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1.
Kardiologiia ; 53(9): 33-9, 2013.
Article in Russian | MEDLINE | ID: mdl-24090384

ABSTRACT

We examined 150 pregnant women with essential hypertension (EHT), EHT and connective tissue dysplasia (CTD), and healthy. Presence of CTD aggravated clinical picture of EHT and was associated with pronounced cardialgic, neurological, asthenic, vertebrogenic, visceral, and other syndromes. The use of antihypertensive, metabolic (magnesium orotate) drugs, sedative and uroseptic phytotherapy, application of other nondrug measures in conditions of multidisciplinary dynamic support of the gestational period facilitated regress of clinical symptoms of EHT and EHT+CTD, favorable course of pregnancy and successful delivery.


Subject(s)
Antihypertensive Agents/administration & dosage , Connective Tissue Diseases/drug therapy , Hypertension/drug therapy , Orotic Acid/analogs & derivatives , Pregnancy Complications, Cardiovascular/drug therapy , Adult , Blood Pressure/drug effects , Connective Tissue Diseases/diagnosis , Connective Tissue Diseases/metabolism , Connective Tissue Diseases/physiopathology , Dietary Supplements , Drug Monitoring , Drug Therapy, Combination , Echocardiography/methods , Female , Humans , Hypertension/diagnosis , Hypertension/metabolism , Hypertension/physiopathology , Orotic Acid/administration & dosage , Perinatal Mortality , Pregnancy , Pregnancy Complications, Cardiovascular/diagnosis , Pregnancy Complications, Cardiovascular/metabolism , Pregnancy Complications, Cardiovascular/physiopathology , Pregnancy Outcome , Severity of Illness Index , Siberia , Treatment Outcome
2.
Kardiologiia ; 53(2): 68-74, 2013.
Article in Russian | MEDLINE | ID: mdl-23548394

ABSTRACT

From 2000 to 2011 in prospective and retrospective studies we investigated pregnancy outcomes in all 30417 women treated within framework of the multidisciplinary management system for pregnant patients with cardiovascular diseases (hypertension, structural heart disease, aortic pathology and inflammatory autoimmune rheumatic diseases) designed and conducted in the Udmurt Republic of Russian Federation in late 1980-th. The system comprises specialized outpatient and inpatient departments, sanatorium and a maternity hospital at the regional cardiological center and provides ambulatory and hospital management and rehabilitation. Perinatal mortality decreased 65.8% from 11.1% in 2000 to 3.8% in 2011. Within 20 years no mother died.


Subject(s)
Cardiovascular System/physiopathology , Perinatal Care , Pregnancy Complications, Cardiovascular , Pregnancy Outcome/epidemiology , Cohort Studies , Female , Humans , Maternal-Child Health Centers/organization & administration , Patient Care Team/organization & administration , Perinatal Care/methods , Perinatal Care/organization & administration , Perinatal Care/statistics & numerical data , Perinatal Mortality , Pregnancy , Pregnancy Complications, Cardiovascular/classification , Pregnancy Complications, Cardiovascular/diagnosis , Pregnancy Complications, Cardiovascular/epidemiology , Pregnancy Complications, Cardiovascular/physiopathology , Pregnancy Complications, Cardiovascular/therapy , Russia/epidemiology
4.
Ter Arkh ; 67(12): 13-7, 1995.
Article in Russian | MEDLINE | ID: mdl-8820046

ABSTRACT

349 chronic sufferers from coronary heart disease (functional class II-IV) were exposed to He-Ne laser radiation, received alpha-tocopherol acetate, solcoseryl, mildronate. Alleviation of pain syndrome, quicker increase of exercise tolerance were observed in patients treated with combined regimens: i.v. laser radiation+alpha-tocopherol acetate, i.v. laser therapy+alpha-tocopherol acetate+solcoseryl. Solcoseryl proved efficient against arrhythmia, positive trends in lipid peroxidation were observed in the use of preradiation antioxidants. It is thought valid to use drug "protection" in laser therapy of CHD, especially in growing intensity of the exposure and power of the beam, to control parameters of coagulation, hemostasis, microcirculation and lipid peroxidation.


Subject(s)
Laser Therapy , Myocardial Infarction/therapy , Myocardial Ischemia/therapy , Adult , Aged , Angina Pectoris/diagnosis , Angina Pectoris/physiopathology , Angina Pectoris/therapy , Combined Modality Therapy , Evaluation Studies as Topic , Exercise Tolerance , Female , Humans , Lipid Peroxidation , Male , Methods , Middle Aged , Myocardial Infarction/diagnosis , Myocardial Infarction/physiopathology , Myocardial Ischemia/diagnosis , Myocardial Ischemia/physiopathology , Time Factors
5.
Klin Med (Mosk) ; 70(11-12): 32-4, 1992.
Article in Russian | MEDLINE | ID: mdl-1284135

ABSTRACT

The paper presents the results of unstable angina pectoris treatment in 121 patients who received or did not receive (65 and 56 patients, respectively) contrykal in a dose of 20,000 units as an adjuvant to standard treatment (analgetics, tranquilizers, vasodilators). All the patients were admitted to cardiological departments. The comparative assessment of the data favours contrykal infusions in emergency prehospital care of developing unstable angina pectoris. The drug produces a cardioprotective effect reducing the risk of macrofocal myocardial infarction.


Subject(s)
Angina, Unstable/drug therapy , Aprotinin/administration & dosage , Emergency Medical Services , First Aid , Adult , Aged , Angina, Unstable/diagnosis , Electrocardiography/drug effects , Emergencies , Humans , Infusions, Intravenous , Male , Middle Aged
6.
Kardiologiia ; 31(2): 53-6, 1991 Feb.
Article in Russian | MEDLINE | ID: mdl-1710304

ABSTRACT

The effect of contrykal was evaluated in 146 male patients with first myocardial infarction and 116 control patients in the prehospital period. Intravenous contrykal was given in a single dose of 20,000 IU within 30 to 360 minutes of onset of myocardial infarction, followed by intravenous administration of heparin, 10,000-15,000 U. The control patients received conventional therapy. Earlier application of contrykal contributed to attenuation of clinical manifestations of myocardial infarction. The drug was found to produce a clear-cut antianginal effect. It also exerted a positive action on the abdominal syndrome. There was a rapid inverse dynamics in ECG changes, fermentaemia (aspartate aminotransferase and alanine aminotransferase), decreased myocardial necrotic mass.


Subject(s)
Aprotinin/therapeutic use , Myocardial Infarction/drug therapy , Adult , Aged , Alanine Transaminase/blood , Aprotinin/administration & dosage , Aspartate Aminotransferases/blood , Clinical Enzyme Tests , Critical Care , Electrocardiography , Humans , Infusions, Intravenous , Male , Middle Aged , Myocardial Infarction/diagnosis
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