CTO) remained after PCI. Betwee...
26,647
[Structure of cardiovascular pathology in pregnant women and efficacy of regional specialized management].
From 2000 to 2011 in prospective and retrospective studies we investigated pregnancy outcomes in all 30417 women treated within framework of the multidisciplinary management system for pregnant patients with cardiovascular diseases (hypertension, structural heart disease, aortic pathology and inflammatory autoimmun...
26,648
[A rational approach to the treatment of arterial hypertension in patients with high cardiovascular risk and metabolic disorders].
Metabolic disorders are important in the development of cardiovascular diseases. Experts predict their frequency is steadily rising, which is a serious medical and social problem in modern society. Arterial hypertension (AH) is the most common risk factor in patients with metabolic disorders. In the selection of an...
26,649
[Adenosine triphosphate stress 99mTc-MIBI single-photon emission computed tomography in the diagnosis of ischemic heart disease].
This review is devoted to possibilities of single-photon emission computed tomography (SPECT) combined with pharmacological test with adenosine triphosphate (ATP) to detect myocardial ischemia in patients with ischemic heart disease (IHD). It contains consideration of contemporary problems and limitations inherent ...
26,650
[First experience of the study "Intramyocardial Multiple Precision Administration of Mononuclear Bone Marrow Cells in the Treatment of Myocardial Ischemia"].
Study aim - to elucidate possibilities of the use of precision administration of mononuclear bone marrow cells (MBMC) for the treatment of myocardial ischemia and heart failure. "Intramyocardial Multiple Precision Administration of Mononuclear Bone Marrow Cells in the Treatment of Myocardial Ischemia" was a double ...
26,651
[Pharmacogenomic control of angiotensin converting enzyme gene I/D polymorphism predominant risk factor of development of chronic heart failure and target of enalapril treatment].
Aim of investigation - to study effect of angiotensin-converting enzyme (ACE) gene polymorphism as a dominant risk factor of development of chronic heart failure (CHF) and target for effective therapy with ACE inhibitor enalapril in patients with ischemic heart disease. We followed 226 patients with CHF on stable p...
26,652
[State of the structure and functions of the arterial wall in patients with chronic heart failure against the background of permanent atrial fibrillation and assessment of vasoprotective effect of omega-3 polyunsaturated fatty acids].
PURPOSE: to evaluate the state of the structure and function of the arterial wall in patients with chronic heart failure (CHF) of ischemic etiology in combination with persistent atrial fibrillation (AF) AF and the dynamics of their changes during therapy with omega-3 polyunsaturated fatty acids (omega-3 PUFA). MAT...
26,653
[Effect of von Willebrand factor and endothelin-1 on formation of thrombotic status in patients with ischemic heart disease].
In 44 patients with ischemic heart disease (IHD) and 35 healthy subjects we studied cascade mechanism of platelets activation by von Willebrand factor (vWF), and interrelationship of platelet aggregation, level of vWF, and endothelial dysfunction. The latter was estimated by severity of vasoconstriction determined ...
26,654
[Obstructive sleep apnea syndrome in patients with acute myocardial infarction: timing of onset of the disease, clinico-functional and some other characteristics].
With the aim of elucidating special features of the course of acute myocardial infarction (MI) in patients with obstructive sleep apnea syndrome (OSA) we retrospectively studied clinico-functional parameters of 476 patients including 64 (13.3%) who had episodes of apnea during sleep. Frequency of OSA was 1.3 times ...
26,655
[The FORTISSIMO program: advantages of fixed full dose combination of perindopril arginine and indapamide in the treatment of poorly controlled arterial hypertension].
In the Russian program FORTISSIMO administration of fixed combination of perindopril arginine/indapamide (10 mg/2.5 mg) in 2120 patients with poorly controlled arterial hypertension instead of angiotensin converting enzyme inhibitors (ACEI) or -receptor antagonists (ARB) with hydrochlorothiazide given separately or...
26,656
[Electrocardiographic predictors of response to cardiac resynchronization therapy of heart failure in patients with dilated cardiomyopathy].
The aim of our study was to identify electrocardiographic predictors of response to cardiac resynchronization therapy (CRT) in patients with dilated cardiomyopathy (DCM). METHODS: 46 patients with DCM (76% men; mean age 48.8+/-12 years; mean NYHA class 3.09+/-0.3; mean QRS duration 167+/-30.1 ms; left ventricular ej...
