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27,500
[Remote clinical results of treatment of atrioventricular nodal reciprocated with the use of novel and traditional methods of radiofrequency catheter ablation of slow part pathway of atrioventricular junction].
Remote results of radiofrequency catheter ablation (RFCA) - modification of "slow" part pathway of atrioventricular junction (AVJ) in patients with typical form of atrioventricular nodal reciprocal reciprocated tachycardia (AVNRT), carried out on the basis bi and monopolar recording of electrical activity of fibers...
27,501
[Profiles of genotypes of familial hypertrophic cardiomyopathy according to data of clinical studies].
With the aim of studying clinical profiles of hereditary cases of hypertrophic cardiomyopathy (HCMP) we examined 64 patients with HCMP of both sexes (mean age 43.8+/-11.7 years). Genealogy of 40 patients (62.5%) revealed no cases of the disease among first degree relatives. They were defined as sporadic forms of HC...
27,502
[Possibility of the thermographic method for detection of ischemic myocardium].
Thermography (TG) is used as a contact free method for investigation of the myocardium ischemic injury. In coronary bypass surgery without artificial blood circulation it is important to know how cessation of blood supply affects the myocardium. In experiments on working heart, TG allows monitoring temperature at t...
27,503
[Physical training with the use of electrostimulation of skeletal muscles in cardiology].
Conduction of programs of physical rehabilitation is impeded in most severely ill cardiological patients. A method of training with the use of electrostimulation of skeletal muscles (ESM) has been suggested recently for this category of patients. This review contains detailed description of effects of ESM in patien...
27,504
[The role of reduction of glomerular filtration rate in outcomes of drug-eluting stents implantation in patients with ischemic heart disease and chronic kidney disease].
Patients (n=432) subjected to percutaneous coronary interventions (PCI) with implantation of one or more drug eluting stents (DES) in 2005 were included in this study. These patients were divided into 3 groups according to baseline glomerular filtration rate (GFR): group 1 - GFR 60 ml/min/1.73 m2, n=271, group 2 - ...
27,505
[Independent diagnostic value of microalbuminuria and calculated glomerular filtration rate in patients with arterial hypertension for detection of subclinical renal involvement].
In 734 patients with arterial hypertension without established diseases of cardiovascular system (including 158 patients with diabetes mellitus) we compared various methods of assessment of functional state of the kidney (microalbuminuria, creatinine, calculation of creatinine clearance and glomerular filtration ra...
27,506
[Function of endothelium and feto-utero-placental blood flow in pregnant women with arterial hypertension].
Aim of the study was to investigate function of endothelium and utero feto placental blood flow in pregnant women with various degree of arterial hypertension as well as effect of nifedipine SR/GITS and bisoprolol on arterial pressure level, brachial artery endothelium dependent vasodilation (EDVD), level of von Wi...
27,507
[Polymorphism of eNOS and iNOS Genes and Chronic Heart Failure in Patients With Ischemic Heart Disease].
URGENCY: Despite substantial progress in the treatment of coronary heart disease (CHD) and chronic heart failure (CHF) prognosis in these conditions remains extremely serious. This warrants their timely prevention and early detection. Aim. To study influence of inducible NO synthase (iNOS) (CCTTT)n, Glu298Asp and d...
27,508
[Changes of repolarization properties of the right ventricle in hypertensive left ventricular hypertrophy].
Repolarization properties of left ventricular (LV) myocardium change during its hypertrophy of various genesis. Aim of this work was to study repolarization of epicardial surface of the right ventricle (RV) in experimental model of LV hypertrophy caused by renovascular hypertension in rats. We registered 32 unipola...
27,509
[Which of algorithms of warfarin dosing based on results of pharmacogenetic testing is suitable for patients in Russia].
Aim of the work was selection of optimal for patients in Russia algorithm of warfarin dosing based on results of pharmacogenomic testing. We analyzed data from 78 patients aged 63.4+/-9.4 years with known CYP29 and VKORC1 genotypes who had participated in an earlier retrospective study in which they received warfar...
27,510
[Contractility of the left ventricle of the human heart noninvasive measurement in each cardiac cycle].
History of development of the method of measurement of duration of the preejection (DPE) period - characteristic of left ventricular (LV) contractility is presented. On the basis of physiological prerequisites a novel computerized method of DPE measurement in each consecutive cardiocycle has been created. Distinct ...
27,511
[Persistent organic pollutants and atherosclerosis. Are there sufficient facts to draw the ultimate conclusions].
In recent years, there has been a growing number of scientific publications examining the role of environmental factors, such as persistent organic pollutants (POPs), in the development of atherosclerosis and atherosclerosis associated diseases. POPs are synthetic lipophilic toxic compounds which are resistant to d...
27,512
[Typical atrial flutter: classification, clinical manifestations, diagnosis, and treatment].
Main etiological factors, mechanisms of arrhythmogenesis and classification of atrial flutter (AFl) are presented. Clinical electrocardiographical and electrophysiological features of typical AFl are described. Main diagnostic measures are delineated and principles of tactical approach to management of patients wit...
