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27,600
[High-resolution ECG in assessment of myocardial functional state in patients with ischemic heart disease and resultant cardiac dilatation].
High resolution signal-averaged ECG (SAECG), echocardiography and 24-hour Holter ECG monitoring were used in the study of 30 patients (mean age 56-/+2 years) with coronary heart disease and stable class II-IV angina (group 1) and 66 patients (mean age 45-/+1 years) with dilated cardiomyopathy of ischemic origin (gr...
27,601
[24-hour blood pressure rhythm: clinical and predictive value].
Clinical and predictive value of 24-hour blood pressure rhythm is reviewed. Insufficient nocturnal blood pressure lowering induces augmented pressure load on target organs. On the other hand it reflects dysregulatory changes due to target-organ involvement. Lack of adequate nocturnal blood pressure lowering is cons...
27,602
[Activity of blood platelets and functional state of endothelium in patients with unstable angina with favorable and unfavorable outcome (prospective study)].
Functional activity of platelets (aggregation and plasma levels of soluble P-selectin) and functional state of endothelium (antiaggregatory activity of vessel wall - AAVW, cuff occasion test, and plasma content of von Willebrand factor) were assessed in patients with unstable (n=41) and stable (n=19) angina and hea...
27,603
[Proinflammatory cytokines and soluble intercellular adhesion molecule-1 in ischemic heart disease].
Blood serum levels of tumor necrosis factor alpha (TNF-alpha), interleukin 1beta (IL-1beta) and soluble intercellular adhesion molecule-1 (sICAM-1) were measured by ELISA in patients with stable and unstable angina. Levels of cytokines and sICAM-1 were elevated in patients with stable and were even higher in patient...
27,604
[Relationship between parameters of heart rate variability, angiographical severity of coronary atherosclerosis and functional class of angina in patients with ischemic heart disease].
AIM: To elucidate relationship between heart rate variability and severity of coronary atherosclerosis. MATERIAL: Seventy five patients with class I-IV angina subjected to coronary angiography and 23 apparently healthy subjects of the same age without overt coronary heart disease. METHODS: Analysis of parameters of ...
27,605
[Atenolol induced bradycardia in patients with stable angina: effects on exercise tolerance, myocardial perfusion and left ventricular contractility].
AIM: To assess effects of atenolol-induced heart rate decrease on myocardial perfusion, left ventricular contractility and tolerance to exercise in patients with chronic coronary artery disease. MATERIAL AND METHODS: Twenty eight men (mean age 54,5-/+9,2 years) with stable class I-III angina and positive reproducibl...
27,606
[Dynamics of left ventricular remodeling in patients with acute myocardial infarction].
Dynamics of structural and functional left ventricular parameters was investigated in 51 patients with acute anterior myocardial infarction by means of serial (on days 1, 2, 3, 5, 7, 10 and 21 of infarction) echocardiographical study. Increase of end-diastolic volume index relative to initial values became signific...
27,607
[Peculiarities of blood pressure rhythms and blood pressure variability in adolescents with hypertension (in accordance with twenty-four monitoring of blood pressure)].
Registration of 24-hour blood pressure in adolescents with and without hypertension revealed active participation of sympathetic nervous system in genesis of juvenile hypertension. Hypertension in adolescents was mainly systolic, blood pressure elevation as a rule was accompanied by accelerated heart rate and incre...
27,608
[Clinical effectiveness of beta-adrenoblockers and their effects on copulative function in patients with hypertension].
Twenty four hour blood pressure and ECG monitoring, assessment of sexual function (questionnaires, penile artery Doppler flowmetry) were carried out in male hypertensives treated with atenolol, metoprolol, or bisoprolol. Compared with atenolol and metoprolol bisoprolol was found to be more effective and safe. The u...
27,609
[Prevalence of electrocardiographic signs of pulmonary hypertension in a sample of male population of Novosibirsk].
Prevalence of ECG signs of right ventricular hypertrophy and pulmonary hypertension was assessed in a representative sample (n=715) of nonorganized male population (age 25-64 years) of Novosibirsk studied within a framework of WHO MONICA project. Other methods of investigation included Rose questionnaire, anthropom...
27,610
[Effect of adriamycin on expression and content of myocardial structural and regulatory proteins].
The biochemical and morphological study of the cytoskeleton and extracellular matrix of rat heart was carried out after single injection of adriamycin (2.2 or 0.44 mg/kg). Hearts were taken for the study after 2 hours and 3 weeks after injection. The light and electronic microscopy, immunohistochemical determinatio...
27,611
[Angiotensin converting enzyme inhibitors in renal diseases].
Chronic diffuse renal diseases, involvement of the kidney in systemic and metabolic disorders are characterized by steady progression of renal pathology with loss of functional nephrons, lowering of renal functions and gradual development of chronic and eventually terminal renal failure. Basic mechanism of progress...
27,612
[Relationship between myocardial viability and ventricular late potentials in patients with history of myocardial infarction].