26,657
[Interrelationship between polymorphic markers of methylenetetrahydrofolate reductase gene and development of acute disturbance of brain circulation in families of patients with atrial fibrillation].
In the present work we for the first time on the clinic-genetic material revealed genetic predictors of development of acute disturbance of brain circulation (ADBC) in families of patients with atrial fibrillation (AF) namely polymorphism of the methylenetetrahydrofolate reductase (MTHFR) gene. Genotype CC was sign...
26,658
[Clinical role of lipoprotein-associated phospholipase A2].
Inflammation plays an important role in origin and progression of atheromatous plaque. Lipoprotein-associated phospholipase A2 (Lp-PLA2) is considered a biomarker of inflammation and a predictor of vascular events. Lp-PLA2 is an enzyme secreted by leukocytes and associated with circulating lipoproteins and macropha...
26,659
[Mechanisms of development of thromboembolic complications in patients with atrial fibrillation].
Thomboembolism is the most threatening complication in patients with atrial fibrillation. Main source of embolism is the left atrial thrombosis. Mechanisms of development of thromboembolic complications in patients with arrhythmias are far from being deciphered. In this review we discuss possible mechanisms of form...
26,660
[Cardiac resynchronizing therapy. Selection of patients and their management after implantation of biventricular heart pacemaker].
Chronic heart failure (CHF) - a widely spread manifestation of various forms of heart diseases - is characterized by high mortality. Prognosis is especially unfavorable in patients with wide QRS complex. Method of resynchronizing therapy was elaborated for the treatment of this group of patients in addition of medi...
26,661
[Bleeding in the appointment of dabigatran in the patients with renal insufficiency caused by coadministration of spironolactone and ACE inhibitors].
It is a case report of bleeding when using dabigatran in patient with renal failure caused by the concurrent use of spironolactone and angiotensin-converting enzyme (ACE) inhibitors. The patient (75 years old) at the decompensation of chronic heart failure in the background of persistent atrial fibrillation was app...
26,662
[Efficacy of reperfusion therapy in syndrome of predominant right ventricular dysfunction associated with inferior myocardial infarction].
Aim of the study was choice of optimal tactics of treatment of patients with syndrome of predominant right ventricular (RV) dysfunction, associated with inferior myocardial infarction. We compared immediate and remote results of 3 strategies of treatment of 100 patients admitted to N.V. Sklifosovsky Research Instit...
26,663
[Multifocal atherosclerosis as a factor of unfavorable prognosis in patients with ST elevation myocardial infarction and type 2 diabetes mellitus].
Multifocal atherosclerosis (MFA) and diabetes mellitus (DM) determine less favorable course of acute vascular catastrophes. We analyzed dependence of one year prognosis of patients with myocardial infarction (MI) with and without DM on the presence of multifocal atherosclerosis. The analysis showed that number of c...
26,664
[Effect of perindopril on the processes of subclinical inflammation in patients with arterial hypertension and type 2 diabetes mellitus].
We conducted comparative analysis of treatment 52 patients (7 men and 45 women aged 42-64 years, mean age 51.1 years) with I-II degree arterial hypertension (AH) and type 2 diabetes mellitus with the use of angiotensin converting enzyme inhibitor perindopril and with of other drugs. During 6 months effective control...
26,665
[Comparison of morphological features of carotid arteries atherosclerotic plaques with clinical-instrumental data in symptomatic and asymptomatic patients with severe carotid atherosclerosis].
A complex histomorphometric and clinical-instrumental analysis of atherosclerotic lesions of the carotid arteries obtained during carotid endarterectomies (CEE) of patients with hemodynamically significant stenoses was conducted. Two groups of patients were compared: symptomatic, which earlier underwent cerebral va...
26,666
[Peculiarities of the course of arterial hypertension in patients with atherosclerotic stenoses of brachiocephalic arteries before and after surgery on carotid arteries].
Study aim was to investigate relationship between atherosclerosis of carotid arteries (CA) and the presence of arterial hypertension (AH) and possibilities of correction of AH after surgery. We examined 70 patients with episodes of elevation of arterial pressure (AP) scheduled for surgical interventions on brachioc...
26,667
[Diurnal blood pressure profiles in night shift workers with incipient changes of blood pressure level].