27,513
[Contemporary approaches to nondrug correction of hypercholesterolemia].
Hypercholesterolemia (HCE) together with arterial hypertension and smoking belongs to three most powerful risk factors of cardiovascular diseases. Dietetic correction of HCE includes limitation of consumption of animal fat containing cholesterol, saturated and trans fatty acids, limitation of other cholesterol cont...
27,514
[Antiplatelet therapy in coronary heart disease. Some problems and achivements].
Standard double antiplatelet therapy (aspirin plus clopidogrel) used in patients with coronary artery disease during acute coronary syndromes (ACS) and/or in conjunction with percutaneous coronary interventions (PCI) has some limitations. Relatively large proportion of patients has "laboratory" resistance to clopid...
27,515
[Glycoprotein IIb-IIIa antagonist Monafram in primary angioplasty of patients with acute coronary syndrome without st segment elevation].
Glycoprotein (GP) llb-llla anagonist monafram is the F(ab)2 fragments of anti GP llb llla monoclonal antibody FraMon (CRC64). Efficacy and safety of monafram in primary coronary angioplasty of patients with acute coronary syndrome without ST segment elevation (non ST ACS) was evaluated in this study. Monafram was i...
27,516
[Analysis of morpho-functional parameters of the heart and polymorphisms of Renin-Angiotensin-aldosterone system genes in patients with different variants of the course of hypertrophic cardiomyopathy].
BACKGROUND: Clinical course and prognosis of a hereditary myocardial disease hypertrophic cardiomyopathy (HCMP) is determined by multiple factors most of which have genetic nature. AIM: To study morpho functional parameters of the heart and polymorphisms of renin angiotensin aldosterone system genes in patients with...
27,517
[Clinical, hemodynamic and neurohumoral effects of switching patients with chronic heart failure from not recommended -adrenoblockers to bisoprolol in ambulatory practice].
At present only bisoprolol, metoprolol succinate, nebivolol, and carvedilol are considered to be beta adrenoblockers with proven efficacy relative to course and prognosis of chronic heart failure (CHF). However in real clinical practice most patients continue to receive preparations which are not recommended for ap...
27,518
[Ischemic preconditioning and metabolism of myocardial adrenaline].
We implanted under urethane narcosis microdialysis probes into myocardium of Wistar rats. In experimental group we used ischemic preconditioning. After this left descending coronary artery was occluded for 60 minutes and then reperfused for 60 min. In control group prolonged occlusion was preceded by 30 min of rest....
27,519
[Motor protein Kinesin-6 and ischemic heart disease].
The review describes possible role of kinesins in development of coronary heart disease and efficacy of treatment with statins. Fourty five kinesins are represented in human body making up a superfamily of universal and simplest motor proteins which are expressed almost in all tissues. Level of kinesin 6 is 5% high...
27,520
[Ischemic postconditioning of the heart. Receptor mechanisms and possibility of clinical use].
The authors of the review have analyzed papers published during last six years on the problem of ischemic postconditioning of the heart. Postconditioning has been shown to decrease infarct size, prevent apoptosis of cardiomyocytes, improve cardiac contractility in reperfusion period, prevent appearance of reperfusi...
27,521
[Cistatin C as a novel marker of renal function impairement and cardiovascular risk].
Impairment of renal function beginning from subclinical stages is independent risk factor of development of cardiovascular diseases and cardiovascular death. Cystatin C is considered in recent years as an alternative marker of functional state of the kidney and risk of development of cardiovascular diseases. Cystati...
27,522
[Contemporary concepts of the role of inflammation in atherosclerosis].
We present in this article main theories of development of atherosclerosis and modern views of the role of inflammation in atherogenesis. We have conducted a review of studies of the role of endothelial local factors such as accumulation of smooth muscle cells, T and B lymphocytes, macrophages, matrix metalloprotei...
27,523
[The RECORD registry. Treatment of patients with acute coronary syndromes in hospitals with and without possibilities to perform invasive coronary procedures].
The participants initiated RECORD registry in Russia recruited 796 patients (pts) with ST elevation (STE, n=256) and non ST elevation (NSTE, n=550) acute coronary syndrome (ACS) between 11.2007 and 02.2008. Ten of 18 participating hospitals (H) had facilities for coronary angiography and revascularization (invasive...
27,524
[Predictors of coronary adverse events in patients with acute coronary syndrome with ST segment elevation treated with percutaneous coronary interventions with stenting].
OBJECTIVE: The aim of this 12 months observational study was to investigate risk factors of major adverse coronary events, such as death or Q wave myocardial infarction due to stent thrombosis or in stent restenosis. MATERIAL AND METHODS: One hundred fifty four patients with ST segment elevation acute coronary syndr...
27,525
[Cardiorenal interrelationships in elderly patients with arterial hypertension].
