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27,400
[Alcohol septal ablation and prevention of sudden cardiac death in patients with hypertrophic cardiomyopathy. A case report].
We discuss approaches to the treatment of patients with hypertrophic cardiomyopathy, problems of prevention of sudden cardiac death in subjects with this pathology, and present results of multicenter study assessing efficacy of cardioverter defibrillator implantation in patients with hypertrophic cardiomyopathy. Sp...
27,401
[Registry of acute coronary syndromes RECORD. Characteristics of patients and results of inhospital treatment].
PURPOSE: As contemporary information on real life management of hospitalized patients (pts) with acute coronary syndromes (ACS) in Russia is lacking we initiated limited ACS registry using no financial and no or minimal administrative support. METHODS: REgistry of acute CORonary synDromes - RECORD is a participants...
27,402
[The use of tirofiban in invasive treatment of patients with non-ST-elevation acute coronary syndrome].
The study assessed 123 patients with non-ST-elevation acute coronary syndrome who were randomized into two groups: percutaneous coronary intervention (PCI) (62 patients) and PCI against background of tirofiban injection (61 patients). The results of the study were estimated during the early (up to 30 days) and the ...
27,403
[An experience of the use of stem cells in the treatment of patients with myocardial infarction and low ejection fraction].
We present our own experience of assessment of effect of cell therapy on functional state of the myocardium in patients with lowered contractile capacity of the left ventricular myocardium. Intracoronary administration of stem cells in acute myocardial infarction is a safe method of treatment. It does not cause add...
27,404
[Effect of angiotensin converting enzyme inhibitors on oxidative stress, endothelial function in patients with myocardial infarction].
We examined 50 patients with acute myocardial infarction (MI) who in dependence on prescription in the content of basic therapy of sulfhydric group containing angiotensin converting enzyme inhibitors (ACEI) zofenopril and captopril were divided into 2 groups each comprizing 25 patients. We studied dynamics of lipid ...
27,405
[Efficacy of therapy with bisoprolol and ivabradine in patients with ischemic heart disease combined with chronic obstructive pulmonary disease assessment of parameters of 24-hour ECG monitoring].
Effect of therapy with 1-adrenoblocker bisoprolol and inhibitor of If channels ivabradine on parameters of 24-hour ECG monitoring (24hECGM) was studied in 64 patients with ischemic heart disease (stable angina) and chronic obstructive pulmonary disease (COPD). At the first stage all patients received bisoprolol. Pa...
27,406
[Right ventricular cardiac failure in hospitalized patients with chronic obstructive pulmonary disease: prevalence and clinical and instrumental characteristics].
The prevalence of right ventricular cardiac failure (CF) and its characteristics were analysed in 326 hospitalized elderly patients with chronic obstructive pulmonary disease (COPD) (average age 70+/-11 years). At admission right ventricular CF was diagnosed in 107 (33%) patients with COPD; its prevalence did not d...
27,407
[Association of Sp4 gene polymorphism with pathological tortuosity of internal carotid arteries].
Aim of the study was identification of genes and their polymorphisms associated with pathological tortuosity (PT) of internal carotid arteries (ICA) for elucidation of etiological causes of this anomaly taking into consideration its high prevalence and clinical significance. We invited for examination 61 families o...
27,408
[Efficacy and safety of bisoprolol in pregnant women with chronic arterial hypertension do not depend on genetic CYP2D6 polymorphism].
The investigation has been conducted with the aim of studying association between polymorphic marker G1846A of CYP2D6 gene and efficacy and safety of bisoprolol in 64 pregnant women with chronic stage I and II hypertension. These women have been under observation during trimesters II and III of pregnancy. Results o...
27,409
[Arterial hypertension, echocardiographically determined left ventricular hypertrophy and N-terminal pro-B type natriuretic peptide levels in women population aged 56-65 years].
Aim of the study was to investigate relationship between arterial hypertension (AH), left ventricular myocardial mass (LVMM), and levels of N-terminal pro-B type natriuretic peptide (pro-NT BNP) in a population of women inhabitants of Tallinn aged 56-65 years. Of 163 women aged 50-59 years who had participated in e...
27,410
[Quality of life of patients with Wolff-Parkinson-White syndrome before and during one year after radiofrequency catheter ablation of accessory pathways].
The paper contains presentation of complex analysis of quality of life (QL) of 140 patients with Wolff-Parkinson-White (WPW) syndrome before and during one year after radiofrequency catheter ablation (RFCA) of accessory pathways (AP) . Assessment of QL was based on the use of nonspecific and specific questionnaires...
27,411
[The use of beta-adrenoblockers in the treatment of arterial hypertension in pregnant women].
We reviewed literature on the application of beta-adrenoblockers for the treatment of arterial hypertension during pregnancy. Decisions concerning administration of various preparations from this group in pregnant women should be taken with consideration of efficacy in correction of hypertension and safety for fetu...
27,412
[Endothelial dysfunction and oxygen binding properties of hemoglobin].
