[Changes in myocardial damage markers after radiofrequency ablation in patients with arrhythmias]. / Kharakter izmeneniia markerov povrezhdeniia miokarda pri protsedure radiochastotnoi abliatsii u bol'nykh s aritmiiami.

The aim of this study was to evaluate myocardial cell damage after radiofrequency ablation (RFA), one of the most effective methods for the treatment of arrhythmias. Thirty patients aged 30.4 +/- 8.6 years were examined. Biochemical parameters were evaluated repeatedly 6-18 h after RFA. Positive troponin T (Tn-T) test and increased CK-Mb activity (p < 0.22) were observed in 8 patients (group 1), while in group II Tn-T test was negative. Biochemical findings in group I correlated with the results of ECG body surface mapping (STT) (negative area), duration and number of RFA lesions. Myocardial damage was detected using 3 cardiac markers: myo/CK-Mb and Tn-T. These testing should be carried out in due time repeatedly, in order to catch the STT maps and biochemical parameters were in high correlation after RFA. Presumably, T-wave abnormalities in Tn-T-negative group after RFA were due to the cardiac memory phenomenon. Myo/CK-Mb after RFA in Tn-T-positive group coincided with that in acute myocardial infarction. Hence, myocardial damage after RFA can be confirmed by the Tn-T test, which is helpful in the differential diagnosis of minor myocardial damage and cardiac memory phenomenon.

[Alterations of the myocardium and adrenergic nerves of the isolated rat heart under conditions of total ischemia and normothermic cardioplegic reperfusion]. / Izmeneniia miokarda i adrenergicheskikh nervov izolirovannogo serdtsa krys pri total'noi ishemii i normotermicheskoi kardioplegicheskoi reperfuzii.

The increase of the ischemic period from 30 to 60 min did not enhance the degree of the contractural myocardial damage in connection with progression of "no reflow" phenomenon. Endogenous catecholamines do not play a decisive role in genesis of ischemic (reperfusion) heart damage. Cardioplegic reperfusion with a high K+ content results in a considerable loss of mediator from the adrenergic nerve fibres thus leading to the partial isolated heart desympathization.