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26,700
[Prognostic value of left bundle brunch block in patients with acute coronary syndrome].
AIM: to assess rognostic value of ECG signs of left bundle brunch block (LBBB) using database of registries of acute coronary syndromes (ACS) RECORD 1 (2007-2008) and 2 (2009-2011). MATERIAL AND METHODS: Total number of included patients was 2452, 2321 patients (94.9%) had no signs of LBBB, for 5 patients (0.2%) the...
26,701
[Chronic heart failure in patients with arterial hypertension and ischemic heart desease: age and gender characteristics].
AIM: to study prevalence of chronic heart failure (CHF) among patients with arterial hypertension (AH) and ischemic heart disease (IHD), and specific features of CHF in patients with different sex and age. MATERIAL AND METHODS: We carried out retrospective analysis of CHF prevalence in 2048 patients with AH and/or I...
26,702
[Assessment of results of transesophageal echocardiography in patients with atrial flutter].
We performed 89 transesophageal electric cardiac stimulation procedures (TEECS) in order to restore sinus rhythm in 75 (84.3%) men and 14 (15.7%) women with type I atrial flutter (AF) due to coronary heart disease (n=59, 66.3%) and cardiosclerosis after myocarditis (n=30, 33.7%). Before cardioversion all patients u...
26,703
[Arterial stiffness in patients with chronic obstructive lung disease in the presence and absence of ischemic heart disease].
Aim of the study was assessment of arterial stiffness in patients with chronic obstructive lung disease (COPD) with or without ischemic heart disease (IHD). We included in this open study 130 COPD patients older than 40 years (mean age 60.2+/-8.3 years). Patients with clinical signs of exacerbation of other severe ...
26,704
[Analysis of approaches to assessment of persistent loss of capacity to work in patients who had undergone coronary bypass surgery].
Aim of the study was to assess factors influencing decisions about persistent disability of patients after coronary bypass surgery (CBS). By method of continuous sampling (registry study) we examined 427 working age patients who had undergone CBS. Although surgical treatment was effective rehabilitating factor most...
26,705
[The differences between the guidelines of the European Society of Cardiology and the American College of Cardiology/ American Heart Association for oral P2Y12 inhibitor therapy in the management of patients with acute coronary syndromes].
The analysis of the evidence that formed the basis for the current guidelines of the European Society of Cardiology (ESC) on oral therapy by antithrombotic drugs for acute coronary syndromes (ACS), and a comparison with the U.S. guidelines. The ESC guidelines, published during 2011-2012, declared the superiority of ...
26,706
[Comorbidity in cardiac pathology: clinical-organizational and epidemiological problems].
Scientific (analytical) approach directs researcher to the study of nosology in isolated native view. The phenomenon under consideration- comorbidity becomes significant and to a substantial degree is able to affect all aspects of the process of medical care. This is shown in this review along such directions as fr...
26,707
[Comparison of data from registries of acute coronary syndromes RECORD and RECORD-2: management of patients and its results in noninvasive hospitals].
Positive changes are declared to occur during recent years in management of hospitalized patients with acute coronary syndromes (ACS) in Russia. Most of these changes are related to availability of invasive treatment. But considerable portion of patients (pts) are still treated in hospitals without facilities for i...
26,708
[The role of multifocal atherosclerosis in realization of new cardiovascular complications during one year after non ST-elevation acute coronary syndrome].
STUDY AIM: to assess prognostic value of multifocal atherosclerosis (MFA) relative to risk of new cardiovascular catastrophes in patients with non ST elevation acute coronary syndrome (NSTEACS) during one year follow-up. MATERIAL AND METHODS: atients with NSTEACS (n=266) subjected to coronary angiography and color d...
26,709
[Prophylactic use of VFS in patients with coronary artery disease in the perioperative coronary artery bypass grafting].
Tachyarrhythmias (TA) - dangerous postoperative complications of coronary artery bypass grafting, threatening the lives of patients and found, according to different authors, in 13-40% of cases. VFS - an antiarrhythmic drug that belongs to a class 1C, is effective in the treatment and prevention of a variety of car...
26,710
[Variants of remodeling of left ventricular myocardium in patients with arterial hypertension and disturbances of carbohydrate metabolism].
AIM: to study special characteristics of left ventricular (LV) myocardial remodeling in patients with arterial hypertension (AH) and disturbances of carbohydrate metabolism. MATERIAL AND METHODS: We examined 241 patients with 1-2 degree AH and comparable age and sex: 100 patients had type 2 diabetes mellitus (DM) (g...
26,711
[Oxygen supply to the brain in chronic disturbances of cerebral circulation in patients with pathology of brachiocephalic arteries].
We assessed objective parameters of cerebral oxygen supply in 469 patients with multifocal atherosclerosis, hemodynamically significant lesions in brachiocephalic arteries in dependence on degree of severity of vascular cerebral insufficiency according to A.V. Pokrovsky classification of chronic disturbances of cer...