According to results of analysis of literature and carried out studies endothelial dysfunction is associated with impaired formation of NO-derivatives of hemoglobin. This affects not only NO release in various parts of vascular bed but also affinity of hemoglobin to oxygen, and therefore optimal course of blood oxy...
27,413
[Oxidized fibrinogen and its relationship with hemostasis disturbances and endothelial dysfunction during coronary heart disease and myocardial infarction].
The highest oxidative modification of fibrinogen was found in acute myocardial infarction (MI) men and it was 1.26 and 1.56 times higher in comparison with coronary heart disease (CHD) men with anamnesis of MI and with men without CHD, respectively. Increased oxidized fibrinogen level correlated with increased leve...
27,414
[Factors associated with low ankle-brachial index in patients with type 2 diabetes and prediabetes].
PURPOSE: To elucidate factors associated with an established marker of occlusive atherosclerosis of lower extremities - low ankle-brachial index (ABI) - in patients with diabetes mellitus or prediabetes. METHODS: We examined 182 patients with diabetes (n=158), impaired glucose tolerance (n=17), or impaired fasting g...
27,415
[Structural-functional changes of walls of common carotid and brachial arteries in hypertensive disease and ischemic heart disease].
With the help of ultrasound methods of investigation we carried out comparison of structural-functional and hemodynamic properties of common carotid and brachial arteries in patients with hypertensive disease (HD) including those with concomitant ischemic heart disease (IHD) and in subjects of control group. Patien...
27,416
[The use of atorvastatin in patients with rheumatoid arthritis with hyperlipidemia].
AIM: To assess efficacy and tolerability of atorvastatin and its lipid lowering and antiinflammatory effects as well as action on function of endothelium and elastic properties of arteries in patients with rheumatoid arthritis (RA) and hyperlipidemia. MATERIAL: Patients with RA (n=50) were divided into 2 groups. The...
27,417
[Comparative transcriptome analysis of human aorta atherosclerotic lesions and peripheral blood leukocytes from essential hypertension patients].
One of the major cardiovascular risk factor which predisposes to and accelerates atherosclerosis is arterial hypertension (AH). To determine the molecular basis of the crosslink between AH and atherosclerosis for the development of new treatment strategies large-scale transcriptome analysis of the cells implicated ...
27,418
[Possibilities of dopplerography in assessment of functional state of the heart in patients with arterial hypertension with impaired diastolic cardiac function].
The search for reliable Dopplerographic markers of incipient diastolic cardiac failure became especially actual in recent years. We examined 71 patients with II degree arterial hypertension (AH) with Dopplerographical signs of diastolic left ventricular (LV) dysfunction. For the assessment of severity of diastolic ...
27,419
[Effect of arterial hypertension on sexual health of men and their quality of life. Resuts of BOLERO study].
Analysis of results of epidemiological BOLERO study showed that 2/3 of men with uncontrolled arterial hypertension noted problems in sexual life. Severity of problems in this sphere of life of men correlated positively with age, as well as with presence of difficulties at work, increased fatigability, impossibility ...
27,420
[Disturbances of primary hemostasis in patients with dilation cardiomyopathy].
We studied morphological characteristics of platelets and parameters of platelet aggregation in patients with dilation cardiomyopathy. Augmented aggregatory activity of platelets was found in 76% of patients. In blood of majority of patients we found circulating leukocyte-platelet aggregates. This evidenced for dev...
27,421
[Clinical and prognostic significance of left bundle branch block in patients with severe chronic heart failure].
Clinical and prognostic significance of left bundle branch block (LBBB) was investigated in 62 elderly patients with severe chronic heart failure (CHF). In comparison to 93 patients with CHF but without intra-ventricular blocks patients with LBBB demonstrated more frequently atrial fibrillation and left ventricular ...
27,422
[Left bundle of his brunch block as a manifestation of the syndrome of dromotropic insufficiency in patients with chronic heart failure].
Left bundle brunch block (LBBB) is met in approximately 20% of hospitalized patients and in 1/3 of outpatients with chronic heart failure (CHF). Abnormalites of impulse conduction in LBBB promote dyssynchronization, which represent a pathophysiological process which not only worsens ventricular function but also fa...
27,423
[Diagnosis and treatment of disturbances of lipid metabolism in children and adolescents].
It has been demonstrated in prospective and epidemiological studies that excessive consumption of saturated and trans-fats, refined carbohydrates, epidemic of obesity and metabolic syndrome in children and adolescents have prognostic value in relation to development of cardiovascular diseases (CVD) in adults. Pedia...
27,424
[Heart rate and acute coronary syndrome: crosslink mechanisms and possibilities of drug intervention].
Studies in general population, in elderly people, and in groups of patients with arterial hypertension, myocardial infarction, stable coronary heart disease, diabetes mellitus, and after coronary bypass surgery have shown that elevated heart rate (HR) is prognostically unfavorable factor of cardiovascular and total ...
27,425
[The efficacy of external counterpulsation depending on severity of coronary artery lesion].
