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27,200
[Pronounced homeostatic action of angiotensin converting enzyme inhibitors with high affinity to tissue renin-angiotensin-aldosterone system on cellular membranes].
Endothelial dysfunction is considered in the paper from the point of view of pathology of cellular membranes presenting as vesiculation of cytoplasmatic membrane, release of membrane-bound microparticles, elevation of concentration of peeled off endotheliocytes in the blood. Comparative analysis of action of angiot...
27,201
[Primary prevention of cardiovascular diseases: long term results of five year long preventive intervention in 12-year old boys (ten year prospective study)].
In a longitudinal cohort (prevention group, n=213, comparison group, n=163) of 10-year prospective follow-up we addressed efficacy of 5-year-long multifactor preventive intervention, conducted in a sample of population of 12 year old boys. Preventive intervention was carried out both at populational level and among...
27,202
[Pulmonary hypertension and right ventricular failure. Part XII. Nitrous oxide and phosphodiesterase inhibitors in the treatment of primary pulmonary arterial hypertension].
In a series of articles the authors discuss literature data concerning epidemiology of pulmonary arterial hypertension (PAH), its modern classification; peculiarities of its pathogenesis and treatment in various diseases and conditions. The twelfth communication contains consideration of inhaled nitrous oxide and t...
27,203
[Coronary angioplasty: view through 30 years].
Andreas Gruentzig executed the first successful percutaneous transluminal coronary angioplasty (PTCA) in 1977. Percutaneous coronary interventions (PCI) have considerably changed since this time. The changes have touched the technical equipment for PCI, the pharmacological and mechanical support of PTCA also. The s...
27,204
[Central arterial pressure: a necessary parameter for assessment of cardiovascular risk and efficacy of antihypertensive therapy].
Most of large controlled randomized trials have not revealed superiority of "new" over "old" antihypertensive drugs and posed a question of value of surrogate criteria for comparison of various treatment regimes. Data of ASCOT-CAFE trials allow to assume that estimation of central blood pressure (BP) opens novel pe...
27,205
[An experience of the use of stents with drug coating in patients with long and diffuse coronary artery lesions].
Treatment of long and diffuse lesions of coronary arteries remains one of most complicated sections of endovascular treatment. From 2003 to 2005 treatment with the use of stents with drug coating was conducted in 198 patients with long and diffuse coronary artery lesions. This made up 26% of total number of patients...
27,206
[Noninvasive methods of investigation of mammary coronary grafts and coronary vascular bed in remote period after coronary artery bypass grafting].
Aim of the present study was to investigate diagnostic value of treadmill test, stress echocardiography during exercise on treadmill as well as color duplex scanning in assessment of the state of mammary coronary grafts and coronary vascular bed in remote period after coronary artery bypass grafting. Parameters of ...
27,207
[First in Russia experience of radiofrequency ablation with the help of robotic system of magnetic navigation on the occasion of heart rhythm disturbances].
We present first in Russia experience of interventional treatment of 15 patients (11 men, 4 women, mean age 34.2 +/- 13.9 years) in whom operations of endocardial electrophysiological study (endoEPS) and radiofrequency ablation (RFA) with the help of robotic system of magnetic navigation were carried out because of...
27,208
[Activity of inflammatory-destructive changes in the process of formation of unstable atherosclerotic plaque].
We studied parameters of inflammatory (tumor necrosis factor a, antagonist of interleukin-1 receptor, interleukin-6 , interleukin-8, C-reactive protein) and destructive (matrix metalloproteinases type 3 and 9, tissue inhibitor of metalloproteinase type 1) processes in dynamics of sequential stages of development of...
27,209
[Therapeutic education of social workers: first results].
For the improvement of compliance of old age patients to therapy of chronic heart failure (CHF) we carried out therapeutic training of social workers serving these patients at their homes. Efficacy of training was assessed by means of analysis of questionnaires given to 87 social workers before and after training s...
27,210
[Hypercholesterolemia in men and women of various age. Part I. Clinical and prognostic significance].
There no doubts that hypercholesterolemia and elevated concentrations of low density lipoprotein (LDL) cholesterol (Ch) especially is one of main risk factors of premature development of ischemic heart disease (IHD) in middle aged men. Proofs of dependence of development of IHD on Ch and LDL-Ch levels in middle age...
27,211
[The place of acetylsalicylic acid in the modern cardiovascular pharmacotherapy].
Acetylsalicylic acid (ASA) is effective antiplatelet agent in many groups of patients with cardiovascular disorders. Efficacy and safety of ASA was confirmed in many trials and meta-analyses. But the optimal dose of ASA in different conditions is still uncertain. ASA is effective in all forms of coronary heart dise...
27,212
[Efficacy and safety of long-term application of spironolactone in patients with moderate and severe chronic heart failure receiving optimal therapy].
Aim of the investigation was the study of influence of spironolactone (25 - 75 mg/day) on clinico-functional status, parameters of left ventricular (LV) remodeling, as well as safety of its long term application in patients with chronic heart failure (CHF) receiving optimal therapy. Forty nine patients were include...