Aim. To study diurnal blood pressure profiles (DBPP) during work in different time of the day including nocturnal hours in persons with initial stages of blood pressure (BP) increase or decrease. Material and methods. The study cohort consisted of 995 locomotive drivers (46682 BP measurements) divided into groups w...
26,668
[Primary and secondary prevention of cardio-vascular diseases: main directions of a national multicenter study in Tajikistan].
Data on goals and tasks of the prospective national study of detection of risk factors as well as of realization of primary and secondary prevention of ischemic heart disease in the Republic Tajikistan are presented in this paper. According to protocol the study has two stages. Stage 1 is a single step (cross secti...
26,669
[Protective action of ethylglutathione at hypoxia-reoxygenation of the heart: role of glucose].
Glutathione is the main redox buffer in cardiomyocytes. The action of ethylglutathione possessing antioxidant properties on functional disorders evoked by 30-minute hypoxia of the isolated rat heart with subsequent reoxygenation has been studied. In control experiments, the presence of glucose (11 mM) in hypoxic pe...
26,670
[An association of the 825 polymorphism of the g protein 3 subunit with obesity in Kyrgyz population].
GOAL: To study an association of G protein (GP) 3 subunit 825 polymorphism with obesity in native Kyrgyzes. MATERIAL AND METHODS: 210 persons: 89 patients (female - 35, male - 54) with obesity (body mass index [BMI] more or equal 30 kg/m2) and 121 apparently healthy controls (38 female, 83 male) with normal BMI. Art...
26,671
[Myocardial revascularization before abdominal aortic surgery in patients with ischemic heart disease].
We retrospectively analyzed 2 cohorts of patients treated in two clinics implementing different strategies of preoperative examination and lowering of perioperative cardiac risk. Patients in clinic 1 (group I, n=86, mean age 59.4+/-7.7 years) were subjected to coronary angiography (CAG) and if indicated - to preven...
26,672
[The rational approach to the estimation of the myocardial infarction size].
The paper contains review of published data on various methods of quantitative assessment of myocardial infarction (MI) with demonstration of their advantages and drawbacks. Comparative analysis of applicability of existing biochemical markers of necrosis for measurement of the volume of myocardial damage is also p...
26,673
[The place of lercanidipine in the treatment of cardiovascular diseases].
The data are presented on using the first, second and third generation calcium antagonists in cardio-vascular pathology patients. The accent has been made on the improved pharmacokinetic profile of the third generation calcium antagonists where modern preparation lerkanidipin belongs to. It is shown that lerkanidipi...
26,674
[Endovascular closure of the left atrial appendage in patients with atrial fibrillation: review of modern data and own experience of application].
Atrial fibrillation (AF) is the most often disturbance of cardiac rhythm met in clinical practice. Long term therapy with anticoagulants is used for prevention of thrombi formation in left atrial appendage and consequent thromboembolism. However some patients have contraindications to this therapy. This article con...
26,675
[Hypertrophic cardiomyopathy -- modern state of the problem. Issues of epidemiology and nomenclature, genetics and pathophysiology, variants of course and differential diagnosis].
The problem of the study of hypertrophic cardiomyopathy (HCM) has preserved its actuality because of high prevalence (1:500), risk of sudden cardiac death (SCD) in individuals of young able-bodied age. Subject of great interest appear problems of search for additional clinical, instrumental and genetic markers, env...
26,676
[Structural and functional status of arteries in young and middle-aged men with ischemic heart disease].
Aim of the study was to determine whether structural and functional status of arteries differ between young and middle-aged men with ischemic heart disease (IHD). A total of 78 men aged 28 to 50 years were recruited in this study: 49 with angiographically proven obstructive atherosclerosis of coronary arteries, 29 ...
26,677
[An experience of the use of a curative method of cardiac shock wave therapy in patients with ischemic heart disease].
Aim of the study was to assess effects of cardiac shock wave therapy (CSWT) in patients with coronary artery disease (CAD) with refractory stable angina pectoris. Seventeen CAD patients with refractory II-IV class angina (3 women and 14 men, mean age 67.4+/-8.6 years) received the course of 9 procedures of CSWT. Al...
26,678
[Clinical characteristics of patients and number of stem cells in the myocardium of right atrial appendage in patients with ischemic heart disease].