The aim of our investigation was to assess the efficacy of enhanced external counterpulsation (EECP) in ischemic heart disease (IHD) patients depending on previous by-pass surgery. 30 IHD patients (pts) were treated with EECP using standard protocol (35 hours, 1 hour each procedure). All patients were divided into ...
27,426
[An experience of the use of a fixed atenolol amlodipine combination in real clinical practice: results of multicenter Russian study].
AIM: To assess clinical, hemodynamic efficacy and tolerability of a Fixed Atenolol Amlodipine Combination (FAAC) in patients with arterial 1-3 degree arterial hypertension as mono- or combination therapy. MATERIAL AND METHODS: Antihypertensive efficacy and tolerability of FAAC was investigated in open noncomparative...
27,427
[Prognostic value of plasma levels of N-terminal pro-brain natriuretic peptide and proinflammatory cytokines in patients with heart failure of ischemic etiology].
We included 63 patients with chronic heart failure of ischemic origin (32 with left ventricular ejection fraction less than 40%) into prospective study with average duration of follow-up 27+/-10 months. Relative risk of lethal outcome was significantly increased in patients with initial endsystolic left ventricular...
27,428
[Holter monitoring in healthy children during first days of life].
Aim of the study was to determine dynamics of main parameters of heart rhythm in children during first days of life. Material and methods. We examined 30 healthy newborns (14 boys and 16 girls) aged 1-4 days (2,6+/-1,3 days). Criteria of inclusion were healthy mother, normal course of pregnancy and delivery, gestat...
27,429
[Ser49gly polymorphism as predictor of development of hereditary sick sinus node syndrome].
We demonstrated for the first time on clinico-genetic material an association of hereditary sick sinus node syndrome (SSNS) with polymorphism of beta-adrenorecetor gene. We found that heterozygous variant of Ser49gly of beta-adrenoreceptor gene was significantly more often met in patients with SSNS and their health...
27,430
[Pathogenesis of myocardial hypoxia in patients with metabolic syndrome].
Aims of the study were to determine main pathophysiologic mechanisms of decreased exercise tolerance in patients with metabolic syndrome (MS); to prove the state of hypoxemia by ergospirometry in patients with MS; to reveal with the help of echocardiography lowering of functional activity of the myocardium in MS; t...
27,431
[Normal values of temporal parameters of ECG in children according to results of clinico-epidemiological study ECG-screening of children and adolescents in Russian federation].
In order to obtain reliable information about time-domain ECG parameters in Russian children and to analyse their links with physiological changes the Project "ECG screening of children and adolescents of the Russian Federation" was carried out in 2003-2008. Time domain ECG parameters were studied in the representa...
27,432
[Protective effect of mitochondrial antioxidant SkQl at cardiac ischemia and reperfusion].
Mitochondria are believed to be both main origin and target of oxidative stress in cells. In the present study we used novel mitochondria-targeted antioxidant SkQ1 using triphenylphosphonium cation as a driver. The substance was alimentary given to rats daily during 3 weeks in varying doses, from 0.5 to 250 mol/kg/d...
27,433
[Wolff--Parkinson--White syndrome: classification, clinical manifestations, diagnosis, and treatment].
Main etiological factors, mechanisms of arrhythmogenesis, and classification of Wolff-Parkinson-White (WPW) syndrome are presented and clinico-electrocardiographical and electrophysiological peculiarities of atrioventricular reciprocal tachycardia in this syndrome are described. Main diagnostic measures, principles...
27,434
[Thienopyridines in the treatment and prevention of cardiovascular diseases. Part II. Clinical pharmacology of clopidogrel].
In a series of articles the authors consider clinical pharmacology and experience of clinical application of blockers of platelet P2Y12 receptors, most well known representatives of which ticlopidine and clopidogrel according to chemical structure belong to thienopyridine derivatives. In the second communication we...
27,435
[Value of telemetric support organization in prehospital management of patients with myocardial infarction for delays shortening of thrombolytic therapy].
Aim of the study was to assess efficacy of the use of telemetric support of prehospital thrombolytic therapy (TLT) of myocardial infarction. We observed 206 patients with ST-elevation myocardial infarction (MI). These patients were divided into 2 groups: in one TLT was initiated after admission to hospital, in the ...
27,436
[Efficacy of strict glycemic control in first 24 hours of myocardial infarction in patients with type 2 diabetes mellitus].
The study evaluated the influence of strict glycemic control during first 24 hours of myocardial infarction on 6-months mortality and systolic function of the left ventricle. Of 65 patients with type 2 diabetes mellitus and acute myocardial infarction 30 received 24-hour infusion of short acting insulin and 35 serv...
27,437
[Provision of complex cardioprotection with the help of carvedilol in 1-2 degree arterial hypertension combined with metabolic syndrome].
In an open prospective 16-week study we carried out assessment of clinical efficacy, vaso- and cardioprotective properties of nonselective alpha and beta-adrenoblocker carvedilol used as monotherapy and in combination with nifedipine or as combination of these drugs with metformin and simvastatin. We have shown tha...