27,213
[Depressive symptoms worsen prognosis in patients with arterial hypertension and ischemic heart disease: first results of prospective phase of Russian multicenter study COORDINATA].
COORDINATA - Russian multicenter prospective (3 year long) study having the aim to elucidate influence of symptoms of anxiety and depression on cardiovascular (CV) prognosis in patients with arterial hypertension (AH) and ischemic heart disease (IHD). Results of 1.5 years of prospective phase of the study are prese...
27,214
[Hypotensive activity and cerebroprotective properties of carvedilol in patients with arterial hypertension associated with type 2 diabetes mellitus].
Aim of the study was to elucidate peculiarities of influence of carvedilol on 24-hour blood pressure (BP) profiles and changes of parameters of cerebral perfusion in patients with arterial hypertension (AH) associated with type 2 diabetes mellitus. Investigations were performed in 30 patients with I-III degree AH a...
27,215
[The role of noninvasive methods of investigation in diagnosis of atherosclerosis].
Visualization of the myocardium with the use of various high technologies gains more and more important significance in diseases of cardiovascular system. Large value for investigations of the heart and blood vessels have acquired methods of echocardiography, magnetic resonance tomography, spiral computed tomography...
27,216
[Peculiarities of atherosclerotic damage of brachiocephalic arteries in patients with type 2 diabetes mellitus].
The state of vascular bed of brachiocephalic arteries was studied by the method of color duplex scanning in 250 patients (116 men and 134 women) with atherosclerosis of various vascular basins which in 62 of them took place at the background of type 2 diabetes mellitus (DM). Two hundred five patients had atheroscle...
27,217
[Effect of thrombolytic therapy on parameters of endothelial function in patients with myocardial infarction].
THE AIM OF STUDY: A comparative estimation of influence various thrombolytic preparations(alteplase, Streptokinase) on clinical course and the remote forecast of disease, and also of parameters of a metabolism of nitric oxide of the patient with acute myocardial infarction. MATERIAL AND METHODS: In research have inc...
27,218
[Tissue dopplerography of the myocardium in diagnosis of myocardial involvement in patients with rheumatoid arthritis].
Inflammatory rheumatoid damage of the heart is in most cases oligosymptomatic but it can lead to development of heart failure and cause lethal outcomes. AIM OF THE STUDY: To detect asymptomatic myocardial involvement in patients with rheumatoid arthritis (RA) with the help of tissue dopplerography (TDG) of the myoca...
27,219
[Peculiarities of cardiovascular and metabolic disturbances in women after ovariectomy].
Metabolic dysfunction and the state of cardiovascular system were studied in 80 women with surgical climacterium. Dynamics of metabolic syndrome formation and left ventricular structural-functional changes were investigated. It was confirmed that the majority of patients with surgical climacterium developed metabol...
27,220
[Clopidogrel resistance: myth or reality].
The efficacy of clopidogrel, as an established anti-platelet agent for the acute coronary syndrome treatment and for the thrombotic complications prevention after percutaneous coronary angioplasty and coronary artery stenting has been supported by the evidence of several major randomized clinical trials. However, s...
27,221
[Is patient education a factor elevating efficacy of arterial hypertension control?].
Unsatisfactory control of arterial hypertension is to a great extent determined by low compliance of patients to treatment, which can be caused by insufficient information about the disease and lack of proper motivation. Special methods were elaborated for elevation of level of awareness of patients - from one-time ...
27,222
[Retrograde recanalization of coronary artery occlusions: novel method for increase of the rate of successful interventions].
First results of the use of a novel method of percutaneous coronary angioplasty of chronic occlusions of coronary arteries are presented. In 8 patients (men aged 54 - 75 years, mean age 60,4 +/- 7.1 years, mean duration of occlusion 45.5 +/- 7.9 months) retrograde recanalization was carried out through collateral b...
27,223
[Autotransplantation of the heart as the method of treatment of congestive heart failure].
Congestive heart failure with preserved or moderately lowered left ventricular pump function in some patients is caused by mitral regurgitation. Its consequences are left atrial dilation, pulmonary hypertension, tricuspid regurgitation, thromboembolic complications, disturbances of rhythm with elevated risk of sudd...
27,224
[Effect of rosuvastatin therapy and myocardial revascularization on angiogenesis in coronary artery disease patients].
We studied the influence of rosuvastatin therapy and myocardial revascularization on angiogenic growth factors in coronary artery disease (CAD) patients. Two main groups were examined: the first one consisted of patients passed through successful percutaneous coronary intervention (PCI), the second one consisted of...
27,225
[Influence of valsartan, fluvastatin extended release and their combination on arterial pressure, parameters of lipid metabolism, and endothelial function in patients with hypertensive disease].
BACKGROUND: Search of new optimal treatment strategies, allowing to decrease the risk of atherosclerosis development and cardiovascular events is determined by high prevalence of hyperlipidemia in hypertensive patients. AIM: To study the vasoprotective effects and security of Valsartan (V) or Fluvastatin extended re...