AIM: To study relationship between presence and volume of viable myocardium and registration of late ventricular potentials in patients with history of myocardial infarction. MATERIAL AND METHODS: High resolution ECG, dobutamine stress echocardiography and Holter ECG monitoring were carried out 34 patients (mean age...
27,613
[Complex of factors affecting heart rate dispersion in survivors of myocardial infarction].
AIM: To establish complex of independent variables related to parameters of heart rate variability in patients with postinfarction cardiosclerosis. MATERIAL: Seventy four patients (age 49-/+0.8 years) were studied in 6 months or later after myocardial infarction. Temporal and spectral characteristics of heart rate v...
27,614
[Psychological traits and quality of life of patients with hypertension and metabolic risk factors].
Psychological status and quality of life were assessed in 75 patients with mild and moderate hypertension and metabolic disturbances. Patients with hypertension and metabolic risk factors compared with patients without these factors were characterized by higher frequency of neurotic disorders, worse quality of life ...
27,615
[Effect of amiodarone on autonomic status and its efficacy in the treatment of different variants of paroxysmal atrial fibrillation].
Association of autonomic status and efficacy of therapy with amiodarone was studied in 90 patients with paroxysmal atrial fibrillation of ischemic (n=45, mean age 62 years) and nonischemic (n=45, mean age 38 years) origin. Autonomic status was assessed by measurement of heart rate variability. Electrophysiological ...
27,616
[Nitric oxide activates Ca2+ activated potassium current in rat tail artery smooth muscle cells via cGMP-dependent mechanism].
Mechanisms of nitric oxide (NO) action on K(Ca) channels were investigated using patch-clamp technique and freshly isolated smooth muscle cells from rat tail artery. In whole-cell experiments, the outward current was increased 6,64-/+0,72-fold (n=10) by 100 microM sodium nitroprusside (SNP), which was significantly...
27,617
[Cardiological aspects of the antiphospholipid syndrome. Part I. Valvular lesions in the primary and secondary antiphospholipid syndrome and systemic lupus erythematosus].
AIM: To assess prevalence of cardiac valvular lesions in patients with primary (P) antiphospholipid syndrome (APLS) and systemic lupus erythematosus (SLE) with and without secondary APLS. MATERIAL AND METHODS: Patients with PAPLS (n=56, 15 men and 41 women), SLE and APLS (n=88, 23 men, 65 women) and SLE without APLS...
27,618
[Invasive cardiology--focus on restenosis. Part I].
In-stent restenosis is mainly caused by neointima proliferation and represents a pathological process which histology is different from that of restenosis after balloon angioplasty. Frequency of in-stent restenoses increases parallel with progressively increasing number of procedures of coronary stenting. The review...
27,619
[Identification of slow anterograde conduction of excitation in patients with paroxysmal reciprocal atrioventricular nodal tachycardia].
Basing on results of examination of a cohort of patients with typical paroxysmal reciprocal atrioventricular tachycardia a group of patients with continuous curve of anterograde conduction was distinguished. The use of incremental doses of adenosine triphosphate (ATP) during transesophageal atrial pacing allowed in ...
27,620
[Dynamics of parameters of heart rate variability in patients with ischemic heart disease after direct myocardial revascularization].
AIM: To study dynamics of parameters of heart rate variability (HRV) in patients with ischemic heart disease after direct myocardial revascularization. MATERIAL AND METHODS: Electrocardiography (ECG), 24 hour Holter ECG with spectral and temporal analysis of 24-hour HRV, as well as echocardiography (Echo) and stress...
27,621
[Heart rate variability before and after coronary artery bypass surgery in patients with ischemic heart disease].
Short term heart rate variability (HRV) was studied in 44 patients before, in 2 weeks and 2 months after coronary artery bypass grafting (CABG). Prior to surgery the patients were divided into 2 groups: with normal and substantially lowered HRV parameters. In 2 weeks after CABG lowering of HRV was registered in all...
27,622
[Influenza virus infection in progressing atherosclerosis].
AIM: To study relationship between influenza virus infection and activity of clinical presentations of atherosclerosis. METHODS AND RESULTS: Average blood level of IgG to influenza A virus was significantly higher in patients with progressing forms of ischemic heart disease then in patients without objective signs o...
27,623
[Tolerability and efficacy of retard form of indapamide in the treatment of hypertension in elderly patients (results of multicenter open non-comparative trial in Russian program ARGUS)].
Open noncomparative multicenter study of tolerability and efficacy of a retard form of indapamide (1.5 mg o.d. for 3 months) in patients older then 55 years was conducted in 14 centers in Russia. Numbers of patients included into was analysis of safety and tolerability were 1277 and 1121, respectively. After 3 mont...
27,624
[The state of microcirculation in hypertensive disease (essential hypertension)].