27,438
[Sudden out of hospital cardiac death in children, adolescents, and subjects younger than 45 years].
Aim of this study was determination of incidence and structure of sudden out of hospital cardiac death (SCD) in subjects aged 1-45 years in Moscow. We analyzed rate and structure of SD among persons who had succumbed in 2005-2007 in several districts of Moscow with population of 2,502,836. Of the total number of 19,...
27,439
[Dietary SkQ1 supplement reduces myocardial ischemia- reperfusion injury in rats in vivo].
To examine whether nutritional supplementation with SkQ1 can reduce myocardial ischemia-reperfusion injury in vivo, Wistar rats were fed a regular diet supplemented with different doses of SkQ1 for two or three weeks. Control groups of rats were fed the same diet supplemented with NaBr. Anaesthetized rats were subj...
27,440
[Prevention and correction of cognitive disorders in arterial hypertension].
In this review we systematized literature data illuminating problems of prevention and correction of cognitive disorders in patients with arterial hypertension (AH). On the basis of results of multicenter randomized studies we have demonstrated close interrelationship between cardiac and cerebral pathology and valu...
27,441
[The syndrome of mitral regurgitation in patients with chronic heart failure].
Functional mitral regurgitation is a frequent complication of severe course of ischemic heart disease and plays a role of no small importance in origin and progression of chronic heart failure (CHF). Severe degree of mitral regurgitation is found in 18.9%, moderate - in 29.7% of patients with systolic left ventricu...
27,442
[Immediate and remote results after percutaneous transluminal coronary angioplasty and coronary bypass surgery in patients with multivascular involvement of coronary arteries].
Relatively little time has passed since elaboration and introduction of coronary angioplasty however interventional cardiology in these years has made a swift leap in its development. Initially coronary interventions were carried out only on isolated proximal stenoses but later interventions became to be performed o...
27,443
[Effect of myocardial revascularization on dynamics of factors of angiogenesis in patients with ischemic heart disease].
Aim of the study was to assess effect of myocardial revascularization on levels of factors of angiogenesis in early and remote period after intervention. Main group comprised 228 patients with ischemic heart disease (n=228, 194 men, 34 women, mean age 57+/-8.7 years). Coronary bypass surgery was carried out in 29 p...
27,444
[Effect of arterial stiffness on development of cardio-vascular complications in ischemic heart disease].
With the aim to assess effect of arterial wall stiffness on prognosis of patients with stable form of ischemic heart disease (IHD) we included 224 men (mean age 56.2+/-8.9 years) with confirmed IND in a long-term prospective study. Pulse wave velocity was measured with brachial-ankle method (PWVba), presence of lef...
27,445
[Reactions of sympatho-adrenal system in patients with ischemic heart disease during emotional stress in dependence on the personality type].
The object of the study was to show the relationship between emotional stress and excitation of the sympathoadrenal system in healthy subjects and patients with coronary heart disease (CHD). Seventy eight healthy subjects and 40 CHD patients of the II-III functional class were under medical observation. Emotional t...
27,446
[Phenotypes of arterial pressure in young men].
AIM: To study with the use of repetitive clinical measurements and 24-hour arterial pressure (AP) monitoring phenotypes of AP in young men aged 18-25 years with history of elevation of AP at accidental determination. MATERIAL AND METHODS: We examined 194 young men (mean age 21.1+/-2.1 years) because of detection of ...
27,447
[N-terminal pro-brain natriuretic peptide and cardiac involvement in patients with hypertensive disease].
The purpose of this study was to define a correlation between N-terminal proBNP level and extent of cardiac abnormalities. A total of 40 patients with hypertension were included in the study (60.5+/-7.6 years of age; 18 men, 22 women). It was found that patients with hypertension had increased plasma N-terminal pro...
27,448
[Aorto-coronary bypass grafting in patients with pronounced left ventricular dysfunction: long-term results and value of detection of viable myocardium].
Aim of the study was to investigate effect of volume of viable myocardium as detected by stress-echocardiography on functional class and survival of patients with pronounced left ventricular dysfunction after aorto-coronary bypass grafting (ACBG). We made retrospective analysis of clinical and echocardiographic dat...
27,449
[Effects of dinitrosyl iron complex on metabolism and cellular membranes in ischemic rat heart].
Effects of exogenous NO donor--dinitrosyl iron complex with reduced glutathione (DNIC-GS) on functional recovery of isolated perfused rat heart subjected to global ischemia and reperfusion have been studied. DNIC-GS administration after ischemia substantially improved contractile and pump function recovery within a ...
27,450
[Intravascular ultrasound investigation with virtual hystology in the study of coronary artery lesions].
Spectral analysis of radiofrequency data obtained at intravascular ultrasound study allows to carry out more detailed analysis and morphological assessment of plaque components. In the course of preliminary investigations in vitro 4 types of reflected signals were revealed. According to results of spectral analysis ...