27,226
[Atherogenic oxidative and structural modification of low density lipoproteins in men with coronary atherosclerosis].
We studied parameters of structural and oxidative modification of low density lipoproteins (LDL) in 80 men aged 35 - 65 years with coronary atherosclerosis verified at coronary angiography in comparison with 80 men of the same age without ischemic heart disease. Biochemical studies included determination of paramet...
27,227
[Stages of compensation of circulation in acquired aortic valve disease according to data of physical working capacity].
We examined 194 men (mean age 40 +/- 1.4 years) with acquired aortic valve disease. Basing on the data of estimation of physical working capacity and reserve of cardiorespiratory system we assessed staging of development of compensatory mechanisms of circulation in patients with acquired aortic stenosis and aortic ...
27,228
[Prognostic factors of unfavorable outcome of thyrotoxic cardiomyopathy].
Because of absence of investigations directed at study of quantitative evaluation of prognostic factors of unfavorable outcome of thyreotoxic cardiomyopathy (TCMP) it remains actual to investigate the course and variants of outcomes of TCMP in various groups of patients differing by age, sex, duration, and etiology...
27,229
[RELIPH -- REgularnoye Letcheniye I ProPHylaktika (Regular Treatment and Prevention) -- the key to improvement of situation with cardiovascular diseases in Russia: results of multicenter study. Part II].
The paper presents results of the conducted in Russia large scale study " REgularnoye Letcheniye I ProPHylaktika (Regular Treatment and Prevention) -- the key to improvement of situation with cardiovascular diseases in Russia -- RELIPH " on assessment of conformity of recommended by medical practitioners treatment ...
27,230
[Predictors of intracardiac thrombosis in patients with atrial fibrillation: factors of hemostasis, markers of inflammation, and genetic factors].
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia. Many patients with nonvalvular AF have substantial rates of stroke and thromboembolism. The left atrial appendage (LAA) is a common source of cardiac thrombus formation associated with systemic embolism. Recent findings have suggested a link ...
27,231
[Frequency of detection the of Brugada syndrome signs in the course of ECG registration].
The aim of the study was to assess prevalence of the Brugada syndrome during carrying out ECG in the conditions of medico-sanitary division of a large industrial enterprise. Signs of the Brugada syndrome were found on 20 of 42779 ECGs (0.047%) registered during 1 year in patients aged 22-68 years. Type 2 syndrome w...
27,232
[Nonischemic ventricular arrhythmias: classification, clinical manifestations, diagnosis, and treatment].
Clinico-electrocardiographical and electrophysiological features of noncoronarygenic ventricular arrhythmias are presented. Characteristics of localization of arrhythmogenic focus in various parts of left and right ventricular myocardium, in interventricular septum, and in immediate vicinity of each of 4 valves are...
27,233
[Hypercholesterolemia in men and women of various age. Part II. The problem of efficacy and safety of statins].
Hypocholesterinemic drugs from the statins class are effective means of primary and secondary prevention of ischemic heart disease (IHD) in middle aged men who comprised predominant majority of patients participating in randomized controlled trials (RCT). Proofs of favorable influence of statins on origination and ...
27,234
[Possibilities of diagnosis of non-ST elevation acute coronary syndrome in old subjects].
Diagnosis of non-ST elevation acute coronary syndrome (NSTEACS) in old subjects poses substantial difficulties because in a row of cases clinical picture and changes on electrocardiogram are nonspecific. In this paper we discuss possibilities of diagnosis of NSTEACS with the help of determination of markers of myoc...
27,235
[Metalloproteinase activity of the blood in patients with arterial hypertension with paroxysmal form of atrial fibrillation].
Aim of the study was to investigate interrelationship between serum markers of myocardial fibrosis: matrix metalloproteinase -1 (MMP-1), tissue inhibitor of metalloproteinase-1 (TIMP-1) and parameters of echocardiography in patients with arterial hypertension (AH) and paroxysmal form of atrial fibrillation (n=39). W...
27,236
[Influence of nebivolol on left ventricular remodeling in patients with arterial hypertension without chronic heart failure].
In the recent years the problem of heart remodeling under drugs in patients with arterial hypertension (AH) have been extensively discussed. The beta-blocker of the third generation nebivolol is known as a good antihypertensive agent. The aim of our study was to evaluate effects of nebivolol on structural and funct...
27,237
[The state of cerebral blood flow in hypertensive crises and possibilities of its correction].
We examined 60 patients with arterial hypertension admitted to hospital during hypertensive crisis. Control group consisted of 30 patients with normal arterial pressure. We investigated parameters of cerebral blood flow with the method of transcranial dopplerography, content of NO and a row of cytokines (interleuki...
27,238
[Interrelationship between changes of rate and variability of cardiac rhythm under influence of beta-adrenoblockers].