26,712
[Clinical course and outcomes of myocardial infarction in women].
We selected all case histories of patients living in the area served by the Syktyvkar policlinic #3 and treated in Republican Cardiological Dispensary in 2003-2009 with diagnosis of myocardial infarction (MI). Data on survival of patients after MI (mean duration of follow-up 4.6 years) was derived from information ...
26,713
[The use of implantable devices for long-term monitoring of cardiac rhythm after surgical treatment of atrial fibrillation in patients with ischemic heart disease].
We present in this paper experience of the use of implantable devices for long-term monitoring of cardiac rhythm after one stage operation of coronary artery bypass grafting (CABG) and radiofrequency ablation of atrial fibrillation (AF) source and results of a prospective randomized study, in which we included pati...
26,714
[Effect of an educational program on effectiveness and safety of anticoagulant therapy in patients with prostheses of cardiac valves].
We analyzed effectiveness and safety of anticoagulant therapy in patients with prostheses of cardiac valves at the background of educational program and without special training. We revealed positive effect of educational program during participation in which in 80 cases (67.8%) patients determined international no...
26,715
[Informativeness of genetic factors for optimization of personalized therapy with clopidogrel].
We studied occurrence of allele variants *1, *2, *3, and *17 of CYP2C19 gene and polymorphic variants of ABCB1 gene in clopidogrel treated patients from West Siberian and Far Eastern regions and determined contribution of these polymorphisms to laboratory efficacy of clopidogrel. In dependence on magnitude of chang...
26,716
[Successful treatment of bradyarrhythmia associated with obstructive sleep apnea syndrome by continuous positive airway pressure].
Obstructive Sleep Apnea Syndrome (OSAS) is an additional independent factor of growth of cardiovascular mortality. Special role disturbances of respiration during sleep play in development of nocturnal cardiac arrhythmias. Approaches to correction of OSAS associated nocturnal bradyarrhythmias have substantially cha...
26,717
[Influence of intensive hypolipidemic therapy on blood concentration of lipoprotein-associated phospholipase A2 in patients with ischemic heart disease].
AIM: To assess the impact of combined treatment with simvastatin and ezetimibe or treatment with simvastatin only on lipoprotein-associated phospholipase A2 in patients with ischemic heart disease. METHODS: One hundred patients with angiographically documented coronary atherosclerosis took part in the investigation....
26,718
[Erythrophagocytosis: a new diagnostic marker of immunologic myocardial damage in ischemic heart disease].
Using data of epidemiological and clinical examination of women of reproductive and menopausal age we studied the processes of erythrophagocytosis (EF) in 46 women with ischemic heart disease (IHD) aged 20-59 years in comparison with a group of healthy individuals. We found that women with IHD had almost 10-fold in...
26,719
[Abnormal glucose tolerance and long-term prognosis in patients with acute myocardial infarction].
STUDY AIM: to assess clinical outcomes and cardiovascular events during long-term follow-up after acute myocardial infarction (AMI) in patients (pts) with newly detected abnormal glucose tolerance (AGT). MATERIAL AND METHODS: Consecutive AMI pts (n=391, 24.3% with diabetes mellitus [DM]) were enrolled in the study. ...
26,720
[Association between structure of atherosclerotic plaques in carotid arteries and myocardial infarction].
Aim of this study was to investigate association between structure of atherosclerotic plaque (AP) in internal carotid artery and myocardial infarction (MI), as well as to elucidate factors which may determine expansion of APs into coronary arteries. MATERIAL AND METHODS: We studied 655 patients (148 with MI and 507 ...
26,721
[Role of renal dysfunction and multifocal atherosclerosis in assessment of prognosis of patients presenting with ST-elevation acute coronary syndrome].
AIM: To assess incidence and severity of renal dysfunction as well as its prognostic value in patients with ST elevation myocardial infarction (STEMI) and multifocal atherosclerosis (MFA). MATERIAL AND METHODS: We enrolled in this study 529 patients with STEMI in whom we estimated creatinine clearance rate (eGFR) an...
26,722
[Magnesium orotate in treatment of chronic hypertension in pregnant women].
We examined 150 pregnant women with essential hypertension (EHT), EHT and connective tissue dysplasia (CTD), and healthy. Presence of CTD aggravated clinical picture of EHT and was associated with pronounced cardialgic, neurological, asthenic, vertebrogenic, visceral, and other syndromes. The use of antihypertensiv...
26,723
[Heart rate turbulence and T-wave alternans as markers of risk of sudden cardiac death in patients with hypertrophic cardiomyopathy].
AIM: to study microvolt T-wave alternans (mTWA) and heart rate turbulence (HRT) in patients with hypertrophic cardiomyopathy (HCMP). MATERIAL AND METHODS: We examined 50 patients with HCMP: 15 (28%) with obstructive form, 23 (46%) with major risk factors of sudden cardiac death (SCD), 7 (14%) with left ventricular t...