27,451
[Thienopyridines in the treatment and prevention of cardiovascular diseases. III. therapeutic application of clopidogrel as monotherapy (without acetylsalicylic acid)].
In a series of articles the authors consider clinical pharmacology and experience of clinical application of blockers of platelet P2Y12 receptors, most well known representatives of which ticlopidine and clopidogrel according to chemical structure belong to thienopyridine derivatives. In the third communication we ...
27,452
[Thienopyridines in the treatment and prevention of cardiovascular diseases. Part IV. therapeutic application of clopidogrel in combination with acetylsalicylic acid in acute coronary syndromes and percutaneous coronary interventions].
In a series of articles the authors consider clinical pharmacology and experience of clinical application of blockers of platelet P2Y12 receptors, most well known representatives of which ticlopidine and clopidogrel according to chemical structure belong to thienopyridine derivatives. In the forth communication we ...
27,453
[Adipose tissue inflammation and atherosclerosis].
Adipose tissue is an endocrine organ secreting more than 30 various adipokines which regulate wide spectrum of metabolic and immune processes. Obesity is associated with development of adipose tissue inflammation. This inflammation is characterized by infiltration with macrophages, alterations of adipokine secretio...
27,454
[Mitral valve remodeling in patients with acute myocardial infarction and ischemic mitral regurgitation].
We have studied alterations of mitral valve geometry and quantitative parameters of mitral regurgitation in 130 patients with acute myocardial infarction in acute and subacute stages of the disease. Quantitative data of mitral regurgitation have been assessed using two quantitative Doppler techniques--proximal isov...
27,455
[Parameters of heart rhythm variability and QT-interval in patients with ischemic heart disease and type 2 diabetes].
We studied parameters of heart rhythm variability and QT intervals in 141 patients (mean age 52.4 +/- 7.3 years) with unstable angina and acute myocardial infarction; 101 of these patients (71.6%) had type 2 diabetes. We found that in patients with diabetes parameters RRNN, LF and LF/HF were significantly lower. In...
27,456
[Causes of reoperations and their outcomes in patients with the Marfan's syndrome after correction of the ascending aorta aneurysm and aortic insufficiency].
Aim of the study was to elucidate causes of repeat operations and their outcomes in patients with the Marfan's syndrome. Between December 1972 and January 2009 60 patients with Marfan's syndrome were operated for aneurysm of the ascending aorta and aortic insufficiency. All patients were subjected to ascending aorta...
27,457
[Unfavorable effect of the period of new year holidays on total and cardiovascular mortality].
We studied effect of the period of new year holydays on parameters of total and cardiovascular mortality. We analyzed all registered deaths in Kemerovo from 01.01.1998 to 31.12.2001 using data of the Kemerovo registry office (ZAGS). In time interval from 21 December to January 10 of each year there were 1830 deaths ...
27,458
[Dynamics of prevalence of arterial hypertension and other risk factors of development of cardiovascular diseases in female population of Tallin (10 year prospective study)].
Aim of the study was to assess dynamics of prevalence of arterial hypertension (AH) and main cardiovascular risk factors (RF) in a women population of Tallin during 10 years of follow up. In 2008-2009 we repeated measurements of arterial pressure (AP), electrocardiographic, echocardiographic, and complex laboratory ...
27,459
[Comparative clinical and anatomic characteristic of patients with patent foramen ovale in cryptogenic and noncryptogenic stroke].
In order to study anatomical and functional characteristics of patent foramen ovale (PFO) in patients with cryptogenic stroke and with other stroke subtypes we examined 56 stroke patients (male--35, female--21, age 46.7 +/- 16.5 years) with PFO and ischemic stroke. Diagnosis of PFO was made by transesophageal echoc...
27,460
[Value of pleiotropic effects of angiotensin-converting enzyme inhibitors].
Recently the pleiotropic effects of angiotensin-converting enzyme inhibitors which lay beyond their pure antihypertensive effects are widely discussed. Antiproliferative, antiatherosclerotic, antiproliferative and antiarrhythmic properties, as well as positive effects on hemostasis and endothelial function allows a...
27,461
[Antianginal efficacy and tolerability of ivabradine in the therapy of patients with stable angina: results of the CONTROL study].
Control of heart rate (HR) is an important target during treatment of patients with stable angina. In a number of cases it can be achieved by the use of beta-adrenoblockers. But often a necessity arises to enhance pulse slowing therapy with the use of combinations of drugs exerting negative chronotropic effect. We ...
27,462
[Detection of erectile dysfunction and peculiarities of its treatment in men with high cardiovascular risk].
It has been demonstrated in a series of studies that erectile dysfunction (ED) appears to be one of risk factors and predictors of ischemic heart disease (IHD). According to the SSRC PM data in a cohort of 300 men with high cardiovascular risk ED was diagnosed in 61% of cases, while among 300 men with verified diag...
27,463
[Modern aspects of war against smoking: are there any opportunities left?].