Skin microcirculation was studied by laser doppler flowmetry in 149 patients with essential hypertension (92 men, 67 women; mean age 50.1+/-4.9 years) and in 25 normotensive controls. In patients with hypertension prevailed pathological hemodynamic types of microcirculation. Hyperemic, spastic and congestive types ...
27,625
[The use of enalaprilat for the treatment of uncomplicated hypertensive crises in patients with hypertensive disease (essential hypertension)].
When used for the treatment of hypertensive crises enalaprilat produced pronounced lowering of both systolic and diastolic blood pressures. Lowering of blood pressure was accompanied by regression of clinical symptoms. There were no episodes of excessive blood pressure drop. The use of enalaprilat was associated wi...
27,626
[Blood pressure profile in patients with hyper- and hypotension: effect of physiological stresses].
Responses to physiological stresses, relationship between character and severity of these reactions and parameters of 24-hour blood pressure (BP) profile were studied in patients with arterial hyper- and hypotension. Disturbed regulation of BP in hyper-, and hypotension was associated not only with pronounced spont...
27,627
[Effect of hormone replacement therapy on blood serum lipids in postmenopausal women with type 2 diabetes].
There are limited data concerning influence of hormone replacement therapy (HRT) on lipid profile in women with type 2 diabetes. Aim of the study was to compare changes of blood lipids during HRT in postmenopausal women with and without type 2 diabetes. Seventy seven women included in the study were assigned to 1 of...
27,628
[C-reactive protein--marker of inflammation in atherosclerosis (new data)].
According to contemporary conceptions two interrelated processes underlie development and progression of atherosclerosis: changes of metabolism and transport of lipids inflammation of vessel wall. Vascular inflammation plays fundamental role in destabilization of atherosclerotic plaque and thus in development of va...
27,629
[Interaction of angiotensin converting enzyme inhibitors with nonsteroidal antiinflammatory drugs].
Analysis of results of randomized controlled studies revealed pronounced attenuation of vasodilating, natriuretic, and cardioprotective effects of angiotensin converting enzyme inhibitors (ACEI) by concomitant use with of indomethacin and aspirin in patients with hypertension, chronic heart failure, and acute myoca...
27,630
[Pravastatin: pharmacological action, pleiotropic effects and efficacy in prevention of atherosclerosis].
This literature review presents data on pharmacological action of pravastatin, its lipid lowering activity, and influence on main mechanisms of atherogenesis. Beneficial pleiotropic (nonlipid) effects of pravastatin: normalization of endothelial function, antiinflammatory action, antiischemic- and antithrombotic ef...
27,631
[Antiarrhythmic drug allapinin: review of results of clinical investigation].
Antiarrhythmic drug allapinin has been used in clinical practice for a long time but data of investigation of its effects and mechanism of action are scanty. The aim of this review is to summarize results of clinical studies of allapinin supplementing them with personal unpublished data. The review embraces pharmac...
27,632
[The use of a beta-blocker esmolol in patients with acute myocardial infarction treated with streptokinase].
Infusion of esmolol (50-300 mcg/kg/min, mean 119-/+75.5 mcg/kg/min, average duration 3.2-/+1.22 h)) was carried out in 49 streptokinase treated patients within 6 hours of myocardial infarction. Infusion was associated with slowing of heart rate and lowering of mean dynamic systolic blood pressure (by 22%). No chang...
27,633
[Pharmacodynamics, safety, and clinical effects of a novel glycoprotein IIb/IIIa antagonist framon during high risk coronary angioplasty].
Preparation framon [F(ab')2 fragments of the anti-glycoprotein (GP) IIb/IIIa monoclonal antibody (FRaMon)] blocks fibrinogen binding to GP IIb/IIIa and platelet aggregation. Dynamics of platelet aggregation inhibition, safety, and clinical effects of framon were studied in high-risk coronary angioplasty. Twenty sev...
27,634
[Heart fatty acid binding protein in patients with ST-elevation acute coronary syndrome hospitalized within 6 hours after onset of pain].
AIM: To compare diagnostic value of a novel marker of myocardial necrosis heart fatty acid binding protein (FABP) with that of troponin I (TnI) and total creatine kinase (CK) in patients admitted early after onset of ST-elevation acute coronary syndrome. MATERIAL: Fifty seven patients with ST-segment elevations just...
27,635
[Trimetazidine in pectoris patients older than 65 years with stable angina].
AIM: To study efficacy of trimetazidine including action on quality of life in patients over 65 years of age with stable angina pectoris. MATERIAL: Seventy two patients (75% men, age 65-80 years) with stable class II-III angina not completely controlled by baseline conventional combined antianginal therapy (nitrates...
27,636
[Blood lipids in offsprings of patients with ischemic heart disease].
AIM: To elucidate correlations between characteristics of lipid metabolism in patients with ischemic heart disease and their offsprings. MATERIAL: Patients with overt ischemic heart disease (probands, n=24, mean age 53-/+1.9 years), their first (n=25, mean age 25.7-/+1.8 years) and second generation (n=20, mean age ...