26,724
[Variability of glycemia and ventricular rhythm disturbances in patients with chronic heart failure and type 2 diabetes mellitus].
Aim of this observational study was assessment of effect of variability of glycemia on ventricular ectopic activity in patients with chronic heart failure (CHF) and type 2 diabetes mellitus (n=80). According to study protocol 24-hour Holter ECG monitoring was carried out at baseline, and after 3 and 6 months. Measu...
26,725
[Histological and ultrastructural characteristics of myocardium in heart failure].
Endomyocardial biopsies performed in patients with various forms of cardiomyopathies (CMP) and chronic myocarditis in the presence of heart failure identified changes indicative of reduction of functioning cardiomyocytes (CMC) at the account of their destruction, dedifferentiation and inefficient hypertrophy". Ener...
26,726
[Hybrid revascularization: a combined approach to multivessel coronary artery lesions].
Analysis of effectiveness and feasibility of hybrid approach to multivessel coronary artery disease and problems of interaction between cardiac surgeons and interventional cardiologists in deciding on the choice of revascularization method is performed in the article. Hybrid approach to multivessel disease defined ...
26,727
[Quality of life of patients after coronary bypass surgery: effect of age and personality type D].
AIM: To study effect of age and presence of personality type D on quality of life (QL) of patients in one year after coronary bypass surgery (CBS). MATERIAL AND METHODS: Assessment of QL before and after surgery was carried out in 408 patients. Two groups were formed: patients younger than 60 years (n=233) and older...
26,728
[The diagnostic efficiency of the methods of separate and combined registration of oronasal airflow and pulse oximetry for detection of the obstructive sleep apnea/hypopnea syndrome].
The diagnostic efficiency of the methods of separate and combined registration of oronasal airflow and pulse oximetry in order to identify the obstructive sleep apnea/hypopnea syndrome (OSAHS) is studied in this work. Patients with cardiovascular diseases with complaints on sleep disorders were included in the stud...
26,729
[Cardioprotective effect of remote postconditioning: mechanisms and possibility of clinical application].
Experimental data indicate that postconditioning at distance is an effective method of cardiac protection against reperfusion injury. Remote postconditioning prevents reperfusion necrosis and apoptosis of cardiomyocytes, decreases probability of postinfarction remodeling of the heart. Cardioprotective effect of rem...
26,730
[Efficacy of percutaneous coronary intervention in patients with ST elevation myocardial infarction and impaired glucose tolerance or diabetes mellitus].
PURPOSE: To assess the role of percutaneous coronary intervention (PCI) for in-hospital and one-year prognosis of ST elevation (STE) myocardial infarction (MI) patients with impaired glucose tolerance (IGT) or type 2 diabetes mellitus (T2DM). MATERIAL AND METHODS: This registry study included 601 STEMI patients admi...
26,731
[Efficiency of meldonium in the complex therapy of acute coronary syndrome].
We examined 140 patients (mean age 54.8±3.1 years) with ST elevation acute coronary syndrome resulting in Q-wave myocardial infarction of the left ventricle. From the first hours complex therapy of these patients comprised meldonium (1 g/day intravenously for 2 weeks then orally until 1.5 months). Therapy with meld...
26,732
[Effect of combination antihypertensive therapy on circadian blood pressure and metabolic parameters in patients with type 2 diabetes mellitus].
AIM: To assess effect of combined antihypertensive therapy with lisinopril and amlodipine on circadian blood pressure (BP), insulin resistance (IR), carbohydrate and lipid metabolism in patients with arterial hypertension (AH) and type 2 diabetes mellitus (DM). MATERIAL AND METHODS: Combination of amlodipine (6.0±0....
26,733
[Direct comparison of endothelial and metabolic effects of perindopril combination with indapamide retard or hydrochlorothiazide].
OBJECTIVE: Our aim was to compare changes of vascular and metabolic parameters in patients with essential hypertension on treatment with combination of perindopril with either indapamide retard or hydrochlorothiazide. METHODS: The study involved 40 patients who were randomly assigned to perindopril 5-10 mg/day in co...
26,734
[Test with torasemide in the differential diagnosis of dyspnea in patients with cardiovascular diseases].
We included into this study 21 patients with a cardiovascular disease and effort dyspnea of at least one month duration. In accordance with result of tissue Doppler echocardiography all patients were divided in 2 groups: 14 patients with confirmed chronic heart failure (CHF) and 7 patients without CHF. All patients ...
26,735
[Correction of sinus rate by inhibitors of If-channels in patients with acute decompensated heart failure].
The aim of the study was to assess heart rate reduction for a acute decompensated heart failure in patients with reduced left ventricular systolic function and in patients with heart failure without significant reduction in ejection fraction. Were examined 79 patients with an ejection fraction less than 40%. 38 of ...
26,736
[Invasive methods of detection of unstable atherosclerotic plaques in coronary arteries].