The war against smoking requires taking immediate measures because of the growing spread and severe consequences. All minuses and pluses of the Mass Media are underlined in this article. Anti-smoking technical means should to meet the following requirements: (1) each inhalation of cigarette smoke should be carried ...
27,464
[Antiarrhythmic activity of omega-3 polyunsaturated fatty acids in patients with stable ischemic heart disease and ventricular rhythm disturbances].
The purpose of this investigation is to evaluate the influence of purified highly-concentrated omega-3 polyunsaturated fatty acids (90% omega-3 polyunsaturated fatty acids 1 g/day) on the severe ventricular arrythmias in patients with stable coronary heart disease (CHD) without concomitant left ventricular contract...
27,465
[Dynamics of biochemical markers of reparative fibrosis in uncomplicated course of myocardial infarction].
Dynamics of biochemical markers of reparative fibrosis in patients with myocardial infarction (MI) with complicated course did not differ from that in the group of patients without complications. Development of complications was associated with elevation of blood serum content of glucosaminoglycans in phase 3 of re...
27,466
[Efficacy of shock-wave therapy in the treatment of chronic ischemic heart failure].
INTRODUCTION: Shock-wave therapy (SWT) has proved its efficacy and safety in a number of studies in stable effort angina. METHODS: Twenty-four patients (20 men, 4 women; mean age 63.3 +/- 6.1 years) with chronic heart failure (CHF) of ischemic origin (>6 months after AMI) and left ventricular (LV) ejection fraction ...
27,467
[Qualitative and quantitative changes of circulating in blood endotheliocyte precursor cells in patients with hypercholesterolemia].
Aim of this study was elucidation of diagnostic value of qualitative and quantitative parameters of circulating endotheliocyte precursor cells (EPC), in the state of apoptosis (apoptotic endotheliocytes A AE), as well as effect of main risk factors on the studied parameters in patients with coronary atherosclerosis...
27,468
[Neonatal gastroenteritis triggers long-term cardiomyocyte atrophy, remodeling and irreversible hyperpolyploidization].
Growth retardation, inflammation and cardiac overload in early childhood are linked with hypertension and infarction in adults. This link was termed as developmental programming. Exact mechanisms and critical time frames for development of the heart are still unknown. To elucidate these questions, we developed a mo...
27,469
[Acute and postponed action of adriamycin on the contractile function and antioxidant status of the myocardium].
Functional, biochemical and morphological studies of rat cardiac muscle after single injection of adriamycin (2.2 mg/kg) were carried out. The myocardium was taken for studies in 2 hours and in 2-3 weeks after adriamycin injection. The isolated heart was perfused retrogradely with Krebs solution and left ventricula...
27,470
[Independent predictors of deep vein thrombosis (results of prospective 18 months study)].
We followed for 18 months 90 patients who had had deep vein thrombosis (DVE) and/or pulmonary embolism (PE) and received therapy with anticoagulants either for 3-12 months or for indefinitely long time. During follow-up rate of recurrent DVE was 16.7%, no recurrences of PE were registered. Predictors of recurrent P...
27,471
[Interrelationship between antibodies to enzymes of antioxidant system and cardiac involvement in patients with systemic scleroderma].
In blood of patients with systemic scleroderma we detected antibodies to the antioxidant system enzymes. Level of specific immunoglobulins rose with increase of the disease activity. Antioxidant system of the body is represented by a number of enzymes called to negate pathogenic effect of active forms of oxygen. In...
27,472
[Evolution of oral drug forms of metoprolol: advantages of long acting modified release forms with modified release].
Review oral modified release drug forms of beta-adrenoblocker metoprolol which is used in arterial hypertension and ischemic heart disease is presented. Metoprolol has salts such as tartrate which is used for production of immediate release (IR) and sustained release (SR) forms and succinate used for production of ...
27,473
[Myocardial hypertrophy in patients with hypertensive disease: the role of genetic polymorphism of beta-adrenoreactive structures].
Aim of the study was investigation of association of polymorphic markers Gly389Arg and Ser49Gly of ADRB1 gene, Gly1l6Arg and Glu27Gln of ADRB2 gene, Trp64Arg of ADRB3 gene, and 825 of GNB3 gene with structural and functional peculiarities of the left ventricular (LV) myocardium in patients with hypertensive disease...
27,474
[Evaluation of long-term therapy influence with angiotensin converting enzyme inhibitor lisinopril on morphofunctional parameters of the left ventricle, peripheral artery endothelium disfunction and painless myocardial ischemia in premenopausal women with hypertension].
Aim of the study was to assess influence of long-term therapy with angiotensin converting enzyme inhibitor lisinopril on morphofunctional parameters of the left ventricle (LV) and painless myocardial ischemia in 109 premenopausal women with stage II hypertension depending on functional state of peripheral artery en...
27,475
[Comparison of transthoracic, transesophageal, and intracardiac echocardiography sensitivity for guiding transseptal puncture during radiofrequency ablation in the left atrium].
