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1.
Lik Sprava ; (6): 120-4, 1998 Aug.
Article in Ukrainian | MEDLINE | ID: mdl-9844895

ABSTRACT

Of the 40 patients, stenoses of major brain arteries were identified in 34, occlusions in 6, affection of two arteries in eleven patients, that of three arteries in 3 patients. The following disturbances in central hemodynamics were detected: arterial pressure getting higher, this referring also to the peripheral vascular resistance, hematocrit value, with the bloodflow in the arm-ear portion slowing down, hemodynamics being predominantly of hyperkinetic type. Treatment with cavinton, cavinton plus corglucone resulted in improvement of bloodflow in the affected major brain arteries at the expense of a compensating redistribution of bloodflow from intact collectors to the stenosed arteries basin. Changes in central hemodynamics were manifested by increase in the number of cases presenting with eukinetic-type circulation at the expense of decrease in those of hyperkinetic type. Under hypokinetic type hemodynamics, it is advisable that cavinton be prescribed in combination with cardiac glycosides.


Subject(s)
Antihypertensive Agents/therapeutic use , Brain Ischemia/drug therapy , Cerebral Arterial Diseases/complications , Hemodynamics/drug effects , Intracranial Arteriosclerosis/complications , Strophanthins/therapeutic use , Vasodilator Agents/therapeutic use , Vinca Alkaloids/therapeutic use , Adult , Aged , Antihypertensive Agents/pharmacology , Brain Ischemia/etiology , Brain Ischemia/physiopathology , Cerebral Arterial Diseases/physiopathology , Drug Evaluation , Drug Therapy, Combination , Female , Humans , Intracranial Arteriosclerosis/physiopathology , Male , Middle Aged , Strophanthins/pharmacology , Vasodilator Agents/pharmacology , Vinca Alkaloids/pharmacology
2.
Lik Sprava ; (1-2): 143-5, 1996.
Article in Ukrainian | MEDLINE | ID: mdl-9005077

ABSTRACT

As many as 34 patients having stage II-III atherosclerotic dyscirculatory encephalopathy with coexisting ischemic heart disease in the presence of stenosing and occlusive lesions of major brain arteries were evaluated for effects pentoxiphyllin and corglycon on the clinical course of this medical condition as well as systemic and cerebral haemodynamics. In this series, 82.7 percent of patients derived benefit from a single intravenous infusion of pentoxiphyllin and corglycon and course treatment with these drug preparation that was evidenced by an improvement in the parameters of systemic and cerebral hemodynamics and regression of neurologic symptomatology. The results of the studies made permit recommending pentoxiphyllin in combination with corglycon for treatment of those DE patients with eukinetic and hypokinetic types systemic haemodynamics, whereas pentoxiphyllin alone--for those with hyperkinetic type of haemodynamics, taking into consideration its cardiodepressive effects.


Subject(s)
Intracranial Arteriosclerosis/drug therapy , Pentoxifylline/therapeutic use , Strophanthins/therapeutic use , Vasodilator Agents/therapeutic use , Adult , Aged , Drug Evaluation , Drug Therapy, Combination , Echoencephalography , Hemodynamics/drug effects , Humans , Intracranial Arteriosclerosis/diagnostic imaging , Intracranial Arteriosclerosis/physiopathology , Middle Aged , Myocardial Ischemia/drug therapy , Myocardial Ischemia/physiopathology , Time Factors
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