AIM: To study clinico functional characteristics of the kidney and cardiovascular system in elderly patients with arterial hypertension (AH) in comparison with corresponding data from young and middle age patients with AH. MATERIAL AND METHODS: We examined 142 patients with AH (110 patients aged 60 years and 32 pati...
27,526
[The role of modification of fatty acid composition of erythrocyte lipids in pathogenesis of arterial hypertension].
We used liquid chromatography for analysis of fatty acids (FA) in lipids of erythrocytes of patients with hypertensive disease (HD) with normo- (group 1) and hyperlipidemia (group 2). Abnormalities of FA composition of erythrocyte lipids were revealed in both groups. In group 1 we found deficit of polyenic acids of...
27,527
[Atrial fibrillation in patients with type 2 diabetes mellitus: specific features of development and antirecurrence therapy].
We examined 212 patients aged 52-70 years with persistent symptomatic atrial fibrillation (AF). Comparison of AF substrates in patients with (n=26) and without (n=27) type 2 diabetes mellitus (DM2) revealed slowing of intraatrial conduction, increased vulnerability of atria, and more pronounced worsening of left ve...
27,528
[Some special characteristics of vascular reactivity in heart failure].
We determined parameters of elasticity of peripheral arteries in patients with heart failure (HF) including those with pulmonary arterial hypertension. We also investigated pulmonary artery responses to vasoconstricting factors in vitro. Reactivity of the aorta and carotid artery was studied on the model of experim...
27,529
[Risk of cardiovascular death and social status in the Tumen cohort: results 12 years prospective study].
In an open Tumen population we assessed associations of relative risk (RR) of death of cardiovascular diseases with characteristics of social status: level of education, occupation, and marital status. Risk of cardiovascular death in female and male population was the highest among persons with low level of educati...
27,530
[Ionic mechanisms of action of class III antiarrhythmic drugs].
In this review we discuss mechanisms of antiarrhythmic and adverse proarrhythmic action of class III drugs. Special attention is given to ionic currents and channels which determine specific features of their effects (IKr, IKa, IKur). We consider general patterns of changes of bioelectrical activity in atria and ve...
27,531
[Percutaneous coronary interventions in patients with acute myocardial infarction after successful thrombolysis].
In 259 patients with acute myocardial infarction admitted to N.V. Sklifosofsky Institute of Urgent Aid in 2003-20007 we compared efficacy of 3 strategies of treatment after successful thrombolytic therapy (TLT): percutaneous coronary intervention (PCI) because of recurrent ischemia within 5 days after thrombolytic ...
27,532
[Possibilities of correction of rheological properties of the blood and free radical processess in patients with acute myocardial infarction combined with type 2 diabetes mellitus].
Aim of the study was assessment of rheological parameters of the blood and processes of free radical oxidation as well as rate of arrhythmia development in patients with acute myocardial infarction (AMI) and type 2 diabetes mellitus (DM) whose otherwise standard therapy was supplemented with 90% omega-3 polyunsatur...
27,533
[Genetic predisposition to development of atrial fibrillation in patients with hypertensive disease].
We studied associations of genes of adrenoreceptor types 1, 2 and 3 (ADRB1, ADRB2, ADRB3), connexin (CX40) and voltage gated potassium channel type 2 (KCNH2) with development of atrial fibrillation (AF) in patients with hypertensive disease. We examined 102 patients with hypertensive disease which in 51 was complic...
27,534
[Effect of atorvastatin on hemorheological parameters in patients with arterial hypertension with dyslipidemia].
We assessed effect of 6-weeks therapy with atorvastatin on parameters of lipid metabolism and some hemorheological characteristics in 27 patients with arterial hypertension (AH) and dyslipoproteinemia (DLP). In addition to general clinical examination we studied hemorheological profile including hematocrit, blood p...
27,535
[Dynamics of structural-functional parameters of cardiovascular system during use of complex therapy of women with type 2 diabetes mellitus].
Aim of the work was to study dynamics of parameters of cardiovascular system in women during use of various sugar lowering drugs in complex multifactorial therapy of type 2 diabetes mellitus (DM). We included in this 12 months study 182 women older than 55 years with type 2 DM, abdominal obesity and artrerial hyper...
27,536
[Lipid lowering, antiinflammatory, and vasoprotective effects of fenofibrate in patients with type 2 diabetes mellitus].
Aim of the study was to assess effect of fenofibrate on lipid blood composition, markers of inflammation and the state of vascular wall in patients with type 2 diabetes mellitus (DB2). We randomized 73 patients with DB2 in 2 groups. Patients of group one (n = 34) in addition to hypoglycemic and lipid lowering thera...
27,537
[Anticoagulant action and safety of warfarin dosing based on pharmacogenetic testing: results of the first Russian prospective pilot study].
Aim of the study was to compare numbers of episodes of excess hypocoagulation and bleeding with warfarin dosing based on pharmacogenetic testing and traditional method in patients with high risk of thromboembolic complications. In 76 patients (43 men and 33 women aged 60.3 +/- 12.3 years) warfarin was administered ...
