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1.
Adv Gerontol ; 27(1): 115-9, 2014.
Article in Russian | MEDLINE | ID: mdl-25051767

ABSTRACT

In elderly patients, when performing endovascular cathlabs manipulation the radial and cubital accesses is preferable. We propose a new arterial access on the back surface of the hand in the anatomical snuffbox. Artery catheterization of the hand in the anatomical snuffbox preserves intact the radial artery in the forearm for subsequent potential surgical interventions.


Subject(s)
Arteries , Endovascular Procedures/methods , Upper Extremity/blood supply , Vascular Diseases/surgery , Aged , Arteries/pathology , Arteries/surgery , Catheterization, Peripheral/methods , Female , Humans , Middle Aged , Preoperative Care/methods , Radiography, Interventional/methods , Treatment Outcome , Upper Extremity/surgery , Vascular Diseases/pathology
2.
Adv Gerontol ; 25(2): 301-4, 2012.
Article in Russian | MEDLINE | ID: mdl-23130523

ABSTRACT

In article, analysis has been carried out on the influence of recanalization of chronic total occlusion of left anterior descending artery on the course of heart failure in elderly patients who had damage to a single artery and viable myocardium. Recanalization of chronic occlusion of left anterior descending artery together with conservative therapy in elderly patients improves the clinical course of heart failure. A more significant improvement seen in patients with chronic occlusion of left anterior descending artery without history of myocardial infarction.


Subject(s)
Coronary Artery Disease , Coronary Vessels , Heart Failure , Heart Function Tests/methods , Myocardial Revascularization/methods , Myocardium/metabolism , Aged , Cardiovascular Agents/therapeutic use , Chronic Disease , Coronary Artery Disease/complications , Coronary Artery Disease/diagnosis , Coronary Artery Disease/physiopathology , Coronary Artery Disease/therapy , Coronary Vessels/diagnostic imaging , Coronary Vessels/surgery , Exercise Test , Female , Heart Failure/complications , Heart Failure/diagnosis , Heart Failure/physiopathology , Heart Failure/therapy , Humans , Male , Middle Aged , Natriuretic Peptide, Brain/metabolism , Peptide Fragments/metabolism , Positron-Emission Tomography/methods , Radiography , Severity of Illness Index , Treatment Outcome
3.
Kardiologiia ; 51(8): 22-7, 2011.
Article in Russian | MEDLINE | ID: mdl-21942954

ABSTRACT

We studied prognostic value of left ventricular (LV) diastolic dysfunction (DD) in relation to sudden cardiac death (SCD) after myocardial infarction (MI). We examined 603 patients in acute period of MI (including 551 with preserved LV systolic function and DD). Duration of follow-up was 1-7 years. According to data of Cox multifactorial regression analysis LVDD was not an independent prognostic factor. ut it increased SCD risk at the account of interrelationship with such predictors as ventricular rhythm disturbances, lowering of heart rate variability, and sensitivity of cardiochronotropic component of arterial baroreflex.


Subject(s)
Death, Sudden, Cardiac/prevention & control , Echocardiography, Doppler , Electrocardiography , Heart Failure, Diastolic/diagnosis , Myocardial Infarction , Ventricular Dysfunction, Left/diagnosis , Aged , Baroreflex , Female , Follow-Up Studies , Heart Failure, Diastolic/etiology , Heart Failure, Diastolic/physiopathology , Heart Rate , Humans , Male , Middle Aged , Myocardial Infarction/complications , Myocardial Infarction/mortality , Prognosis , Risk Assessment , Risk Factors , Ventricular Dysfunction, Left/etiology , Ventricular Dysfunction, Left/physiopathology
4.
Ter Arkh ; 75(9): 77-81, 2003.
Article in Russian | MEDLINE | ID: mdl-14582440

ABSTRACT

AIM: To investigate effects of trimetazidine and perindopril on myocardial function and metabolism in patients with cardiac failure after myocardial infarction. MATERIAL AND METHODS: A comparative study was mode of the effects of 6-month therapy with perindopril, trimetazidine alone and in combination on clinical symptoms, left ventricular function and perfusion, glucose utilization, excretion and utilization of fatty acids in the zones of postinfarction scar, periinfarction ischemia and in without infarction changes. RESULTS: Combined treatment with the ACE inhibitor and trimetazidine produced positive clinical and functional-metabolic shifts in postmyocardial infarction patients with cardiac failure. CONCLUSION: The addition to the program of mild cardiac failure treatment early after myocardial infarction of an ACE inhibitor and a cytoprotective drug (trimetazidine) promotes more complete clinical compensation of the patients.


Subject(s)
Cardiac Output, Low/drug therapy , Cardiovascular Agents/therapeutic use , Infarction/complications , Myocardial Contraction/drug effects , Myocardium/metabolism , Adult , Aged , Blood Pressure/drug effects , Cardiac Output, Low/etiology , Cardiac Output, Low/metabolism , Cardiac Output, Low/physiopathology , Cardiovascular Agents/administration & dosage , Drug Therapy, Combination , Electrocardiography , Energy Metabolism/drug effects , Fatty Acids, Nonesterified/metabolism , Glucose/metabolism , Humans , Male , Middle Aged , Perindopril/administration & dosage , Perindopril/therapeutic use , Trimetazidine/administration & dosage , Trimetazidine/therapeutic use
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