In most cases direct cause of acute coronary syndrome and sudden death is an intracoronary thrombus formed on a surface of unstable atherosclerotic plaque (UAP). The following are main characteristics of UAP: active inflammation; large lipid rich nucleus occupying a 40% of plaque volume; thin (< 65 mm) fibrous cap; ...
26,737
[Atrial fibrillation as consequence and cause of structural changes of atria].
Changes of atrial structure and function are the contributors of atrial fibrillation clinical course, complications and treatment effectiveness. Effects of inflammation and mechanical stretch on atrial structural remodeling leading to atrial fibrillation are reviewed in the article. Contemporary invasive and non-in...
26,738
[ATLANTIC trial and feasibility of early administration of ticagrelor in myocardial infarction].
The ATLANTIC trial compared effects of initiation of ticagrelor at the prehospital (ambulance) or hospital (in the catheterization laboratory) stage of treatment of patients with ST-segment elevation myocardial infarction. Initiation of therapy with ticagrelor at prehospital stage short before percutaneous coronary...
26,739
[Treatment of hypertensive emergencies and malignant hypertension: the possibility of using urapidil].
The review considers the possibility of using parenteral urapidil for treatment of hypertensive crises. The drug having a dual mechanism of action and properties of combining α-blocker and a centrally acting drug, has a high efficiency, comparable to that of the other groups of drugs, and a good tolerability. In a ...
26,740
[Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery].
Despite major improvements in diagnostics and interventional therapies, cardiovascular diseases remain a major health care and socio-economic burden both in western and developing countries, in which this burden is increasing in close correlation to economic growth. Health authorities and the general population hav...
26,741
[Novel class III antiarrhythmic agent niferidile: review of experimental and clinical studies].
This article reviews experimental and clinical studies of a novel antiarrhythmic agent niferidile. Niferidile, a class III antiarrhythmic agent, blocks potassium outward currents, prolongs repolarization and refractory periods predominantly in atria than in ventricles. Intravenous Niferidile was efficient for inter...
26,742
[Efficiency and safety of allapinin in short- and long-term treatment of patients with normal heart and ventricular premature beats].
Allapinin, class 1C antiarrhythmic drug, is highly effective in treatment of patients with ventricular premature beats (VPB). The purpose of work was retrospective assessment of efficacy and safety of allapinin in patients with benign ventricular arrhythmias. 73 patients with VPB and no structural heart disease wer...
26,743
[Level of mannose-binding lectin and phagocytic activity of leukocytes in patients with acute coronary syndrome].
Mannose-binding lectin (MBL) is a key component of innate immunity that starts one of the ways of complement activation. Factors of neutrophil activation are cell factors of innate and acquired immunity. AIM: to study MBL levels and factors of neutrophil activation in patients with acute coronary syndrome (ACS). MET...
26,744
[Economic efficiency of renal denervation in patients with resistant hypertension: results of Markov modeling].
Aim of this study was to evaluate the cost-effectiveness of renal denervation (RD) in resistant arterial hypertension (AH) in Russia. Modeling of Markov conducted economic impact of RD on the Russian population of patients with resistant hypertension in combination with optimal medical therapy (OMT) compared with O...
26,745
[Efficacy and safety of bisoprololal in hypertensive patients with cardiovascular disease and chronic obstructive pulmonary disease].
Efficacy and safety of bisoprolol in hypertensive patients with cardiovascular disease and chronic obstructive pulmonary disease. A comparative study on the efficacy and safety of bisoprolol and sustained release metoprolol succinate in patients with arterial hypertension (AH), cardiovascular disease (CVD) and chro...
26,746
[Clinical profile and treatment of left main coronary artery disease in a real-world practice].
Aim of this study was to assess clinical profile, treatment and long-term results in patients with left main coronary artery disease in a real-world practice. 225 cases were analyzed. Long-term results were evaluated from 213 (97.7%) patients. Median follow-up period was 49 months. Fifty two (23.9%) patients receiv...
26,747
[Revascularization or conservative strategy in patients with stable coronary heart disease: a contemporary view].
Choice between revascularization and conservative strategy in patients with stable coronary heart disease (CHD) is an important clinical problem, especially when the need for revascularization is not urged by severe ischemic symptoms. Revascularization aimed to improve prognosis is most justified in patients having...
26,748
[Visit-to-visit blood pressure variability: clinical and prognostic significance].
The phenomenon of variability of blood pressure (BP) was studied for a long time, but recently it has received increased attention, with the focus shifted from short-term BP variability, estimated at daily monitoring for clinical blood pressure variability from visit to visit, which can be regarded as one of the in...
26,749
[Electrocardiogram in acute period of myocardial infarction: from ischemia severity and size of myocardial injury to clinical outcome].