27,538
[Value of endothelial dysfunction in cardiovascular diseases and methods of its correction with drugs].
Vascular endothelium is not simply a barrier between blood and extra vascular bed but is a source of large number of mediators regulating various functions of the body among which nitrous oxide appears to be one of most important. Endothelial dysfunction (ED) develops in a number of processes: diabetes mellitus, sm...
27,539
[Thienopyridines in the treatment and prevention of cardiovascular diseases. Part V. Combination of clopidogrel and acetylsalicylic acid in the treatment of stable patients with atherothrombotic cardiovascular diseases].
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 fifth communication we ...
27,540
[Atrioventricular nodal reciprocal tachycardia: classification, clinical manifestations, diagnosis, and treatment].
Data on prevalence, mechanisms of arrhythmogenesis and classification of atrioventricular (AV) nodal reciprocal tachycardia are presented. Clinical-electrocardiographical and electrophysiological features of typical and atypical forms of AV nodal reciprocal tachycardia are described. Main diagnostic measures are de...
27,541
[Polymorphism C1444T of C-reactive protein gene and C-reactive protein concentration in blood serum of healthy people and patients with myocardial infarction].
CRP level is a risk factor of development of ischemic heart disease (IHD) and acute myocardial infarction (MI) in healthy people, while in patients with cardiovascular diseases it is a marker of unfavorable prognosis. It has been shown in recent investigations that individual variations of plasma CRP levels to a gr...
27,542
[Assessment of the state of atrial myocardium by two-dimensional grey-scale deformation in patients with arterial hypertension and mild left ventricular hypertrophy].
Non-Doppler two-dimensional grey-scale deformation (TGD) is a novel method of assessment of deformation and velocity of deformation of myocardium. TGD allows to evaluate regional and global mechanical function of atria. Aim of our work was to study longitudinal deformation and deformation velocity of the left atriu...
27,543
[An experience of the use of angiotensin II receptor blocker losartan in patients with metabolic syndrome and chronic kidney disease].
Aim of the study--to assess efficacy and safety of one of angiotensin II receptor blockers in patients with metabolic syndrome (MS) and I-V stage chronic kidney disease. We studied cardiodynamic and renal effects of losartan in average daily dose 50 +/- 13.06 mg in 20 patients (9 men and 11 women aged 32-79 years) ...
27,544
[Assessment of risk of cardiovascular diseases in persons of young age].
Cardiovascular pathology appears to be big socially meaningful problem as it occupies leading place in structure of mortality and loss of working capacity in economically developed countries. Social value of the problem is enforced by observed in recent years tendency to increase of mortality of cardiovascular dise...
27,545
[Anomalies of coronary arteries].
Concealed undiagnosed congenital anomalies of coronary arteries (CACA) can cause sudden death of young men. Isolated CACA are detected at 0.6-1.8% of coronary angiographies. Classification of CACA (2002) includes anomalous origin of coronary artery from pulmonary artery, anomalous origin of coronary artery from the...
27,546
[Effect of polymorphisms of cytochrome P450 and apolipoprotein E genes on therapeutic efficacy of statins].
Statins are widely used in clinical practice for lowering of levels of atherogenic blood plasma lipids and treatment of atherosclerosis. Variability of response of the body to these drugs might be determined by genetic factors (gene polymorphisms) related to metabolism of drugs. Among them central place belongs to ...
27,547
[The program of lowering of residual risk (the residual risk reduction initiative). Part I. Factors of residual risk].
Substantial residual risk of development of macro- and microvascular complications is retained in most patients despite contemporary standards of therapy. The search for the solution of actual problem of lowering of residual risk of vascular complications is the aim of multiple current scientific studies conducted ...
27,548
[Rational management of atrial fibrillation in intensive care].
Atrial fibrillation (AF) occurs frequently in intensive care unit (ICU) patients and after coronary bypass graft (CABG) and valve surgery, with the peak incidence on postoperative days 2 and 3. Moreover, AF is one of the most common complications after thoracic surgery, e.g. video-assisted thoracic surgery (VATS), ...
27,549
[Clinical-pharmacoeconomical aspects of ß-adrenoblockers use in patients with ischemic heart disease undergoing coronary artery bypass grafting].
Aim of this study was to assess clinical and pharmacoeconomic effects of long term use of adrenoblockers in patients with ischemic heart disease (IHD) undergoing coronary artery bypass grafting. Patients with IHD (n=294) were included in open, prospective, randomized clinical trial. The follow up period was 3 years...
27,550
[Waist circumference below metabolic syndrome harmonizing criteria is associated with increased cardiovascular risk].
AIM: To test the hypothesis that waist circumference (WC) just below Joint Interim Statement ([JIS], 2009) abdominal obesity thresholds can be associated with worse risk factors profile than smaller WC. METHODS: In a study of risk factors in families of patients with "premature" coronary heart disease (CHD) we exami...
27,551
[Parameters of central hemodynamics in patients with paroxysmal atrioventricular nodal reciprocal tachycardia before and after radiofrequency catheter ablation].