The paper contains comparison of sensitivity and rates of false negative results of transthoracic (TT), transesophageal (TE), and intracardiac (IC) echocardiography (echoCG) during transseptal puncture in the run of the procedure of radiofrequency ablation of atrial fibrillation. In the work fulfilled we analyzed r...
27,476
[Stromal progenitor cells and blood leukocytes after implantation of drug-eluting stents].
Aim of the study was to assess participation in development of restenosis of circulating in blood progenitor cells of stromal line of differentiation and polymorphonuclear granulocytes. We compared levels of osteonectin positive progenitor cells, neutrophils, eosinophils, and basophils in blood of patients with isc...
27,477
[Disturbances of homocysteine metabolism as a risk factor of cardiovascular diseases development: effect on prognosis and possibilities of correction with drugs].
Classical risk factors of development of cardiovascular diseases does not allow to detect all persons needing active prevention. Because of this reason great attention is given to novel biomarkers one of which is homocysteine. Most widely-spread causes of elevation of homocysteine level are such factors as deficit ...
27,478
[Acute coronary syndrome with ST segment depression on ECG: novel outlook of an old problem].
The lecture is devoted to morphological manifestations, clinical and prognostic features of acute coronary syndrome (ACS) with ST segment depressions on ECG. We have studied peculiarities of clinical course of this variant of ACS and its outcomes in 501 patients and suggested a scheme for stratification of patients ...
27,479
[Contemporary approaches to echocardiographic assessment of left heart ventricle diastolic function].
Recommendations on echocardiographic diagnosis of diastolic function of the left ventricle of the heart are analyzed in this paper. Possibilities of echocardiography for early detection of disturbances of left ventricular relaxation and of pronounced derangements of diastolic function are shown. Difficulties of dia...
27,480
[Spousal concordance for factors related to metabolic syndrome in families of patients with premature coronary heart disease].
PURPOSE: To elucidate risk factors concordance between spouses in families of patients with "premature" coronary heart disease (CHD). METHODS: We examined 174 spouse pairs. There were 174 probands with "premature" (onset before 55 years) CHD aged 32-63 years and 174 their spouses aged 28-63 years. Among probands 18....
27,481
[Analysis of polymorphism of three positions of promoter region of TNF- gene in patients with ischemic heart disease, unstable angina and myocardial infarction].
We studied polymorphism of three positions of promoter region of TNF alpha gene in patients with ischemic heart disease (IHD), development of unstable angina (UA) and acute myocardial infarction (MI). Analysis of frequencies of genotypes in position A308 showed that heterozygotness in patients with cardiovascular d...
27,482
[Peculiarities of dynamics and prognostic value of NT-proBNP level in different variants of treatment of patients with acute coronary syndrome].
Aim of the study was to assess dynamics of NT proBNP in ACS as well as to analyze effect of different methods of treatment on the level of the parameter and its prognostic value. MATERIAL AND METHODS: Patients aged 30-70 years were included into the study: 52 patients with ST segment elevation ACS (STEACS), 61 patie...
27,483
[Non-ST-elevation acute coronary syndrome. Comparison of effects of atorvastatin and rosuvastatin on blood levels of lipids and markers of inflammation].
Data on rapid effects of statins in patients (pts) with acute coronary syndrome (ACS) are mostly from trials of atorvastatin (ATO). We hypothesized that due to high potency 10 mg of rosuvastatin (ROS) would produce same changes of lipids and inflammation markers as 40 mg ATO. METHODS: We openly randomized 53 pts (69...
27,484
[Prognostic value of cardiovascular autonomic neuropathy in patients with combination type 2 diabetes mellitus and chronic heart failure].
Type 2 diabetes mellitus (DM) is often combined with chronic heart failure (CHF). Cardiovascular autonomic neuropathy (CAN) is widely spread complication of DM. In this work we studied effect of CAN on the course of CHF in patients with type 2 DM. We have shown unfavorable effect of CAN on the rate of development o...
27,485
[Application of methods of renal replacement therapy for abolishment of hyperhydration in patients with decompensated chronic heart failure].
Slow continuous ultrafiltration (SCUF), continuous veno venous haemofiltration (CVVHF) are alternative to diuretics methods of treatment of patients with chronic heart failure (CHF), edematous syndrome. METHODS: Patients of both sexes aged 30-82 years with functional class II-IV CHF were included because of decompen...
27,486
[Characteristics of central pulse wave in young men with various phenotypes of arterial pressure].
In this work we compared parameters of central arterial pressure (AP) on the basis of analysis of pulse wave in young men in dependence of AP phenotype determined by repetitive clinical measurements and 24 hour AP monitoring (24HAPM). Comparison of characteristics of central pulse wave was carried out in 12 men wit...
27,487
[ATR1 gene polymorphism in patients with hypertrophic cardiomyopathy and hypertensive heart].
Aim of the study was analysis of dependence of clinical picture and degree of severity of left ventricular hypertrophy (LVH) on polymorphism A/C of ATR1 gene in patients with hypertrophic cardiomyopathy (HCMP) and hypertensive disease (HD). With the method of polymerase chain reaction genotyping for polymorphic mar...