BACKGROUND: Beta-blocking agents (BB) decrease mortality particularly sudden in post-myocardial infarction patients and in patients with chronic heart failure that is closely related to heart rate (HR) lowering at rest. The hypothesis exists that BB decrease mortality due to increase of cardiac vagal activity. AIM: ...
27,239
[Changes of QT-interval duration in children and adolescents suffering from type 1 diabetes mellitus].
We measured QT interval in 43 children and adolescents with type 1 diabetes mellitus and studied its dependence on age, disease duration, metabolic control, and dose of insulin. Control group consisted of 37 healthy children and adolescents. Duration of QT during 24 hours was longer in patients as compared with con...
27,240
[Influence of perindopril, rosuvastatin, or omega-3 polyunsaturated fatty acids on efficacy of antirecurrence therapy with sotalol in patients with persistent atrial fibrillation].
Patients (n=187) with symptomatic persistent atrial fibrillation at the background of ischemic heart disease after restoration of sinus rhythm were randomized for treatment with sotalol 80 - 160 mg/day (n=48), or with combinations of sotalol with perindopril 4 - 8 mg/day (n=48), rosuvastatin 5 - 20 mg/day (n=45), o...
27,241
[Matrix metalloproteinases: significance in remodeling of the myocardium in valvular heart disease].
AIM: To assess concentration of metalloproteinase (MMP) -9 and its inhibitor in blood serum of patients with defects of left cardiac chambers, associated with pressure or volume overload. RESULTS: Elevation of MMP-9/TIMP-1 ratio at the account of MMP-9 was characteristic for patients with volume overload while eleva...
27,242
[Long-term results of the use of hyperbaric oxygenation in patients with acute myocardial infarction].
Effect of hyperbaric oxygenation (HBO) on mortality and rate of development of reinfarctions during 24 month follow-up was studied in 129 otherwise conventionally treated patients with acute myocardial infarction (AMI). These patients were randomly divided into control (n=65) and intervention (n=64) groups. In the ...
27,243
[The role of genetic factors in development of atrial fibrillation].
The review is devoted to problems of pathogenesis of atrial fibrillation and role of genetic factors in its development. Significance of genetic factors for origination of atrial fibrillation has been proved by aggregation of the disease in families. This review contains consideration of main candidate genes possibl...
27,244
[Pulmonary hypertension and right ventricular failure. Part XIII. Surgical methods of treatment of various forms of pulmonary arterial hypertension].
In a series of articles the authors discuss literature data concerning epidemiology of pulmonary arterial hypertension (PAH), its modern classification; peculiarities of its pathogenesis and treatment in various diseases and conditions. The 13-th communication contains consideration of surgical and interventional p...
27,245
[Significance of various methods of assessment of functional state for cardiovascular risk stratification].
Arterial hypertension (AH) combined with diabetes mellitus accelerates development of damage of the kidney. Elevation of serum creatinine level, lowering of creatinine clearance or calculated glomerular filtration rate (GFR), microalbuminuria are independent prognostic factors of cardiovascular morbidity and mortal...
27,246
[The role of multidetector computed tomography in detection of myocardial infarction].
The aim of the study was to assess the diagnostic value of multidetector computed tomography (MDCT) in detection of myocardial infarction (MI) in acute and chromic stages. MATERIAL AND METHODS: 49 patients with suspected MI were included in the study. In 44 patients the diagnosis of acute MI had been confirmed accor...
27,247
[Diagnostic value of CT angiography in coronary arteries stenosis detection].
BACKGROUND: Noninvasive imaging of coronary arteries is very important. CT angiography (multislice computed tomography and electron beam computed tomography -- MSCT and EBT) is most reliable method for noninvasive coronary visualization. PURPOSE: The aim of our study was to evaluate the diagnostic value of CT angio...
27,248
[First experience with the use of a clip device for closure of arterial approach after endovascular treatment of coronary arteries].
Aim of the present study was assessment of the StarClose Vascular Closure System - novel device for mechanical closure of femoral artery puncture site. We included in this study 29 patients in whom after procedure of endovascular treatment puncture site was closed with the given device. Control group comprised 34 p...
27,249
[Complications of stress-echocardiography used for diagnosis of ischemic heart disease].
Prevalence of minor and major complications, side effects of stress echocardiography (stress-echoCG) was studied in a group of 1359 patients with suspected ischemic heart disease (IHD). Dipyridamole/atropine test was carried out in 184, dobutamine/atropine test - in 231, transesophageal atrial pacing (TEAP) - in 15...
27,250
[Heart fatty acid binding protein in patients hospitalized because of worsening heart failure. Relation to prognosis of death].
PURPOSE: We tested the hypothesis that serum heart fatty-acid binding protein (FABP), an early marker of myocardial necrosis, is related to prognosis of patients hospitalized because of worsening heart failure (HF). METHODS: Sixty nine patients (64% men, age 66.6 +/- 11.0 years) with NYHA class II, III, IV HF (1, 18...