We present in this article results of assessment of morphofunctional state of the myocardium in patients with typical form of paroxysmal atrioventricular nodal reciprocal tachycardia (AVNRT) before and during one year after radiofrequency catheter ablation of slow part of atrioventricular junction and their compari...
27,552
[Dynamics of structural functional parameters of cardiovascular system in patients with Stable Angina and Congestive Heart Failure treated with Ivabradine for six months].
URGENCY: Frequency of warm reductions (FWR) is the independent risk factor increasing frequency of the general death rate, sudden death rate and death rate from cardiovascular diseases. Aim of the work was to study dynamics of parameters of cardiovascular system in Patients with Stable Angina (SA) and Congestive He...
27,553
[Echocardiographical evaluation of mean pulmonary artery pressure in patients with chronic obstructive pulmonary disease].
We compared Dopplerographic methods and invasive assessment of mean pulmonary artery pressure (MPAP) in 20 men with chronic obstructive pulmonary disease (COPD). We demonstrated possibility of evaluation of mean pulmonary artery pressure by Doppler methods of calculation using diastolic gradient of pressure of pulm...
27,554
[Salt sensitivity in patients with arterial hypertension].
We present literature review on the role of excessive sodium consumption with food in pathogenesis of salt sensitive arterial hypertension (AH) as well as scientific data allowing to consider sensitivity to salt as independent factor of development and unfavorable course of AH associated with insulin resistance, hi...
27,555
[A scale for early assessment of risk of death and myocardial infarction during initial hospitalization of patients with acute coronary syndromes (based on data from the RECORD registry)].
Independent predictors of death and death or myocardial infarction (MI) during initial hospitalization of patients with acute coronary syndromes (ACS) were determined using database of Russian independent ACS registry RECORD. These predictors (admission Killip class II, ST-segment elevation 1 mm, systolic blood pre...
27,556
[Inhospital and 12-months results of percutaneous coronary interventions with implantation of Paclitaxel eluting stents in patients with long de novo coronary artery lesions].
We implanted 59 paclitaxel eluting Apollo stents to 48 patients with ischemic heart disease (IHD) and long de novo coronary artery lesions in 2007 with 100% immediate success rate without inhospital major cardiac complications. One patient developed hematoma at femoral artery puncture site. There were no cases of r...
27,557
[The efficacy and safety of the combination of β-blocker bisoprolol and if inhibitor I(f) ivabradine in patients with stable angina and chronic obstructive pulmonary disease].
The study was aimed to assess the efficacy and safety of treating coronary heart disease (CHD) patients complicated with COPD using the combination of tolerable doses of -blocker bisoprolol and inhibitor If-channel ivabradine, compared with bisoprolol alone. A total of 50 patients were included (88% men, mean age 6...
27,558
[The use of a short program of physical training in patients with ischemic heart disease after endovascular (coronary) interventions in complex program of rehabilitation and secondary prevention at dispensary-ambulatory stage].
Aim of the study was to assess efficacy of a short program of medium intensity physical training of patients with ischemic heart disease (IHD) after endovascular intervention (EVI) in conditions of practical health care of Russia. Patients (n=100) were randomized into 2 groups - intervention (main group "M", n=50) ...
27,559
[Comparative eficacy of antihypertensive therapy in patients with arterial hypertension and various sensitivity to salt].
In 102 patients with high risk (52 patients with history of myocardial infarction, 50 patients with history of cerebral stroke within previous 6-48 months) arterial hypertension (AH) we studied clinical efficacy on angiotensin converting enzyme inhibitor (ACEI) lisinopril, calcium antagonist felodipine, and nonsele...
27,560
[Possibilities of the use of parenteral form of α- and β-adrenoblocker for the treatment of hypertensive crises at prehospital stage].
Butylaminohydroxypropoxyphenoxymethyl methyloxadiazole was used in prehospital treatment of 40 patients (15 women, 25 men aged 63+/-17.1 years) with complicated hypertensive crises (HC) characterized by acute involvement or high risk of progression of damage of internal organs. The drug was administered as intraven...
27,561
[Effects of exogenous apelin-12 on functional and metabolic recovery of isolated rat heart after ischemia].
Apelin 12 (A 12) was synthesized by the automatic solid phase method with the use of Fmoc technology. The synthesized peptide was purified by preparative HPLC and identified by 1H NMR spectroscopy and mass spectrometry. Effects of A 12 were studied on isolated working rat hearts perfused with Krebs buffer (KB) cont...
27,562
[Inflammation and atherosclerosis: the role of Renin-Angiotensin system and its inhibition].
The last studies show the renin angiotensin aldosterone system plays an important role in atherosclerotic processes. Vasoconstriction and sodium and water retention, due to angiotensin II and aldosterone promote atherosclerotic processes. Theres recent evidence from animal and clinical studies to consider angiotens...
27,563
[Behavioral type d personality (distressor) in cardiovascular diseases].