27,488
[Relationship between activity of fibrinolysis, parameters of lipid spectrum and carbohydrate metabolism].
In this work analysis of results of a prospective populational cohort study "Stress and health in Russia" is presented. We included in the study inhabitants of Moscow randomly sampled from the population of men and women aged > or =55 years. Aim of the present work consisted in the study of relationship of activity...
27,489
[Mechanism of stimulation of angiogenesis in ischemic myocardium with the help of adipose tissue stromal cells].
Stromal cells from subcutaneous adipose tissue (adipose derived stromal cells - ASCs) are perspective for cell therapy of ischemic states because of ability to stimulate growth of vessels. For the elucidation of mechanisms of angiogenic action of ASCs we used the model of co-cultivation of ASCs with cells isolated ...
27,490
[Optimal method of revascularization in patients with multivessel coronary artery involvement for application of drug eluting stents: percutaneous coronary interventions in comparison with coronary bypassing].
Drug eluting stents (DES) which appeared in the beginning of 21-st century allowed to elevated percutaneous coronary interventions (PCI) to a novel level. High efficacy of DES has been proven in a row of conducted clinical studies: after their implantation low percentage of in stent restenosis and low rate of repet...
27,491
[In-hospital and long-term (to 3 years) results of using bare-metal stents in patients with coronary artery disease and chronic kidney disease].
Patients (n=727) who had been subjected to implantation of one or several standard stents in 2004 were included into this study. These patients were divided into 3 groups according to initial level of glomerular filtration rate (GFR, MDRD equation): group 1 - 466 patients with GFR >60 ml/min/1,73 m(2), group 2 - 23...
27,492
[Effect of beta-adrenoblockers on remodeling of myocardium and adhesive function of endothelium in patients with ischemic heart disease, complicated with chronic heart failure and atrial fibrillation].
AIM: To elucidate effect of adrenoblockers on remodeling of myocardium and adhesive function of endothelium in with ischemic heart disease with chronic heart failure (CHF) and addition of atrial fibrillation (AF). MATERIAL AND METHODS: We included into the study 77 patients with functional class II-III CHF and AF of...
27,493
[Right ventricular remodeling after myocardial infarctions of different location].
AIM: To study dynamic dimensional and functional changes of both ventricles after myocardial infarctions (MI) of different locations. MATERIAL AND METHODS: Patients with first acute ST elevation MI (n=180) were distribution to 3 groups: anterior (AMI), inferior (IMI), and posterolateral (PLMI). EchoCG dimensional pa...
27,494
[Own and parental predictors of arterial prehypertension and hypertension in children of persons with premature coronary heart disease].
AIM: to elucidate own and parental predictors of arterial prehypertension (PreHT) and hypertension (HT) in children of patients with premature manifested before 55 years in men or before 60 years in women) coronary heart disease (CHD). METHODS: We surveyed 276 families: 258 probands parents with premature CHD, thei...
27,495
[Comparison of dysrhythmias in women with hypertension in the period of premenopause and in late fertile period with altered hormonal background in dependence on the variant of left ventricular modeling].
We carried out 24 hour Holter ECG monitoring in 106 women with hypertension in the period of premenopause and in late fertile period with altered hormonal background. Comparative analysis of character and structure of dysrhythmias showed that supraventricular premature beats including rapid and allorhythmic extrasy...
27,496
[Pulmonary involvement in patients with hypertensive disease].
METHODS: Parameters of spirometry, body plethysmography, and pulmonary diffusion capacity were measured in 46 patients (age 35-60 years, 40 men, 6 women) with stage I-II hypertensive disease (HD) without bronchial and pulmonary diseases, systolic dysfunction of left ventricular myocardium, obesity, current or past ...
27,497
[Possibilities of atorvastatin in complex management of extensive psoriasis in patients with arterial hypertension].
Efficacy and safety of the use of atorvastatin in complex treatment of extensive psoriasis was studied in 63 patients with psoriasis and arterial hypertension (AH). Complex clinical functional examination was carried out at study entry and after 6 months of treatment. Psoriasis severity was evaluated with PASI scale...
27,498
[Functional state of arterioles in patients with essential hypertension and arterial hypertension developed at the background of diabetes mellitus].
With the aim of studying linear velocity characteristics of arteriolar blood flow and reactivity of arterioles we examined 80 patients with essential arterial hypertension (AH), 83 patients with type 2 diabetes mellitus (DM) with concomitant AH, and 63 healthy people. In all patients examination included ultrasound...
27,499
[Clinical-morphological changes of venous system of the heart in dependence on the stage of chronic heart failure].
Cardiac venous system (CVS) in chronic heart failure (CHF) undergoes whole row of morpho functional changes, but investigations of CVS are practically absent. We studied CVS of patients with Doppler echocardiography and magnetic computer tomography of the heart. The state of peripheral venous system was assessed by ...