In the last years stem cells (SC) have been identified in rodent and human hearts. These cells have ability to multilineage differentiation in vitro and in vivo and improve cardiac function. The development of new methods of isolation SC offers new approaches to cardiac regeneration. However, the question of how in...
26,679
[Comparative study of results of coronary angiography in patients with first and repetitive myocardial infarction].
We compared coronary angiography data from 65 patients with first myocardial infarction (fMI) and 65 patients with repetitive MI (reMI). Coronary angiographic status in both patients with fMI and reMI was characterized by predominance of multivessel lesions with stenoses localized in branches of both coronary arter...
26,680
[The multifactorial genesis of left ventricle remodeling in patients with essential arterial hypertension].
We examined 122 patients (70 men and 52 women, mean age 56.17+/-1.4 years) with essential hypertension (EH) by echocardiography, radionuclide and radioimmune methods. In 43 patients carotid-femoral pulse wave velocity (PWV) was evaluated by means of the Complier method. In patients with stage I EH cardiac index was ...
26,681
[Cardiac resynchronization therapy in patients with permanent atrial fibrillation].
In our study we compared effect of cardiac resynchronization therapy (CRT) in chronic heart failure (CHF) patients with permanent atrial fibrillation (AF) and patients with sinus rhythm. Special feature of our work was that patients with permanent atrial fibrillation didnt have obligatory ablation of atrio-ventricu...
26,682
[Ischemic heart disease complicated by heart failure: possibilities of surgical treatment].
Aim of the study was to assess remote results of surgical reconstruction of the left ventricle (LV) in patients with ischemic heart disease (IHD) and chronic heart failure (CHF). During 1996-2010 136 patients with IHD complicated by CHD were subjected to surgery. The patients were divided into 2 groups: with LV ane...
26,683
[Antioxidant properties of apelin-12 and its structural analogue in experimental ischemia and reperfusion].
Effects of apelin-12 H-Arg-Pro-Arg-Leu-Ser-His-Lys-Gly-Pro-Met-Pro-Phe-OH (A12) and its modified analogue H-(NMe)Arg-Pro-Arg-Leu-Ser-His-Lys-Gly-Pro-Nle-Pro-Phe-OH (I) on activity of antioxidant enzymes, formation of malonic dialdehyde (MDA) and generation of reactive oxygen species (ROS) were studied in ex vivo an...
26,684
[Nicorandil in the treatment of patients with ischemic heart disease].
Adequate drug therapy of stable ischemic heart disease directed at reduction and prevention of main clinical symptoms of the disease, increase of exercise tolerance to physical effort, improvement of quality of life and prognosis remains an actual problem. Nicorandil combines properties of an antianginal drug and c...
26,685
[LINKOR: results of observational program in patients with myocardial infarction].
The results of Assessment Program effective treatment of patients with myocardiaL INfarction drug ProCORalan (ivabradine) in outpatient practice, conducted in 53 cities of the Russian Federation, 333 doctors. Included 1226 patients (822 men and 404 women, average age 60,1+/-9,3 years). Despite treatment, before inc...
26,686
[Long-term results of radiofrequency catheter ablation of long-lasting persistent atrial fibrillation: five years of follow-up].
AIM: To evaluate long-term results of radiofrequency catheter ablation (RFA) vs. rate-control strategy in patients with long-lasting persistent atrial fibrillation (AF) METHODS: We assessed 5-years results in 66 patients (53.3+/-12.3 years old, 8 women) with long-lasting persistent AF who underwent RFA (ablation gr...
26,687
[Genetic predictors of sick sinus node syndrome].
The article is devoted to the role of heredity in development of the sick sinus node syndrome (SSNS). We have examined 14 probands and 110 their relatives from families with idiopathic SSNS and established the role in development of hereditary SSNS of polymorphisms of the following genes: -2-adrenoreceptor, enzyme ...
26,688
[The role of matrix metalloproteinases in assessment of prognosis in patients with ST-elevation myocardial infarction during hospital stay].
Aim of the study was to investigate role of matrix metalloproteinases (MMP) in assessment of prognosis of repetitive cardiovascular events during hospital stay of patients with ST-elevation (STE) myocardial infarction (MI). We consecutively included into this study 175 patients with diagnosis of STEMI. Content of MM...