27,637
[Assessment of right ventricular function in patients with congenital heart defects with pulmonary hypertension. The role of some parameters of hemodynamics].
Intracardiac hemodynamics was studied in 46 patients with intraventricular septal defect and 32 patients with incomplete atrioventricular canal. The study confirmed practical value of assessment of contractility of right ventricular myocardium basing on information obtained during prolonged catheterization of the r...
27,638
[Prevalence of detection of autoantibodies to beta-1 adrenoreceptors in patients with myocarditides and cardiomyopathies].
BACKGROUND: Autoantibodies to the second extracellular loop of a cardiac beta1-adrenoreceptors has been detected in some patients with cardiomyopathies and myocarditides. In animal experiments these autoantibodies have been shown to cause reduction of myocardial contractility. AIM: To estimate prevalence of detectio...
27,639
[Clinical characteristics of hypertensive disease in patients with alexithymia].
AIM: To study hemodynamics and metabolism in patients with hypertensive disease and various severity of alexithymia. MATERIAL AND METHODS: Psychological testing was included into complex examination of 202 patients with stage II hypertensive disease. RESULTS: Patients with alexithymia had longer duration of hypertens...
27,640
[Does "pulmogenic hypertension" exist?].
Validity of criteria of so called "pulmogenic hypertension" in chronic obstructive pulmonary diseases was assessed with the use of a questionnaire and simultaneous 24 hour monitoring of blood pressure and peak expiratory rate in 80 and 28 patients, respectively. This method of bifunctional monitoring allowed to stu...
27,641
[Contemporary approaches to diagnosis and management of chronic heart failure (summary of the American College of Cardiology/American Heart Association Guidelines)].
ACC/AHA Guidelines for the Evaluation and Management of Chronic Heart Failure in the Adult are summarized in detail. According to statements of these Guidelines most patients with chronic heart failure as a rule should receive combination of representatives of 4 different drug classes - diuretic, angiotensin convert...
27,642
[Preventing of stroke by antihypertensive drugs: potential and limitations].
Analysis of controlled randomized studies of efficacy of antihypertensive drugs in primary and secondary prevention of stroke is presented. Basing on this analysis a conclusion is made that in patients with hypertension representatives of all 4 main classes of antihypertensive drugs prevent stroke with similar effi...
27,643
[Clinical sequelae of tissue angiotensin converting enzyme inhibition: practicability of use in ischemic heart disease].
Harmonic combination of efficacy and safety allowed angiotensin converting enzyme inhibitors (ACEI) to conquer popularity among physicians in the treatment of hypertension, heart failure, myocardial infarction, diabetic and non-diabetic nephropathy. This multiprofile application is determined by their action not on...
27,644
[Apheresis of immunoglobulins - new approach to the treatment of severe dilated cardiomyopathy].
Two courses of immunoadsorption with 'Ig Adsopak' were used in the treatment of a patient with dilated cardiomyopathy (DCM) during which all class G and partially class M and A immunoglobulins were removed. Every course consisted of 5 daily procedures and resulted in removal of 98% of immunoglobulins. This was asso...
27,645
[Lipoprotein (a) and ischemic heart disease in patients with hypertensive disease].
Relationship between level of lipoprotein (a) and presence of ischemic heart disease (IHD) was studied in 191 patients with hypertensive disease (essential hypertension) (112 men, 79 women, age 56.9-/+10.6 years) and 33 patients with normal blood pressure (23 men, 10 women, age 50.8-/+11.0 years). Concentration of ...
27,646
[Dynamics of rates of fatal and nonfatal complications of hypertension in a population of workers subjected to occupational vibration (15-year follow-up)].
Prospective monitoring of fatal and nonfatal myocardial infarctions and strokes was carried out in a population of workers with professional exposure to vibration. Duration of monitoring was 15 years. In the end of this period implementation of a program of preventive intervention was associated with lowering of ra...
27,647
[Effects of nebivolol on microcirculation, platelet aggregation and blood viscosity in patients with essential hypertension].
AIM: To assess effects of a selective beta1-adrenoreceptor blocker acting in part via nitric oxide nebivolol on microcirculation, platelet aggregation and blood viscosity. MATERIAL: Thirty patients with mild-to-moderate essential hypertension (mean age 54,1-/+9,3 years). METHODS: Ambulatory blood pressure monitoring...
27,648
[Gender differences in the state of the system of hemostasis in patients with ischemic heart disease].
Levels of fibrinogen, von Willebrand factor, d-dimer, antithrombin III, protein C, plasminogen, and plasminogen activator inhibitor were measured in 62 men and 37 women with ischemic heart disease before and after 20-min venous occlusion. Women compared with men had higher baseline levels of fibrinogen (4.046-/+0.17...
27,649
[Prospective analysis of conservative treatment of acute coronary syndrome].
