[Cytoarchitectonics and parameters of aggregation of erythrocytes in patients with acute myocardial infarction].

AIM: To assess cytoarchitectonics and parameters of aggregation of erythrocytes in patients with acute myocardial infarction, to elucidate their relationships with risk factors of ischemic heart disease. MATERIAL AND METHODS: We examined 80 patients with acute myocardial infarction, 20 patients with stable angina pectoris comprised control group. Patients were divided into subgroups according to depth of damage of the myocardium and presence of statins in the treatment scheme. Examination included assessment of cytoarchitectonics and parameters of aggregation of erythrocytes, determination of blood plasma lipid spectrum and concentration of fibrinogen. RESULTS AND CONCLUSIONS: Pronounced pathological changes of cytoarchitectonics of erythrocytes and parameters of their aggregation develop in acute myocardial infarction. These changes increase with increase of depth of myocardial damage. Inclusion of statins in the scheme of treatment leads to significant improvement of the parameters studied. This improvement is more pronounced in patients with non-Q-wave myocardial infarction. Presence of significant interrelationships between cytoarchitectonics of erythrocytes and their aggregation and levels of low density lipoprotein cholesterol, concentration of fibrinogen.

[The infrared radiation dynamics of the hand under the influence of physical loading in the rehabilitation of patients with tendon injuries to the flexor muscles of the fingers and the nerves of the hand]. / Dinamika infrakrasnogo izlucheniia ruki pod vliianiem fizicheskoi nagruzki pri reabilitatsii bol'nykh s povrezhdeniiami sukhozhilii sgibatelei pal'tsev i nervov kisti.

Infrared imaging of the hands has been conducted in kinesitherapy of patients with injured finger flexor tendons and hand nerves as compared to healthy subjects. A trend to normalization of the infrared images was recorded in the regimens without force loading, duration of the exercise schedule not less than 1 week, start of the treatment in the early postoperative period.

[Fluctuations in the diameter of the proper palmar digital arteries of the hand]. / Kolebaniia diametra sobstvennykh ladonnykh pal'tsevykh arterii kisti.

The data of 160 arteriograms of the hand digits of the persons died a sudden death are presented. In the first and second fingers the internal diameter of the radial edge arteries is significantly less than the ulnar one, and in the fourth and fifth fingers an opposite relation is observed. In the third finger the difference in the diameters is minimal and not reliable. The data obtained can be used for performing replantations and revascularization of the fingers.

[Vascular bed of the fingers in injuries of flexor tendons and arteries]. / Sosudistoe ruslo pal'tsev kisti pri povrezhedniiakh sukhozhilii sgibatelei i arterii.

Active movements of 161 fingers after a tendon suture in the "critical" area have been examined in 36 +/- 1.4 months after injuries. Impairments of the vasculo-neural fascicles have been detected in 61.2% of fingers whose movements did not differ from the movements of the fingers with intact innervation and circulation. Contrast arteriography (in cadaver experiments) of cut wounds of the fingers with disruptions of the tendons and arteries has shown that disruption of both the main arteries with crossing the soft tissues of the palmar and lateral surfaces of 2-5 fingers excludes the arteries distal to the injury from the blood flow. Intact soft tissues could provide the functioning of the collaterals along approximately 10 mm on the proximal phalanx and 6 mm on the middle one. After tendon sutures the tendons regeneration takes place in conditions of intact collateral circulation in cases with wounds of 2-5 fingers, involving injury to one artery, or of the main arteries of 1 finger, or with intact soft tissues on the palm surface of 2-5 fingers.