Electrocardiogram (ECG) registered in acute period of myocardial infarction (MI) can be used not only for diagnostic purposes, but also for prediction of extent of myocardial injury and assessment of prognosis. This review covers assessment of acute ischemia in MI using Sclarovsky-Birnbaum classification and Anders...
26,750
[Effect of 6-month therapy with perindopril A on structural-functional state of arterial vascular bed in patients with chronic heart failure].
In patients with chronic heart failure (CHF) endothelial dysfunction of large vessels is an independent predictor of repeated hospitalizations because of CHF aggravation and cardiac death. OBJECTIVE: To evaluate the effect of perindopril A (5-10 mg/day) on endothelial function of large vessels in patients with CHF. ...
26,751
[Risk factors of development of hypertension and metabolic abnormalities in practically healthy].
In a group of 492 apparently healthy working men (mean aged 55 years) we measured body mass index (BMI), and assessed states of lipid, carbohydrate and purine metabolism, morphological and functional state of cardiovascular system (by transthoracic echocardiography), thickness of intima-media complex of common caro...
26,752
[Prevalence and risk factors of extra-coronary artery disease in patients with diabetes which confirmed atherosclerosis of coronary arteries].
AIM: To assess prevalence and risk factors of extra-coronary artery disease (peripheral artery (PA) disease (D) of lower extremities (LE), brachiocephalic arterial (BCA) stenosis (S), renal arterial (RA) S in type 1 and 2 (T1 and T2) diabetes (D) patients (P) with confirmed atherosclerosis of coronary arteries (CA)...
26,753
[Predictors of survival after heart transplantation: role of pretransplantation and posttransplantation factors].
Objective of this study was to assess the impact of pre- and posttransplantation factors on 12-month survival after orthotopic heart transplantation (OHT). Annual survival after OHT was 79.2%. The following factors were significantly negatively associated with annual survival: recipient's serum C-reactive protein (...
26,754
[Brachial artery endothelial function in teenagers with obesity depending on severity of clinical, trophological and metabolic disorders].
We carried out complex examination of 68 adolescents aged 11-17 years with primary obesity which in addition to assessment of clinical-anamnestic, laboratory data and functional parameters of cardiovascular system included registration of reaction of brachial artery endothelium to reactive hyperemia. Vascular endot...
26,755
[Purine receptors and associated signaling systems in regulation of platelet function].
Purine receptors of platelets play key role in hemostasis and thrombogenesis and they are used as targets for antiplatelet therapy. Platelets express three subtypes of purine receptors--P2X1, P2Y1 and P2Y12. The expression, ligands and sensitivity of purine receptors of platelets and their role in thrombogenesis ar...
26,756
[Effect of design of standard metallic stents on neointimal hyperplasia and restenosis].
Coronary stents became an integral part of treatment of ischemic heart disease (IHD). Number of percutaneous coronary interventions (PCI) in patients with IHD in Russia constantly growing. At a certain stage of development of interventional cardiology drug eluting stents (DES) were created and became actively used....
26,757
[Characteristics of coronary artery involvement and probability of appropriate discharges of cardioverter-defibrillator implanted for primary prevention of sudden cardiac death].
PURPOSE: To assess characteristics of involvement of coronary vascular bed in patients with ischemic heart disease and cardioverter defibrillator (CD) implanted for primary prevention of sudden cardiac death (SCD) with and without history of appropriate implantable (I) CD therapies. MATERIAL AND METHODS: We examined...
26,758
[Blood viscosity in patients with ischemic heart disease].
AIM: To elucidate relation of blood viscosity to development of a hypoxic state of microcirculation in patients with ischemic heart disease (IHD). MATERIAL AND METHODS: We examined 42 patients with postmyocardial infarction cardiosclerosis and 30 healthy persons (control group). Measurements were made by rotatory vi...
26,759
[Results of the Russian EKSPERT program: post-marketing supervision over efficacy and influence of the preparation Ekvator on quality of life at out-patients with arterial hypertension].
Results of an open multicenter prospective postmarketing observational program EKSPERT (post-marketing surveillance of the effectiveness and impact of the EKVATOR treatment on quality of life in patients with arterial hypertension in ambulatory practice). Observation of 10 000 patients conducted in 300 medical cent...
26,760
[Renin-angiotensin-aldosterone system in hypertrophic cardiomyopathy].
Keeping in mind an important role of renin-angiotensin aldosterone system (RAS) in developing of cardiac remodeling and fibrosis, genetic polymorphisms coding its components could have influence with clinical variants of the course. Biomarkers could appear predictors of adverse. To examine the contribution of the R...
26,761
[Degenerative aortic stenosis: prediction of poor prognosis by 2D left ventricular longitudinal strain in non-operated patients].
AIM: To investigate relationship between global longitudinal peak strain (GLPS) of the left ventricle (LV) and clinical routine echocardiographic (ECHO) and electrocardiographic (ECG) parameters in patients with non-operated aortic stenosis (AS) of all degrees. Also we evaluated the prognostic value of GLPS in pati...