The in-hospital and intermediate outcomes in 341 patients with acute coronary syndrome treated with conservative (non-invasive) interventions were analysed. The coronary reperfusion was achieved in 59% patients with acute myocardial infarction (MI) treated with thrombolysis, but in 27% patients with MI treated only...
27,650
[Results of stenting and surgical treatment in patients with ischemic heart disease and multivessel coronary artery involvement].
Efficacy of surgical and endovascular (with the use of stents) methods of treatment was assessed in 56 patients with ischemic heart disease and double and triple vessel involvement. Coronary artery bypass grafting (CABG) was carried out in 31, implantation of stents - in 25 patients. Clinical factors used for asses...
27,651
[Antihypertensive drugs and malignant neoplasia].
Analysis of epidemiological, cohort and randomized studies of antihypertensive drugs containing reports of development of malignant neoplasms shows that long term use of some antihypertensive drugs while preventing cardiovascular complications has been associated with increased risk of malignancies. Most convincing...
27,652
[The no-reflow phenomenon and its clinical significance].
The no-reflow phenomenon is characterized by inadequate myocardial perfusion without angiographic manifestations of mechanical vascular occlusion. The phenomenon occurs after coronary vascular interventions (coronary angiography, percutaneous coronary angioplasty, stenting, coronary artery bypass surgery). The deve...
27,653
[Emerging problems of medical ethics in Russia: medical practice and research].
The problem of maintenance of integrity of medical profession is rarely discussed in Russia. Meanwhile the following pressing challenges emerge within the medical community in this country: tolerant attitude to violations of ethical principles and falsification in research, incompetence and deceit in practical work...
27,654
[Feasibility of implementation of guidelines for the management of acute coronary syndrome in cardiac unit of a community hospital].
AIM: To assess feasibility of implementation of Guidelines of Russian Society of Cardiology (RSC) on the management of non ST elevation acute coronary syndrome (adaptation of Guidelines of the European Society of Cardiology) in an ordinary noninvasive community hospital. METHODS: Retrospective analysis of inhospital...
27,655
[Thrombolytic therapy of acute myocardial infarction in elderly patients. Immediate and long-term remote prognosis].
AIM: To study effects of thrombolytic therapy in elderly patients. MATERIAL AND METHODS: One hundred twenty three patients with acute myocardial infarction were admitted within first 12 hours of myocardial infarction, 66 of them were subjected to thrombolytic therapy with streptokinase (group 1) while 57 were not be...
27,656
[Prognostic value of cardiac troponin I in patients with non-ST elevation acute coronary syndrome].
AIM: To elucidate relationship between initial blood levels of troponin I and occurrence of such events as death, myocardial infarction, coronary artery bypass surgery, and angioplasty in patients with non-ST elevation acute coronary syndrome. MATERIAL: One hundred one patients aged 32-78 years admitted to coronary ...
27,657
[Fatal and nonfatal cardiovascular complications in patients with essential hypertension (hypertensive disease) during follow-up for many years].
Fatal and nonfatal complications (stroke, myocardial infarction, chronic heart failure, sudden coronary death, chronic renal insufficiency) were registered during long term follow-up of 529 patients with hypertensive disease and results were analyzed retrospectively. Duration of ambulatory treatment in two thirds of...
27,658
[Effect of therapy with lisinopril on the state of cerebral blood flow in women with hypertension in peri- and postmenopause].
Blood flow in extra and intracranial arteries was assessed by doppler ultrasound in 26 hypertensive women without history of stroke. Studies were performed before treatment, after acute test with lisinopril and in 1 month of therapy with lisinopril. Baseline investigation revealed changes of velocity characteristic...
27,659
[Long term use of a non-selective beta-blocker with vasodilating properties carvedilol in patients with severe heart failure].
Results of drug treatment of 51 patients (41 men, 10 women) aged 35-86 years (mean age 62 years) included into COPERNICUS trial are presented. All patients had compensated NYHA class IV chronic heart failure and left ventricular ejection fraction less than 25%. For at least 2 months the patients received therapy wi...
27,660
[Comparative analysis of results of two techniques of ablation for typical atrial flutter].
AIM: To compare efficacy of two techniques of ablation for typical atrial flutter: 'old' which end point was impossibility of arrhythmia reinduction and 'novel' aimed at change of sequence of right atrial excitation during coronary sinus ostium pacing for verification of isthmus block after ablation of the inferior...
27,661
['Uninterrupted' anterograde atrioventricular excitation conduction in patients with paroxysmal reciprocal atrioventricular nodal tachycardias].
Different variants of anterograde atrioventricular conduction of excitation were distinguished basing on data obtained from 150 patients with paroxysmal reciprocal atrioventricular nodal tachycardias. Excitation conduction during programmed and accelerating atrial transesophageal pacing allowed to assess characteri...
27,662
[Assessment of the use of various cardiac pacing modes for selection of antiarrhythmic therapy for prevention of recurrent attacks of atrial fibrillation and flutter].