27,251
[Peculiarities of systolic and diastolic function of left and right ventricles in elderly and geriatric patients with stable effort class II-III angina during formation of chronic heart failure].
In order to reveal peculiarities of function of cardiac ventricles in functional class (FC) II-III chronic heart failure (CHF) Doppler echocardiography (DE) and myocardial tissue Doppler echocardiography (TDE) were carried out in 108 middle aged, elderly and old patients. Patients with signs of FCIII CHF had pronoun...
27,252
[Contribution of CYP11B2, REN and AGT genes in genetic predisposition to arterial hypertension associated with hyperaldosteronism].
We carried out comparison of distribution of alleles and genotypes of polymorphic loci of renin-angiotensin-aldosterone system genes: CYP11B2 (C-344T), AGT (Thr174Met) and REN (C-5434T, C-5312T, and A BglI G) and their combinations in two groups of patients with low renin forms of arterial hypertension (AH). Group ...
27,253
[Clinical efficacy of permanent cardiac pacing in patients with bradysystolic forms of disturbances of cardiac rhythm and conduction].
From 1996 to 2002 primary implantations of pacing systems because of bradysystolic disturbances of cardiac rhythm and conduction had been carried out in 311 patients. Indications were disturbances of atrioventricular conduction in 168 and sick sinus syndrome in 143 patients. According to type of permanent pacing pa...
27,254
[Peculiarities of functional state of endothelium in women with polycystic ovaries].
To reveal factors of elevated risk of development of cardiovascular diseases we examined 59 women with polycystic ovarian syndrome (PCOS). Control group comprised 12 healthy body mass and age matched women. Functional state of endothelium was assessed by endothelium dependent brachial artery dilation (EDV), intima-...
27,255
[Endothelial progenitor cells: role in endothelial function recovery and potential therapeutic application].
Endothelial dysfunction and cell loss lead to atherosclerosis and its outcomes. Several recent studies suggested that endothelial progenitor cells (EPCs) play a key role in reendothelialization of injured vessels and in endogenous neovascularization of ischemic tissues. Modulation of EPCs number and functional acti...
27,256
[The problem of complications of percutaneous coronary interventions. Part I. Character and frequency of complications].
In recent years interventions in cardiology became routine procedure in many clinics. This could not to affect frequency of complications. From the very beginning of development of interventional cardiology specialists have been showing great interest to monitoring of complications and to possibilities of lowering ...
27,257
[The use of implantable cardioverter-defibrillators in patients at high risk of sudden cardiac death].
We have reviewed literature on contemporary views on sudden cardiac death (SCD), detection of category of patients belonging to the group with high risk of SCD, and methods of SCD prevention. Randomized studies on assessment of efficacy of implantable cardioverter-defibrillators (ICD) for primary and secondary prev...
27,258
[The system of hemostasis in patients with atrial fibrillation: markers of left auricular thrombosis].
Thrombosis of the left atrial appendage (LAA) is considered to be main cause of thromboembolic complications of atrial fibrillation (AF). Aim of this work was to study parameters of the hemostasis system in patients with AF in dependence on the presence of thrombus in the LAA. We examined 92 patients (58 men and 34 ...
27,259
[Distribution of chemical elements in various parts of the heart of patients with acute heart failure].
By the method of autopsy in patients with ischemic heart disease (IHD) who died of acute heart failure we took samples of myocardium from 6 parts of the heart: left and right atrium, left and right ventricle, region of myocardial infarction, and scar of the left ventricle. Simultaneously we conducted histological s...
27,260
[Effect of long term therapy with spironolactone on parameters of 24-hour heart rhythm variability and ventricular arrhythmias in patients with heart failure receiving optimal therapy].
Aim of the investigation was the study of influence of spironolactone (25-75 mg/day) on clinico-functional and neurohormonal, 24-hour variability of cardiac rhythm, and ventricular disturbances of heart rhythm in patients with chronic heart failure (CHF) receiving optimal therapy. Forty nine patients were included ...
27,261
[Recommendations on arterial hypertension 2007: text, context, and speculations].
At the Congress of the European Society on Arterial Hypertension (AH) in June 2007 in Milan were presented Second European Recommendations on AH traditionally attracting huge attention. Novel Recommendations appear to be revision of the 2003 variant and in distinction to recommendations of WHO are oriented to more ...
27,262
[The problem of complications of percutaneous coronary interventions. Part II. Peripheral complications].
Peripheral complications related to diagnostic and curative catheterizations remain to be serious problem in invasive cardiology. As annual number of interventional procedures only increases questions of tactics and treatment of peripheral vascular complications appear extremely actual. In recent decades clear tend...
27,263
[Clinical and economical effectiveness of outpatient diagnostic coronary angiography].
Introduction into clinical practice of transradial coronary angiography (CA) made it possible to conduct the procedure in outpatients and thus increase number of CA and diminish its cost. Aim of the study was to assess possibility, safety and economical efficacy of outpatient CA. Between April 2004 and August 2007 ...
27,264
[Genetic aspects of individual sensitivity to betaxolol in patients with arterial hypertension].