Psychosocial stress is acknowledged as one of risk factors of development of cardiovascular pathology. Type D personality (distressor) comprises negative excitability (tendency to experience negative emotions) and social inhibition (suppression of emotions and behavioral reactions in social interactions). In this r...
27,564
[Statins as Anti-Inflammatory Agents].
Statins modify cellular composition of atherosclerotic plaques decreasing their inflammatory elements capable to produce plaque destabilizing metalloproteinases and prothrombotic tissue factor. In humans long term administration of these drugs leads to decrease of levels of markers of inflammation notably of C-reac...
27,565
[Results of 6-Month Follow-up of Patients With Non-ST-Elevation Acute Coronary Syndrome Treated With Enoxaparin. Data of Multicenter Study in Russia].
Two hundred eighty four patients aged 30-85 (mean 62-/+10.2) years hospitalized because of prolonged attack of rest angina were included into open noncomparative study of enoxaparin tolerability. In addition to conventional aspirin the patients received enoxaparin (1 mg or 100 anti-Xa U/kg subcutaneously) every 12 ...
27,566
[Possibilities of Surface ECG Mapping in Diagnosis of Ischemic Heart Disease in Patients With Aortic Stenosis].
Method of surface ECG mapping and graded bicycle exercise test were used for noninvasive detection of coronary artery involvement in 24 patients with aortic stenosis. The actual presence of coronary artery disease was verified by coronary angiography. Isointegral ST-segment maps were constructed and analyzed. Stepw...
27,567
[Morpho-Functional Changes of Thoracic Aorta in Atherosclerosis: Multiplane Transesophageal Ultrasound Study].
AIM: To elucidate possibilities of multiplane transesophageal ultrasound for assessment of localization and structure of atherosclerotic plaques in the thoracic aorta as well as relationship between changes of elastic-tonic properties, processes of aortic wall remodeling, stage of aortic atheromatosis, and coronary...
27,568
[Multicenter Study of Efficacy and Safety of a Preparation of Lovastatin in Patients With Ischemic Heart Disease and Mild or Moderate Hypercholesterolemia].
Ninety patients with ischemic heart disease and mild or moderate hypercholesterolemia were included in a multicenter study of efficacy and safety of a preparation of lovastatin (Holetar, KRKA). After 6 weeks of a diet period 46 patients remained on diet and in 44 patients lovastatin was added to diet for 12 weeks. ...
27,569
[Immediate and Remote Results of Endovascular Recanalization of Chronic Coronary Artery Occlusions].
We compared early and long-term follow-up results of balloon angioplasty and stenting of chronic coronary occlusions. The initial success rate was 75% (82 of 109 patients). Proportion of patients free of angina was 57 and 69% after successful balloon angioplasty and stenting, respectively. Stenting of coronary occl...
27,570
[Calcium 2+ Response of Lymphocytes to Standard Test-Substances in Patients With Ischemic Heart Disease and Heart Failure].
Changes of [Ca 2+]i were studied in peripheral blood lymphocytes of patients with ischemic heart disease and heart failure. Basal [Ca 2+]i and its changes under action of mitogenes (PHA, Con A; 10 mcg/ml), butylhydroxyquinone (BHQ; 9-14 mcM) and arachidonic acid (3-10 mc/M) were measured. Patients with heart failur...
27,571
[Modification of clinical classification of heart failure with quantitative evaluation of functional state].
Definite dissociation exists between severity of clinical symptoms of heart failure and degree of cardiac dysfunction. Comparative analysis of existing heart failure classifications reveals low degree of congruence in evaluation of patient's state by different experts. This disagreement is mainly caused by limited ...
27,572
[Treadmill stress-echocardiography in diagnosis of coronary artery involvement in patients with various probability of ischemic heart disease].
Results of treadmill stress-echocardiography were compared with those of coronary angiography in 153 patients (133 men, 20 women, mean age 55.7-/+8.5 years) with various initial probability of ischemic heart disease (IHD) which was determined for each patient basing on sex, age and status of angina. Probabilities o...
27,573
[Changes of autologous coronary vessels and aortocoronary grafts in patients with ischemic heart disease after coronary artery bypass grafting].
AIM: 1) to assess effect of coronary lesion morphology on changes of grafts during first year after surgery; 2) to study the state of native coronary vascular bed during first year after surgery; 3) to elucidate special features of atherosclerosis in grafts and coronary arteries in remote period after surgery. MATE...
27,574
[Simvastatin (40 mg/day) in patients with hereditary hypercholesterolemia: effect on high density lipoprotein cholesterol].
AIM: To study effect of simvastatin of the level of high density lipoprotein (HDL) cholesterol (CH). MATERIAL AND METHODS: Simvastatin (40 mg/day) was given for 3 months to 15 patients (3 men, 12 women, mean age 56-/+10.3 years) with hereditary type II hypercholesterolemia after washout from lipid lowering therapy. ...
27,575
[Prolonged pulmonary artery pressure monitoring in patients with pulmonary hypertension].