AIM: To determine optimal mode of transesophageal pacing for selection of appropriate antiarrhythmic therapy for prevention of attacks of atrial fibrillation and flutter in patients with ischemic heart disease. MATERIAL AND METHODS: Two hundred eighteen patients with ischemic heart disease and attacks of atrial fibr...
27,663
[Comparative assessment of different types of adaptational protection of the myocardium during stress].
AIM: To study in rats effects of 3 types of adaptation on structural rearrangement of myocardium during stress. METHOD: Corrosion preparations of coronary vessels, morphometry of focal lesions of cardiomyocytes and correlation analysis of relationships between data obtained by these methods. RESULTS AND CONCLUSIONS:...
27,664
[Synthesis of nitric oxide and development of atherosclerosis].
The paper reviews data on the possible role of malfunction of nitric oxide (NO) synthesis in pathogenesis of atherosclerosis. The singularities of NO synthesis, types of enzymes catalyzing this reaction (a set of NO-synthases), and some possible aspects of regulation of their activity are briefly surveyed. Available...
27,665
[Cardiovascular complications of type 2 diabetes].
Cardiovascular complications due to micro- and microangiopathy are main causes of death of patients with type 2 diabetes. Principal role in development of these complications belong to hyperglycemia which triggers such pathological processes as endothelial dysfunction, oxidative stress, impairment of hemostasis and...
27,666
[Assessment of efficacy of treatment of patients with chronic ischemic heart disease].
The lecture summarizes data on approaches to organization of studies in which evidence based data on efficacy and safety of therapy of patients with ischemic heart disease can be obtained. Some novel approaches to improvement of quality of assessment of benefits of treatment are suggested. It is stressed that resul...
27,667
[Depression--a novel risk factor of ischemic heart disease and predictor of coronary death].
According to results of recent prospective studies depression is an independent risk factor of ischemic heart disease and should be considered together with such acknowledged risk factors as dyslipidemia, hypertension and smoking. Possible pathophysiological mechanisms of relationship between depression and ischemi...
27,668
[Some results and perspectives of heart failure research].
Heart failure is a frequent often in the practice of a cardiologist but data on its actual incidence are inconsistent. This can be explained by variations in methodological approaches. Screening studies require simple easily obtainable and safe techniques capable to characterize activity of a patient. Their results ...
27,669
[Effect of long-term myocardial unloading with beta1-adrenoblocker atenolol on the state of the left ventricle in patients with moderate ischemic dysfunction of the heart as shown by doppler echocardiography].
Effects of 12-month therapy with a beta1-adrenoblocker atenolol on the process of late postinfarction remodeling of the heart and parameters of intracardiac hemodynamics were assessed in an open noncomparative study on 55 survivors of macrofocal myocardial infarction. Therapy with atenolol was associated with: (1) ...
27,670
[Trimetazidine in correction of chronic heart failure in patients with ischemic heart disease].
Twenty patients with NYHA class II-IV heart failure and ejection fraction below 40% received standard therapy (control period) or standard therapy plus open trimetazidine (20 mg t.i.d.) for 3 months in a cross-over design. Therapy with trimetazidine was associated with attenuation of clinical signs of heart failure ...
27,671
[Coronary stenting in acute myocardial infarction complicated with cardiogenic shock].
AIM: To assess immediate and long-term results of urgent coronary stenting in patients with cardiogenic shock. MATERIAL AND METHODS: Twenty three patients (15 men, 8 women mean age 58-/+12 years) with myocardial infarction and cardiogenic shock treated with vasopressors and intraaortic balloon pumping (IABP). Culpri...
27,672
[Stratification of patients with hypertension and selection of antihypertensive therapy].
Patients with hypertension (78 men, 113 women aged 20-73 years) were stratified according to risk of development of cardiovascular complications. In low and moderate risk patients (n=31) with borderline hypertension, dyslipidemia and pronounced obesity mainly non-drug measures were employed directed at lowering of ...
27,673
[Effect of mexidol on oxidative stress in cerebral variant of hypertensive crisis].
Parameters of oxidative stress were studied in 44 patients with grade II-III essential hypertension and cerebral variant of hypertensive crisis. All patients received antihypertensive treatment. Mexidol was administered intravenously (300 mg o.d.) for 7 days starting with the second day of a hypertensive crisis. Co...
27,674
[NOS3 gene polymorphism and left ventricular hypertrophy in patients with essential hypertension].
One hundred nine patients with essential hypertension were studied (50 male and 59 female, mean age - 62,6-/+1,08 years). Seventy six patients had left ventricular hypertrophy measured by echocardiography. NOS3 polymorphisms (Glu298Asp and ecNOS4a/4b) were studied by PCR. In patients without left ventricular hypert...
27,675
[Use of myocardial tissue Doppler imaging in cardiology].
Tissue Doppler imaging is a new promising method of non-invasive assessment of cardiac function. This method has heralded a renaissance of interest in longitudinal ventricular function. There is evidence that long-axis function is a more sensitive index of myocardial contractility than conventional echocardiographi...