26,762
[Clinical management of patients with abdominal aortic aneurysms combined with coronary artery disease and multifocal atherosclerosis].
We have analyzed clinical management of 137 patients with atherosclerotic aneurysms of the abdominal aorta combined with coronary artery disease treated during last 10 years in the First Cardiac Surgery Department (Surgery of the Aorta and its Branches) of the Petrovsky National Research Center of Surgery. All pati...
26,763
[Effect of psychosocial stress on the level of anxiety, depression and behavioral risk factors of cardiovascular diseases in men].
AIM: To elucidate peculiarities of risk factors (RF) of cardiovascular diseases and frequency of arterial hypertension (AH) at place of work in men with various level of psychosocial stress. MATERIAL AND METHODS: We examined 224 men (and their assistants) aged 22-55 years. Examination included analysis of risk facto...
26,764
[Complex study of the rat heart at isoproterenol damage].
Introduction of isoproterenol (an agonist of beta-adrenoreceptors) to rats is one of the widespread experimental models of cardiac failure. It is caused by damage of cardiomyocytes with the subsequent development of substitutive fibrosis. The purpose of the given work was the complex characteristic of cardiac funct...
26,765
[Lipoprotein-associated phospholipase A2 serum levels in patients from different categories of cardiovascular risk].
AIM: To compare levels of lipoprotein-associated phospholipase A2 (Lp-PLA2) in blood serum of patients from different cardiovascular risk categories. MATERIAL AND METHODS: Patients from Moscow prospective study database (n = 519) were divided into 4 cardiovascular risk categories according to present clinical recomm...
26,766
[Cardiovascular diseases and mannose-binding lectin].
The role of innate immunity factors in the pathogens of ACS is not well studied, although there is evidence in the literature about their impact on the course of cardiovascular diseases. Mannose-binding lectin (MBL)--one of the key factors of the humoral innate immune system that activates one of complement activati...
26,767
[Analysis of the effect of antihypertensive drugs on left ventricular hypertrophy regression].
In a review article reflects the leading role of combined treatment of blockers of the renin-angiotensin-aldosterone system and dihydropyridine calcium antagonists in reducing left ventricular mass. The advantages of fixed combinations in the treatment of hypertensive patients, including those with left ventricular...
26,768
[Dynamics of cardiovascular mortality among men and women in subjects of Russian Federation (2002 to 2011)].
OBJECTIVE: to study the dynamics of CVD mortality in men and women in the Russian Federation (RF) for the period from 2002 to 2011. METHODS: The study was performed on the basis of official statistics "Rosstat". Results. In 2011 the average death rate from CVD for the regions of the Russian Federation among men and ...
26,769
[Effect of cascade plasma filtration on spectrum of subfractions of low density lipoproteins in blood plasma of patients with ischemic heart disease].
We studied effect of cascade plasma filtration on subfractions of low density lipoproteins (LDL) in 16 patients with ischemic heart disease (IHD) and hyperlipidemias refractory to drug therapy. The procedure caused 37.6 ± 1.4%, 43.1 ± 2.5%, and 50.9 ± 1.4% lowering of total, low density lipoprotein cholesterol, and...
26,770
[Natural dynamics of blood pressure, body mass index and lipid levels in the elderly (the results of 17-year follow-up)].
AIM: to study natural dynamics of mean levels of systolic and diastolic arterial pressure (SAP, DAP), body mass index (BMI), total cholesterol (TC), high density lipoprotein cholesterol (HDLC), and triglycerides (TG) in elderly people using data of 17-year cohort prospective observation. MATERIAL AND METHODS: Primar...
26,771
[Effects of coronary angioplasty on clinical status, perfusion myocardial contractility in patients with ischemic chronic heart failure].
Chronic heart failure (CHF) remains widespread and prognostically unfavorable complication of various cardiovascular diseases. Most patients with CHF have atherosclerosis of coronary arteries. Main method of treatment of this condition is endovascular revascularization. In this study we conducted detailed analysis ...
26,772
[Idiopathic arrhythmias: possibilities of complex nosological diagnosis, and differentiated treatment].
AIM: of the study was to elucidate nosological nature of "idiopathic" arrhythmias by means of complex clinical-morphological examination and to assess efficacy of differentiated (including etiotropic and pathogenetic) treatment. MATERIAL AND METHODS: We examined 190 patients (117 women, mean age 45.33 ± 14.84 years)...
26,773
[Approximation of mathematical scanning simulation data and clinical results f radiofrequency ablation of perimitral atrial flutter. Condition of existence of perimitral atrial flutter].
AIM: 1) to create Perimitral Atrial Flutter (PMAFL) model and estimate theoretical probability of elimination of perimital reetntry using left atrial geometry two-dimensional mathematical modeling and ablative formatting; 2) to compare clinical results of PMAFL ablation by means of mitral vs inferioseptal isthmus a...