Association of polymorphism of b1-adrenoreceptors gene and cytochrome 2D6 gene with efficacy of b-adrenoblocker betaxolol was studied in 81 patients with I and II degree arterial hypertension. Betaxolol (10-20 mg/day) was given for 4 weeks, its efficacy was assessed by office blood pressure (BP) measurements, 24-hou...
27,265
[Influence of polymorphism's of endothelial nitric oxide synthase gene and polymorphism of NADPH oxidase gene on development of complications of arterial hypertension].
The aim of the study was to analyze the prevalence of polymorphism Glu298Asp of endothelial nitric oxide synthase gene and C242T p22 phox polymorphism of NADPH oxidase gene in patients with arterial hypertension (AH) and their influence on AH complications. The study included 272 AH patients, average age 50,7 years....
27,266
[Left ventricular hypertrophy and thickening of common carotid artery wall in men aged 40 - 54 years with I degree arterial hypertension].
We carried out clinical-instrumental examination of 456 men aged 40-54 years. First degree arterial hypertension was revealed in 165 men. Left ventricular hypertrophy was found in 48 (30%), increased intima-media thickness (IMT) - in 67 (41%) patients. There was significant medium power relationship between IMT and...
27,267
[Cytochrome P4502C9(CYP2C9) gene polymorphism and safety of therapy with warfarin].
Aim of the study was to investigate frequency and influence of alleles CYP2C9*2 and CYP2C9*3 on pharmacokinetics, pharmacodynamics and dosing regimen of warfarin and on development of hemorrhagic complications. We included 84 patients (mean age 62,8 +/- 10,5 years). Duration of follow-up varied between 1 month and ...
27,268
[Efficacy and safety of the use of metformin in patients with chronic heart failure and type 2 diabetes mellitus. results of the study "rational effective mulicomponent therapy in the battle against diabetes mellitus in patients with chronic heart failure"].
Aim of the investigation was to study safety of therapy with metformin and its effect on clinical, hemodynamic, functional and neurohumoral status in patients with chronic heart failure and type 2 diabetes mellitus DM). Eighty one patients with light and moderate NYHA functional class (FC) II-III CHF, left ventricul...
27,269
[Peculiarities of cardiovascular syndrome in children and adolescents with obesity in dependence of level of insulin resistance].
We conducted complex study of the state of cardiovascular system in 157 children aged 11-16 years with I-III degree obesity. Dazing on the results it is suggested to include in cardiovascular syndrome in children with obesity together with arterial hypertension syndrome of vegetative (autonomic) dysfunction, manife...
27,270
[Pulmonary hypertension and right ventricular failure. Part XIV. Differentiated therapy of primary (idiopathic) and associated forms of pulmonary arterial hypertension].
In a series of articles the authors discuss literature data concerning epidemiology of pulmonary arterial hypertension (PAH), its modern classification, peculiarities of its pathogenesis and treatment in various diseases and conditions. The last 14-th communication contains consideration of issues of differentiated...
27,271
[Peculiarities of cardiac involvement in patients with dystrophic myotonia].
Dystrophic myotonia is a widespread hereditary disease. Pathological process touches development and functioning of various organs and tissues: smooth and skeletal muscular tissue, the heart, organ of vision, brain. Pathology of the heart serves as one of frequent manyfestations of dystrophic myotonia. Degenerative...
27,272
[Prehospital thrombolytic therapy with tenecteplase in patients with ST-elevation myocardial infarction].
We carried out prehospital thrombolytic therapy (TLT) with tenecteplase in 24 patients with ST-elevation myocardial infarction (MI) at the background of standard concomitant therapy with unfractionated heparin, aspirin, and clopidogrel and analyzed clinical course of MI, ECG dynamics, systolic left ventricular func...
27,273
[Clinical efficacy of antihypertensive therapy of pregnant women with arterial hypertension with long acting nifedipine and bisoprolol].
Study aim was assessment of clinical efficacy of mono therapy with nifedipine SR/GITS and combination of nifedipine SR/GITS and bisoprolol as well as investigation of functional state of sympathoadrenal system (SAS) in pregnant women with arterial hypertension. Examination and treatment with nifedipine SR/GITS 30 m...
27,274
[Comparison of effects of nebivolol and atenolol on P-wave dispersion in patients with hypertension].
BACKGROUND: P-wave dispersion has been shown to be a noninvasive electrocardiographic predictor for development of atrial fibrillation . Thus it may be possible to attenuate atrial fibrillation risk through normalization of P-wave variables and improvement in P-wave dispersion may be an important goal in treatment ...
27,275
[RELIPH - regular treatment and prevention - the key to improvement of situation with cardiovascular diseases in Russia: results of a Russian multicenter study (part III)].
The first results of a big Russian multicenter study " RELIF - Regular treatment and prevention - the key of improvement of the situation with cardiovascular diseases in Russia " are presented. The study examines the accordance of arterial hypertension (AH) and coronary heart disease (CHD) treatment recommended by ...