27,676
[Adverse effects of angiotensin II type 1 receptor blockers ].
Angiotensin II type 1 receptor blockers belong to a novel class of cardiovascular agents that is characterized by excellent tolerance. The overall rate of their side effects is similar to that of placebo. Specific nonproductive cough is much less common during treatment with angiotensin II blockers compared with an...
27,677
[Reflected wave and isolated systolic hypertension: problems of pathogenesis and therapy].
The value of reflected (tidal) wave amplitude in the pathogenesis of isolated systolic hypertension (ISH) is discussed and main characteristics of elastic properties of arteries (compliance, distensibility, rigidity, pulse wave velocity, and amplitude of reflected wave) are considered. In ISH systolic and pulse blo...
27,678
[Clinical and angiographical results of the use of the EPHESOS stent in patients with coronary artery atherosclerosis].
The Ephesos is a new balloon-expandable, stainless steel, tubular stent with multicellular design. This open nonrandomized study assesses the immediate and long-term clinical and angiographic outcomes after Ephesos implantation in patients with native coronary artery disease. The Ephesos was implanted in 168 patien...
27,679
[C-reactive protein as possible early prognostic marker of restenosis development in coronary artery stents].
AIM: To study possible link between inflammatory response of the body to stent implantation and development of instent restenosis. METHODS: C-reactive protein (CRP) was determined in 24 patients subjected to coronary stenting. Coronary angiography was repeated in 7.1-/+0.68 months after initial procedure. RESULTS: A...
27,680
[Changes of parameters of the functional state of the organism and oxidative stress in patients after surgical revascularization at early stage of restorative treatment].
Early complex restorative treatment with individualized aerobic physical exercise in 2-4 weeks after surgical myocardial revascularization significantly increased physical working capacity and cardiorespiratory reserve of the body. Pronounced oxidative stress which had been present after myocardial revascularizatio...
27,681
[Comparative analysis of parameters of corrected and uncorrected QT-interval dispersion of magneto-, electrocardiography and isomagnetic maps in patients with ischemic heart disease].
AIM: To compare possibilities of magnetocardiography (MCG) and electrocardiography for assessment of regional dispersion of ventricular recovery time using parameters of corrected and uncorrected QT-interval dispersion (DQTs and DQT). MATERIAL: Twenty three patients with class II angina pectoris including 11 patien...
27,682
[Assessment of efficacy and safety of nebivolol in patients with stable effort angina].
AIM: To study efficacy and safety of nebivolol in patients with stable angina pectoris. MATERIAL: Twenty patients with stable effort angina pectoris and positive exercise test without contraindications to beta-blockers, signs of NYHA class III-IV heart failure, and obstructive lung disease. After 5-7 days of control...
27,683
[Antiischemic efficacy of trimetazidine in patients with ischemic heart disease, stable angina pectoris and disturbances of carbohydrate metabolism].
AIM: To compare antiischemic effects of trimetazidine in patients with stable angina pectoris with and without disturbances of carbohydrate metabolism. MATERIAL: Patients with ischemic heart disease, stable class II-III angina pectoris and reproducible positive results of on-treatment exercise tests (n=40, mean age ...
27,684
[The role of heredity and environment in formation of 24-hour blood pressure profile in patients with hypertension (a study of twins)].
Twenty four hour blood pressure monitoring was carried out in 64 sex concordant pairs of monozygotic and dizygotic hypertensive twins (mean age 52.7-/+3.2 years). Clinico-genetic analysis of quantitative parameters showed that during day awake time systolic, diastolic, and mean blood pressures were mainly determine...
27,685
[Effect of long term therapy with captopril on dopplerographic parameters of intrarenal blood flow and renal function in patients with hypertension and diabetes].
Effect of 9-12 month treatment with captopril on dopplerographic parameters of intrarenal blood flow and renal function was studied in 30 hypertensive diabetics without clinical signs of nephroangiopathy. There was an interrelationship between strict blood pressure (BP) control (average 24-hour BP below 135/83) and...
27,686
[Angiotensin II receptor blocker telmisartan: effect on 24-hour blood pressure profile and left ventricular hypertrophy in patients with hypertension].
AIM: To study antihypertensive efficacy of monotherapy with telmisartan and its action on left ventricular myocardium remodeling in patients with hypertension. MATERIAL AND METHODS: Telmisartan (40-80 mg/day) was given for 24 weeks to 24 patients aged 37-69 years with I-II degree of blood pressure (BP) elevation and ...
27,687
[Recovery of left atrial function after cardioversion of atrial fibrillation: the role of some clinical and echocardiographical factors].
Sinus rhythm was restored in 102 patients with atrial fibrillation. Cardioversion was spontaneous (n=6), pharmacological (n=35), and electrical - early (n=46) or postponed because of necessity of full anticoagulation (n=15). Irrespective of method of cardioversion all patients had signs of atrial stunning. Doppler ...