26,774
[Clinical experience of application mildronate at recovery treatment of patients with displazia connecting fabric].
In order to evaluate the effectiveness mildronate in rehabilitative treatment in connective tissue dysplasia examined 240 patients (24,41 ± 7,62 years, 130 men). All patients were treated with 5 ml of mildronate 10% intravenously for 10 days, then 1 capsule (250 mg), 2 times per day for 4 months. The therapy showed ...
26,775
[Microvascular angina].
Microvascular angina is a rather widely spread disease which is associated with high rate of unfavorable outcomes and substantial economical cost of examination and treatment. However problems of noninvasive diagnostics of the disease have not been entirely solved as well as clear-cut algorithm of management has not...
26,776
[Telomeres and chronic heart failure].
With age, a person's cardio-vascular system changes gradually formed at different functional levels, which are the basis for the development of chronic heart failure. While aging itself does not lead to chronic heart failure, it is likely that age-related changes in the human body can accelerate the time onset of s...
26,777
[Practical aspects of therapy with new oral anticoagulants in patients with impaired renal function].
The article deals with renal dysfunction, methods of assessment and monitoring in patients receiving anticoagulant therapy. Due to the negative impact of renal impairment on the incidence of thromboembolic and hemorrhagic complications in patients with atrial fibrillation problem identifying renal failure and its d...
26,778
[Modern tactics antihypertensive therapy: a place of Angiotensin converting enzyme inhibitors].
In a review article we presents an analysis of the new recommendations of the European Society of hypertension (ESH) and the European Society of Cardiology (ESC) on the management of arterial hypertension (2013). Main attention is paid to the tactics of antihypertensive therapy and the choice of drugs in the treatm...
26,779
[Adenosine triphosphate stress (99m)Tc-MIBI single-photon emission computed tomography in the diagnosis Miocardial Iscemia in patients with Microvascular Angina].
PURPOSE: To assess diagnostic potential of (99m)Tc-MIBI-single-photon emission computed tomography (SPECT) with intravenous adenosine triphosphate (ATP) infusion in comparison with exercise stress (EX) SPECT in patients with microvascular angina. MATERIAL AND METHODS: Patients with angina, positive exercise test and...
26,780
[Special characteristics of progression of myocardial remodeling in patients with various forms of unstable angina].
AIM: To study special characteristics and prognostic value of cardiac remodeling in patients with unstable angina (UA). MATERIAL: Throughout 2 years we performed repetitive echocardiographic examinations of 166 patients with Braunwald class IB and IIB-IIIB UA for assessment of left ventricular (LV) structural-functi...
26,781
[Perspectives of application of evidence-based measures of blood pressure control in patients with arterial hypertension].
AIM: of the study was to assess advantages and disadvantages of existing measures of adequacy blood pressure (BP) control and their appropriateness in Russian population of patients with arterial hypertension (AH). MATERIAL AND METHODS: Two indicators were studied with the help of American College of Cardiology/Amer...
26,782
[Endothelial and metabolic effects of perindopril in patients with essential hypertension].
OBJECTIVE: To elucidate endothelial and metabolic effects of perindopril and their interaction in patients with uncomplicated essential hypertension. METHODS: The study involved 30 patients treated with perindopril (5-10 mg/day) for 3 months. The following parameters were registered at baseline and at the end of the...
26,783
[Uric acid and factors of cardiometabolic risk in adolescents with arterial hypertension].
AIM: To elucidate links of blood serum uric acid level (SUAL) with cardiometabolic risk factors (CMR) in adolescent boys with arterial hypertension (AH). MATERIAL AND METHODS: We examined 261 adolescent boys (mean age 15.8+/-1.3 years) with primary AH. Examination included 24-hour blood pressure (BP) monitoring, an...
26,784
[Cost-effectiveness of apixaban compared to other new oral anticoagulants in patients with non-valvular atrial fibrillation].
BACKGROUND: Atrial fibrillation is associated with development of thromboembolic events. New oral anticoagulants (apixaban, rivaroxaban and dabigatran) are recommended for antithrombotic therapy in patients with non-valvular atrial fibrillation (NVAF) with moderate and high risk of stroke. OBJECTIVES: The objective ...
26,785
[Using meldonium to improve the adaptation of patients with cardiovascular disease to the effects of heat and correction of associated oxidative stress].
Given that prolonged exposure to extreme climatic situations may play a role independent of stress factors, influencing the course of the underlying disease, the authors considered appropriate assessment of the effectiveness of additional prophylactic administration of drugs that increase the body's resistance to s...
26,786
[Cardioprotective capabilities of drug meldonium in secondary prevention after percutaneous coronary intervention in patients with documented myocardial ischemia].
The purpose of research — analysis of capabilities in cytoprotective drug mеldonium, in complex in the cardioprotective effect of secondary prevention after percutaneous coronary intervention (PCI). Patients with stable coronary heart disease (n=35 ) aged ≤65 years with incomplete revascularization at 6 months afte...
