[High-frequency jet ventilation of the lungs during intensive care of cardiogenic shock and pulmonary edema in patients with myocardial infarction]. / Vysokochastotnaia struinaia ventiliatsiia legkikh pri intensivnoi terapii kardiogennogo shoka i oteka legkikh u bol'nykh infarktom miokarda.

High-frequency (HF) jet ventilation through transtracheal catheter has been used for the therapy of acute respiratory failure in 30 patients ith myocardial infarction complicated by pulmonary edema and cardiogenic shock. Gas exchange and central hemodynamics have been assessed, using a Swan-Ganz catheter fixed in the pulmonary artery. HF ventilation led to a decrease of hypoxemia, pulmonary blood shunting and to a moderate increase in the cardiac output.

[Study of the dynamics of cardiac rhythm and the ST segment in patients with acute myocardial infarction based on the data of Holter ECG monitoring]. / Dinamika ritma serdtsa i segmenta ST u bol'nykh ostrym infarktom miokarda po dannym kholterovskogo monitoringa EKG.

Holter monitoring was performed on days 1-2, 6-9 of the disease and on days 30-60 before their discharge from hospital in 54 patients with acute gross myocardial infarction. The presence of cardiac rhythm and conduction disturbances and ischemic ST-segment depression or elevation was evaluated. The patients having frequent and prolonged (more than 3 hours during a 2-day follow-up) showed a complicated course of the disease: recurrent pain syndrome, signs of heart failure, prolonged cardiac arrhythmias, and fatal outcomes. The patients with uncomplicated acute myocardial infarction had no long-term episodes of ischemic ST-segment depression or elevation, as recorded by Holter monitoring in the first 2 days of the disease. On days 6-9 no cardiac rhythm and conduction disturbances that had been observed in them were recorded. The patients in whom the episodes of silent myocardial infarction remained on their discharge exhibited a high (35%) incidence of myocardial infarction recurrence within a year.