27,688
[Prevalence of ischemic heart disease and mortality among kaunas population aged 35-64 years in the prospective study].
MONICA (MONItoring trends and determinants of CArdiovascular diseases) study was carried out in Kaunas in 1983-1993 in three random samples of population aged 35-64 (overall 2694 men and 2801 women). The prevalence of previous MI among men was higher than among women in the first and in the third surveys (2,2 and 1,...
27,689
[Prognostic value of duration and variability of QT and RR intervals in general population of Novosibirsk].
Increased duration and dispersion of QT interval and lowered variability of RR interval are considered to be probable precursors of dangerous ventricular arrhythmias and sudden death. Standard epidemiological methods were used for the study of a representative sample of nonorganized male population (age 25-64 years...
27,690
[Effect of atorvastatin on endothelial function in patients with familial hypercholesterolemia].
AIM: To study the influence of treatment with HMG-CoA reductase inhibitor atorvastatin on endothelial function in patients with familial hypercholesterolemia type IIa. MATERIALS AND METHODS: Sixteen patients (5m/11w, 51-/+3 years) with familial hypercholesterolemia were studied before and after 3 months of therapy w...
27,691
[Atherosclerosis in victims of cancer].
Atherosclerotic changes in aortas and coronary arteries of victims of cancer were investigated within framework of 2 epidemiological studies of men aged 20-59 years in Malmo, Prague, Riga, Tallin, Yalta and of women aged 40-59 years in Malmo, Riga and Yalta conducted in 1963-1966 (first study) and 1985-1989 (second...
27,692
[Correction of atherogenic exogenously-induced postprandial hyperlipidemia with pravastatin].
Effect of an HMG-CoA reductase inhibitor pravastatin on atherogenic changes in the lipid transport system during postprandial hyperlipidemia immediately after ingestion of fatty meal was studied in patients with coronary heart disease and fasting hyperlipidemia. Treatment with pravastatin (20-40 mg/day for 3 months)...
27,693
[Simvastatin in management of patients with primary hypercholesterolemia: tolerability and efficacy of daily doses 10-80 mg].
AIM: To analyze retrospectively data on lipid lowering efficacy, tolerability and safety of different doses of simvastatin in patients with primary hyperlipidemia. MATERIAL AND METHODS: Thirty five patients (mean age 54.9-/+8.5 years, 15 men, 20 women) received simvastatin for 3-6 months in doses 10 (n=12), 20 (n=8)...
27,694
[Stress-ultrasound study of hemodynamic reserve of aortic compression chamber in atherosclerosis: effect on coronary blood flow].
AIM: To study the role of hemodynamic reserve of aortic compression chamber (ACC) in compensation of coronary blood flow during stress. MATERIAL: Ninety three subjects (78 men and 15 women) including 74 patients with chronic ischemic heart disease (mean age 50-/+7 years) and 19 healthy volunteers (mean age 45-/+5 ye...
27,695
[FLAG--a program of achievability of target blood pressure levels during treatment of patients with hypertension with fosinopril].
The Program FLAG was initiated by the Scientific Society of Arterial Hypertension in order to assess achievability of WHO/ISH target blood pressure (BP) levels in conventional ambulatory practice. Overall 2829 patients (mean age 53.1 years, 65% women) were enrolled in 17 cities of 5 regions in Russia. Nineteen, 68,...
27,696
[The value of blood pressure self-measurement by patients with hypertension].
Blood pressure (BP) self-measurement (SM) is a promising method of investigation of patients with hypertension capable to provide information unobtainable neither with traditional office measurements nor with 24-hour BP monitoring. Advantages of BPSM are as follows: accessibility, low effect of anxiety on results o...
27,697
[Diagnostic value of ventricular late potentials, heart rate variability and QT dispersion in patients with acute myocardial infarction].
Late ventricular potentials (LVP), heart rate variability (HRV) and dispersion of QT interval (QTd) were studied in 91 patients with myocardial infarction with various ventricular arrhythmias. Patients with episodes of sustained ventricular tachycardia (group 4) had the following characteristics: prevalence of LVP ...
27,698
[The use of a program of medical and psychological support after coronary artery bypass surgery in patients with ischemic heart disease].
The paper contains analysis of results of restorative treatment in a sanatorium and subsequent ambulatory care for 1 year of 167 patients after coronary artery bypass surgery. All patients received similar curative and preventive aid, 127 patients in addition participated in a special program of medical and psychol...
27,699
[The use of positron emission tomography for noninvasive diagnosis of mitochondrial dysfunction and assessment of myocardial compensatory reserve in children with cardiomyopathies].
BACKGROUND: Recent experimental and clinical studies have shown that cardiomyopathy (CMP) can be associated with disorders of oxidative metabolism in cardiomyocyte mitochondria. These disorders are connected with deficit of enzymes and complexes of electron transfer chain, and can constitute pathogenetic base of th...