27,276
[Physiological significance and normative parameters of rate adaptation of QT-interval during holter monitoring in healthy persons of young age].
Aim of the investigation consisted in to study parameters of " QT-dynamics " in healthy children and adolescents. We examined 26 children aged 7 - 17 years (mean 11,6 +/- 7 years) - 7 girls (9,3 +/- 2,3 years) and 19 boys (12,5 +/- 3,6 years). Holter monitoring with manual and automatic estimation of QT and QTc int...
27,277
[Effect of statins on content of lipids in intima of the human aorta data of computer morphometry].
We carried out pathomorphological study of fragments of the thoracic aorta obtained at aorto coronary bypass surgery in order to elucidate effect of statins on lipid component of vascular wall using the system of computer processing and image analysis. Treatment of patients with ischemic heart disease with statins ...
27,278
[Effect of sex on informative power of various electrocardiographical criteria of left ventricular hypertrophy in patients with excessive body mass].
Aim of the study was to analyze dependence of various voltage parameters of QRS complex on increase of left ventricular myocardial mass (LVMM) in samples of men and women with excessive body mass or obesity. We included data from 223 patients with excessive body mass and diagnosis of stage I - II arterial hypertens...
27,279
[P wave dispersion in hypertensive urgency].
BACKGROUND AND PURPOSE: P wave dispersion (PWD) has been accepted as a predictor for atrial fibrillation (AF) in hypertension and some other cardiac diseases. The aim of this study was to compare the P wave parameters between patients with mild-moderate hypertension and those with hypertensive crises. METHODS: A tot...
27,280
[The study of vasodilative and antiischemic function of nicorandil in regional ischemia and reperfusion of rat heart in vivo].
Aim of the work was to study effect of nicorandil [N-(2-nitrooxiethyl) nicotinamide, SG75] on blood pressure (BP), heart rate (HR) and rhythm disturbances during regional ischemia and reperfusion of the heart in rats in vivo and its ability to limit acute myocardial infarction (MI). Nicorandil was obtained by nitra...
27,281
[The study of therapeutic effect of synthetic bradykinin "gene" contained in retrovirus vector on spontaneously hypertensive rats].
Administration of DNA plasmid pPS-3-neo (brd) with synthetic bradykinin " gene " to 2-days old male spontaneously hypertensive rats (SHR) leads to 2 weeks delay in development of arterial hypertension. Lowering of SBP and positive results of PCR DNA of various organs observed in synthetic bradykinin " gene " transge...
27,282
[Structural-functional parameters of the myocardium in patients with chronic iron deficiency anemia].
Aim of the study was investigation of structural-functional parameters of the myocardium and assessment of segmental diastolic left ventricular function with myocardial tissue dopplerography in 56 patients with iron deficiency anemia (IDA). We studied parameters of structure of the myocardium, its systolodiastolic ...
27,283
[The use of isoosmolar contrast medium for lowering of rate and clinical significance of contrast-induced nephropathy in patients with diabetes mellitus].
As a contrast medium during percutaneous coronary intervention (PCI) we used iodixanol in 31 patients with diabetes mellitus and various degree of impairment of renal excretory function and amidotrizoate - in 12 patients with diabetes mellitus without clinical signs of renal involvement. Blood plasma creatinine (BP...
27,284
[The role of beta-adrenoblockers and If-inhibitor ivabradine in lowering of rate of development of cardiac complications after carotid endarterectomy].
Aim of the study was to assess effect of therapy with b-adrenoblockers and If-inhibitors on the rate of development of coronary complications of carotid endarterectomy. Patients (n=111, mean age 61 +/- 4 years) subjected to carotid endarterectomy in 2006 - 2007 were divided into 3 groups according to therapy in pre...
27,285
[The novel method of assessment of individual total cardiovascular risk for the population of Russia].
Novel innovative technology of assessment of level of total cardiovascular risk with consideration of a broad list of parameters of the state of individual health and its determining factors is described. The proposed model of risk is based on results of 20-year prospective observation of large contingents of popul...
27,286
[High frequency transthoracic echocardiography in diagnosis of chronic occlusions of major coronary arteries].
Comparative analysis of possibilities of transthoracic echocardiography (TTE) and coronary angiography in diagnosis of chronic occlusions of anterior descending (ADA), circumflex (CA), and right coronary (RA) arteries was carried out in 100 patients (90 men, 10 women, mean age 51 +/- 11 years). With the help of TTE...
27,287
[Objective methods of assessment of coronary angiogenesis].
Stimulatiion of coronary angiogenesis in patients with IHD appears to be one of perspective directions in contemporary cardiology. Therefore objective assessment of results with the help of instrumental methods of investigation is important. For assessment of the state of coronary vascular bed and myocardial perfus...
27,288
[Efficacy and safety of enoxaparin use during drug-eluting stents implantation].