Pulmonary artery pressure (PAP) was monitored for 24-48 hours in 10 and 8 patients with primary and secondary pulmonary hypertension, respectively. The data obtained were compared with results of prolonged PAP monitoring in 2 healthy volunteers. Variability of mean PAP was 7.43-/+3.1, 5.78-/+1.64, and 3.4-/+0.63 mm...
27,576
[Decreased ATP-synthesis ability of liver mitochondria in spontaneously hypertensive rats (SHR): role of calcium overload of the mitochondria].
It has been shown previously, that a decrease of ATP amount and changed balance of the other macroergic phosphates are observed in different tissues of spontaneously hypertensive rats (SHR) compared with the normotensive controls (WKY). The aim of the present study was to assess the ability of SHR liver isolated mi...
27,577
[The protective action of ubiquinone at ischemia and reperfusion].
Effects of prolonged consumption of ubiquinone on myocardial injury caused by ischemia and reperfusion were studied in reperfused rat hearts. Wistar rats received lipophylic or hydrophilic forms of ubiquinone for 6-8 weeks with chow or water, respectively. Isolated isovolumic hearts with a constant volume latex bal...
27,578
[Fungal myocarditis in deep visceral candidiasis].
Morphological and functional changes of the myocardium were studied in 40 patients with candidiasis and attempt to establish morphological criteria of fungal myocarditis was undertaken. Retrospective analysis of autopsy material showed that myocardial involvement in candidiasis was possible and was not as rare as i...
27,579
[Third generation of calcium antagonists: focus on lacidipine].
Similarities and dissimilarities of 3 third generation calcium antagonist (amlodipine, lacidipine and lercanidipine) are presented. Lacidipine is characterized by prolonged antihypertensive action despite its plasma half life is just about 14 hours. Duration of lacidipine effect can be explained by accumulation in ...
27,580
[Metabolic syndrome from the point of view of a cardiologist: diagnosis, non drug and drug treatment].
Timely diagnosis and treatment of metabolic syndrome is important because of high prevalence of this pathology in population. For the elaboration of approaches to complex treatment of this syndrome it is necessary to understand pathogenetic mechanisms of development of hypertension and metabolic changes as well as ...
27,581
[The role of mast cell population in aortic intima in development of human atherosclerosis].
AIM: To assess the role of mast cells in development of human atherosclerosis. MATERIAL: Autopsy material (transverse cross-sections of the aorta and membranous preparations of intima) from 53 persons who died of accidental causes. Original method of the study of aortic cellular populations on membranous preparation...
27,582
[Prognostic significance of treadmill stress-echocardiography in patients with ischemic heart disease].
Prognostic value of treadmill echocardiography was studied in 146 patients (125 men, 21 women, age 58,6-/+9 years) with overt or suspected ischemic heart disease. During 35-/+6 months of follow-up there were 26 cardiac events (11 cardiovascular deaths, 6 myocardial infarctions and 9 revascularization procedures). I...
27,583
[Postinfarction angina in elderly patients: results of surgical and drug treatment].
Clinical and angiographical characteristics and results of surgical treatment and drug therapy were assessed in 49 men with postinfarction angina (mean age 64.1-/+3.5 years) and 112 patients with progressing and stable angina (mean age 63.8-/+3.0 years). Of 49 patients with postinfarction angina 30 were subjected t...
27,584
[Doppler echocardiographic assessment of hemodynamic parameters on patients with tetralogy of Fallot].
Continuous Doppler echocardiography was used for the study of hemodynamic parameters on various stages of treatment of 61 children (mean age 12.4 months) with tetralogy of Fallot. Twenty five patients were studied before surgery during spells of cyanosis and hyperpnea. Thirty six patients were treated with systemic...
27,585
[Stability of diurnal blood pressure rhythm during 48-hour ambulatory blood pressure monitoring].
Evaluation of nocturnal blood pressure (BP) fall is important for prognosis and selection of antihypertensive therapy. We assessed stability of BP diurnal rhythm in 56 hospitalized hypertensive patients by means of 48-hour ambulatory BP monitoring. According to the degree of congruence of BP fall during two nights ...
27,586
[Pathogenetic role of moxonidine in the treatment of hypertension in postmenopausal women].
AIM: To assess efficacy of monotherapy with moxonidine in female patients with hypertension and climacteric syndrome. METHOD: Twenty-four hour blood pressure monitoring was carried out in 32 women (mean age 52.3-/+5.2 years) before and after 28 days of monotherapy with moxonidine (0.2-0.4 mg). RESULTS: In 4 weeks th...
27,587
[Assessment of safety and antihypertensive efficacy of a cardioselective beta-blocker nebivolol in patients with hypertension and concomitant chronic obstructive bronchitis].
Safety, tolerability and antihypertensive efficacy of a cardioselective beta-blocker nebivolol was studied in 30 patients with mild and moderate hypertension and concomitant stage I chronic obstructive bronchitis. Nebivolol (5 mg/day) was given for 1 month; in 5 patients complementary hydrochlorothiazide (12.5 mg/d...