26,689
[Cardiorespiratory abnormalities and cerebral oxygen supply in chronic thromboembolic pulmonary hypertension].
Aim of the study was assessment of severity of cardiorespiratory abnormalities and cerebral oxygen supply in patients with chronic thromboembolic pulmonary hypertension (CTEPH). We examined 56 patients with diagnosis of chronic pulmonary thromboembolism and duration of the disease 3 (1.5-4.1) years. According to da...
26,690
[Prognostic role of C-reactive protein in progression of atherosclerosis in a year after coronary bypass surgery].
Aim of the study was to assess prognostic role of high sensitivity C-reactive protein (CRP) in progression of atherosclerosis in patients with ischemic heart disease (IHD) in a year after coronary artery bypass grafting (CABG). We examined 49 patients with stable IHD subjected to elective CABG (45 with and 4 withou...
26,691
[Inhospital thrombolism of right cardiac chambers].
Veins of lower extremities are classic sources of pulmonary artery thromboembolism (PATE). But one should not underestimate presence of thrombi in other potential sources - veins of small pelvis, superior vena cava, and chambers of the heart. We analyzed 652 case histories and autopsy data of patients in whom PATE ...
26,692
[Osteoporosis and arterial stiffness: study of 103 women with mild to moderate risk of cardiovascular disease].
OBJECTIVE: to evaluate the relationship between arterial stiffness and bone metabolism in women with mild to moderate risk of cardiovascular disease (CVD). METHODS: In 103 postmenopausal women (mean age 57.0 years, 95% CI 50.0-64.0) with mild to moderate risk of CVD (SCORE<5), no more than mild hypertension, normal ...
26,693
[Hypertensive crisis: pathogenesis, clinic, treatment].
Contemporary data on mechanisms of development, types, and clinical picture of hypertensive crisis (HC) are presented. Algorithms of rational therapy of uncomplicated and complicated HC are considered. Appropriateness of the use in HC of antihypertensive drugs with multifactorial action is stressed. These drugs inc...
26,694
[Clinical significance of filiform structures (Lambls excrescences) on cusps of cardiac valves].
This literature review is devoted to clinical significance of filiform structures (Lambls excrescences) which can be revealed on cusps of cardiac valves by transesophageal echocardiography. The review contains analysis of frequency of detection of these structures at pathomorphological investigation and transesopha...
26,695
[Chronic heart failure and osteoporosis].
Osteoporosis (OP) and chronic heart failure (CHF) are chronic noninfection diseases which are characterized not only by high prevalence but also by development of severe complications such as fractures in OP and decompensation in CHF. These complications lead to loss of functional, social activity and independent w...
26,696
[Genetic predictors of myocardial infarction in subjects of young age].
to investigate associations of single nucleotide polymorphisms (SNP) rs499818 (6p24.1), rs619203 of ROS1 gene (6q22), rs10757278 rs1333049 (9p21.3), rs2549513 (16q23.1), rs4804611 of ZNF627 gene (19p13.2) with myocardial infarction in subjects of young age. The group of patients with MI (n=99) aged less than 45 yea...
26,697
[Optimal timing of the second stage of revascularization in the treatment of patients with ST-elevation myocardial infarction and multivascular involvement].
An assessment of outcomes in 187 patients with ST elevation myocardial infarction (STEMI) with multivessel coronary disease who underwent primary percutaneous coronary intervention (PCI) was done. All patients were divided into two groups: in group 1 (n=39) second phase of revasculrization was performed within 60 d...
26,698
[Achievement of goal resting heart rate in patients with stable angina and hypertension at the background of therapy with -adrenoblockers in real clinical practice].
β-Adrenoblockers improve quality of life and in a number of cases life prognosis in patients with stable angina (SA). Dose of -adrenoblockers is considered optimal if at the background of treatment resting heart rate (rHR) is persistently decreased down to 55-60 bpm. But according to data of international registrie...
26,699
[Vasomotor endothelial dysfunction in young men with grade 1 arterial hypertension].
In order to study vasomotor endothelial function and risk factors of endothelial dysfunction in young men with grade 1 arterial hypertension (G1AH) we examined 76 men with G1AH and 30 healthy men aged 20-40 years. Flow-mediated vasodilatation (FMD) of the brachial artery was assessed by ultrasonic method of Celerma...