26,787
[Pharmacogenetic aspects of antiarrhythmic drug therapy].
It is known for a long time that individuals vary widely in their responses to therapy with different drugs. Variability in drug response may be due to variability in the relationship between drug dose and concentrations of the drug at target sites (pharmacokinetic variability). Another mechanism is that individual...
26,788
[Tissue Doppler imaging and ultrasonic methods for evaluating myocardial deformation in the diagnosis of hypertrophic cardiomyopathy].
Hypertrophic cardiomyopathy (HCM) is a genetic cardiovascular disease caused by mutations in genes that encode components of the sarcomere. Standard echocardiography is not always capable to identify regional systolic dysfunction of the left ventricle (LV), and to detect the disease on its preclinical stage. Geneti...
26,789
[Antiplatelet therapy before coronary artery bypass surgery. Is the bridging therapy possible?].
The number of patients with coronary artery disease undergoing percutaneous coronary interventions (PCI) with stenting is growing. Stenting is associated with dual antiplatelet given until endothelization of stent. In some clinical situations surgery is required, e.g. coronary bypass, before stent is endothelized o...
26,790
[Assessment of clinical-instrumental, morphological data and expression of coxsackie adenovirus receptor in patients with inflammatory cardiac pathology].
In 22 patients with heart failure and/or ventricular arrhythmias presumably of inflammatory etiology the results of clinical and instrumental investigation were analyzed and compared to the endomyocardial biopsy data. In the subgroup of patients with left bundle branch block (LBBB) we revealed features indicative of...
26,791
[Value of Fatty acids in formation of thrombotic status in patients with ischemic heart disease].
Interrelation between fatty acids and platelet aggregation has been a subject of interest for cardiologists in the terms of thrombogenic status. In order to study this problem we observed 42 patients with ischemic heart disease and 30 healthy persons. In patients we found elevation of arachidonic acid and lowering ...
26,792
[Hronic heart failure and concomitant diseases in elderly patients: anemia and cardio-renal anemic syndrome].
to assess impact of anemia on chronic heart failure (CHF) course in elderly patients in primary care setting. Methods. We examined 164 outpatients (n=164) aged 60-85 years with clinically stable CHF due to ischemic heart disease and arterial hypertension. All patients underwent clinical, laboratorial evaluation, EC...
26,793
[Functional state of right ventricular myocardium in patients with acute pulmonary embolism before and after thrombolytic therapy].
We present in this paper results of assessment of functional state of right ventricular (RV) myocardium in 38 patients with acute pulmonary embolism (PE) before and after endovascular recanalization of pulmonary arteries supplemented with thrombolytic therapy. According to echocardiography data RV dysfunction was d...
26,794
[Pulse wave velocity and pulse pressure in patients with arterial hypertension].
The article is devoted to assessment of pulse pressure (PP) in female postmenopausal patients and patients with arterial hypertension (AH) older than 55 years. It is shown that in postmenopausal women even aged 55 years or less PP is one of most important parameters associated with target organ damage. Conclusion a...
26,795
[Role of multidetector computed tomography and stress- echocardiography in assessment of risk of cardiological complications of non-cardiac surgery].
AIM: to compare results of coronary angiography with data of multi-slice computed tomography (MSCT) - angiography, and analyze rate of detection of hemodynamically significant coronary artery lesions during preoperative examination of patients. MATERIAL AND METHODS: We analyzed case histories of 92 patients (median ...
26,796
[Possible applications bisoprolol for heart rate control in young patients with connective tissue dysplasia].
To assess the efficacy and safety of bisoprolol to monitor heart rate (HR) in young patients with connective tissue dysplasia (CTD) examined 58 patients (22,3 + 3,47 years, 38 men). Bisoprolol drug was administered at an initial dose of 1.25 mg/day, with a further increase to 2.5 mg/day in 2 weeks, etc. to achieve ...
26,797
[Possibilities of primary prevention of stroke: elaboration of a population level strategy].
This review is devoted to principles of primary prevention of cerebral stroke. Prevalence of stroke and its contribution to development of complications and lethal outcomes is analyzed in detail. Main principles of prevention of stroke are delineated and contemporary international guidelines on correction risk fact...
26,798
[The role of modern echocardiography methods in diagnosis of pulmonary hypertension].
The review contains presentation of diagnostic possibilities of contemporary echocardiographic techniques for investigation of structural functional state of the right ventricle and various methods of estimation of pulmonary artery pressure. Normative values of various parameters are adduced according to last recom...
26,799
[Autoantibodies against lipoprotein(a) in patients with coronary heart disease].
OBJECTIVE: Lipoprotein(a) - Lp(a) is an independent risk factor of atherosclerosis and its complications. In spite of the long period of Lp(a) research there is no complete understanding of its physiological role and atherogenic action. The goal of this study was to investigate the presence in human plasma of circu...