27,588
[Angiotensin-converting enzyme gene polymorphism in patients with primary disturbances of cardiac conduction].
Increased frequencies of angiotensin-converting enzyme (ACE) D-allele and ID-genotype among patients with idiopathic atrioventricular blocks and I allele and II genotype among patients with idiopathic intraventricular blocks allow to consider these genotypes risk factors of corresponding disturbances of cardiac con...
27,589
[Angiotensin converting enzyme inhibitor enalapril in the treatment of endomyocardial fibrosis in patients with lymphogranulomatosis subjected to radio- and chemotherapy].
Echocardiography was used in the study of 40 patients with stage IIA-IVB lymphogranulomatosis. In 2-6 years before the study all patients had been treated with combination radio- (36-44 Gy) and chemotherapy. Echocardiography revealed endomyocardial fibrosis and signs of cardiac remodeling (reduced left ventricular ...
27,590
[Myocardial mass and geometry in population study of women in Tallinn (echocardiography data)].
In a framework of a population study in Tallinn triple blood pressure measurements, electro- and echocardiography were carried out in 398 women (82.6% of all participants) aged 35-59. Left ventricular hypertrophy (left ventricular mass >or=198 g, left ventricular mass/height ratio >or=121 g/m, left ventricular mass...
27,591
[Isoproterenol induced changes of protein expression and myocardial ultrastructure].
AIM: To elucidate alterations in myocardial ultrastructure and protein expression caused by isoproterenol. METHODS: Biochemical, immunohistochemical and electron microscopic studies of rat myocardium were carried out 2 hours and 3 weeks after single injections of isoproterenol (50 and 10 mg/kg). Relative content of ...
27,592
[Coronary angioplasty with direct stenting: assessment of primary results and some economical aspects].
Comparison of immediate angiographical and clinical results of direct coronary stenting and stenting after predilation was carried out in 68 patients. Groups of patients subjected to direct stenting and stenting with predilation had similar clinical and angiographical characteristics. Direct stenting was successful...
27,593
[Postoperative spasm of mammary-coronary grafts and possibilities of its correction by dihydropyridine calcium antagonists nifedipine and amlodipine].
AIM: To assess efficacy of dihydropyridine calcium antagonists nifedipine and amlodipine for prevention of spasm of internal mammary artery after mammary-coronary bypass grafting. MATERIAL AND METHODS: Eighty eight men (age 56,5-/+7.2 years) subjected to mammary-coronary grafting were randomized to 3 groups. Patient...
27,594
[Left ventricular hypertrophy does not affect diagnostic accuracy of treadmill stress echocardiography in patients with normal left ventricular contractility at rest].
Results of exercise echocardiography (treadmill) and of coronary angiography were compared in 119 subjects (mean age 54.9-/+7.9 years) with normal left ventricular contractility at rest. Forty two patients had no pronounced lesions in coronary arteries, while 77 had >50% stenoses in main coronary arteries. Sensitiv...
27,595
[Use of selective long-acting beta-blocker with vasodilating activity celiprolol in patients with essential hypertension].
Effects of 8 weeks therapy with long-acting selective b-blocker celiprolol (200 mg o.d.) on 24-hour blood pressure, central hemodynamics (oscillometry) and microcirculation (laser doppler flowmetry) were studied in 30 patients (17 women and 13 men, mean age 51.9 years), with stage I-II essential hypertension. Celip...
27,596
[Effect of nebivolol on remodeling of the heart and vessels and the state of hemodynamics in patients with hypertension].
Echocardiography, doppler echocardiography and venous occlusion plethysmography were used for the study of effects of monotherapy with nebivolol (2.5-10, mean 5.1 mg/day for 24 weeks) on remodeling of cardiovascular system and the state of hemodynamics in 25 patients with stage II hypertension and chronic heart fail...
27,597
[Hypertension--main risk factor of stroke. Results of a three years register in Krasnodar].
Incidence of first stroke and stroke mortality in Krasnodar in 1997-2000 were higher compared with data of similar registers in Moskva and Novosibirsk. Hospitalization rate of patients with stroke especially of those with severe stroke was low with high 28 days and 1 year mortality. Main risk factor of stroke was h...
27,598
[Effect of eprosartan on left ventricular diastolic function and cerebral hemodynamics in patients with hypertension].
Eprosartan (600-1200 mg/day) was given for 4 weeks to 28 patients aged 32-62 years with stage II-III hypertension (WHO, 1999). Left ventricular diastolic function and cerebral blood flow were assessed by echocardiography and ultrasound dopplerography. Treatment with eprosartan was associated with improvements of im...
27,599
[Prevalence of excessive body mass and its relation to mortality from cardiovascular and main chronic noninfectious diseases among urban male population of geographical different regions in Russia].
The paper contains data on prevalence of low, normal, excessive body mass and obesity among urban male populations aged 20-54 years in different regions. Relative risk of death associated with body mass was estimated on the basis of a twenty years prospective study of sample populations in Moskva and St-Peterburg a...