We assessed possibility of the use of low molecular heparin enoxaparin during percutaneous coronary interventions (PCI) with implantation of drug eluting stents. Enoxaparin was administered to 225 (0.3 mg/kg intraarterially via catheter) and 215 (0.5 mg/kg intravenously) patients. In comparison group (n=207) we use...
27,289
[Resistance to antiplatelet drugs in patients with non ST elevation acute coronary syndrome].
Rate of resistance to aspirin and clopidogrel was assessed in 44 patients with non ST elevation acute coronary syndrome. Platelet aggregation was studied by method of Born. Criterion of resistance to aspirin was arachidonic acid induced aggregation > or =20%. Patients with lowering of ADP induced aggregation < 10%, ...
27,290
[Clinico-economical efficacy of angiotensin converting enzyme inhibitors in patients with arterial hypertension and ischemic heart disease].
We conducted comparative analysis of clinico-economical efficacy of angiotensin converting enzyme inhibitors as components of combination therapy of patients with arterial hypertension and ischemic heart disease. Clinical efficacy of fosinopril, moexipril, perindopril, and ramipril was comparable: in compared group...
27,291
[Regression of left ventricular hypertrophy and improvement of its diastolic function in patients with arterial hypertension under influence of antihypertensive therapy].
Antihypertensive therapy with sequential addition of drugs (noliprel, noliprel-forte, metoprolol, amlodipine) for achievement of target blood pressure (BP) below 140/90 mm Hg was used in the treatment of 99 patients with arterial hypertension (AH) with (n=51) or without left ventricular (LV) hypertrophy (LVH). At i...
27,292
[Peculiarities of hemostasis, metabolic activity of platelets, and rate of aspirin resistance in patients with chronic heart failure after aorto-coronary bypass surgery].
Aim of the study was to investigate in dynamics peculiarities of hemostasis including platelet aggregation and activity of NADP-dependent dehydrogenases in platelets, as well as prevalence of resistance to aspirin in patients with functional class II-III chronic heart failure (CHF). We determined parameters of vasc...
27,293
[Characteristics of pharmacological and toxic effects of verapamil during cardiac arrhythmia in thyrotoxic and hypothyroid rats].
Aim of this study was to investigate antiarrhythmic and toxic effects of verapamil in mice and rats with thyrotoxicosis and hypothyroidism. We found that changes of thyroid status lead to the increased sensitivity of animals to toxicity of verapamil. At single intraperitoneal introduction of verapamil, LD50 was 118...
27,294
[The problem of complications of percutaneous coronary interventions. Part III. Optimal hemostasis].
Successes in interventional cardioangiology allowed to widen area of application of percutaneous interventions. After broadened anticoagulant and antiplatelet therapy introducers are often withdrawn several hours after procedure. As a consequence exended compression of puncture site is required. This results in inc...
27,295
[Gamma-glytamiltransferase activity and cardiovascular diseases (ischemic heart disease and cerebral stroke)].
To investigate association between gamma-glytamiltransferase levels and the development of CVD. The data were taken from materials of the epidemiological study " Determinants of cardiovascular disease in Eastern Europe " , the HAPPIE project. We investigated representative samples from non-organized population of m...
27,296
[Possibilities of correction of coronary and myocardial reserves in patients with ischemic heart disease by Angiotensin converting enzyme inhibitor perindopril].
AIM. Assessment of possibilities of correction of coronary and myocardial reserves in patients with ischemic heart disease (IHD) by angiotensin converting enzyme inhibitor perindopril included into combination antiischemic therapy. MATERIAL AND METHODS: Antianginal and angioprotective effects of perindopril (8 mg/da...
27,297
[Comparative dynamics of markers of inflammation and NT-proBNP in different variants of treatment of patients with ACS].
STUDY AIM - assessment of dynamics of markers of inflammation (CRP, Il-6, Il-10, TNFa, CD40L, fibrinogen) and N - N in acute coronary syndrome (ACS) as well as analysis of effect of various methods of treatment on level of these parameters. Patient aged 30 - 70 years were included in the study: 52 patients with ACS ...
27,298
[First results of open randomized clinical study of Acridilol in combination therapy of patients with arterial hypertension and obesity or type 2 diabetes (Mellitus-Open Multicenter Clinical Study ACCORD)].
AIM: To study efficacy and safety of a preparation of carvedilol Acridilol (Akrikhin, Russia) in patients with mild and moderate arterial hypertension (AH) and obesity and/or compensated type 2 diabetes mellitus (DM). MATERIAL AND METHODS: Patients (n=592) suffering from mild to moderate AH in combination with DM an...
27,299
[Suppressive effect of recombinant immunomodulator ronkoleukin on the blood level of antiinflammatory cytokines, anticardiolipin autoantibodies and heart failure].
AIM: To elucidate clinical efficacy and immunocorrecting properties of recombinant immunomodulator ronkoleukin in patients with postinfarction cardiac dysfunction with NYHA FC II-III CHF. MATERIAL AND METHODS: In a 6-months prospective comparative clinically controlled study we observed 33 survivors of myocardial in...