[SUICIDAL RISK FACTORS IN PATIENTS WITH COGNITIVE IMPAIRMENTS IN DEPRESSIVE DISORDERS].

The aim of the study is to determine the factors of suicidal risk in patients with cognitive impairment with depressive disorders. 362 patients with cognitive impairment in depressive disorders were examined: 123 patients with recurrent depressive disorders, 141 patients with bipolar affective disorders, and 98 people with prolonged depressive reactions. A complex of research methods was used: clinical-psychopathological, psychodiagnostical, psychometrical and statistical. Suicidal risk factors were determined in patients with cognitive impairments in depressive disorders, which included the clinical and psychopathological features of the manifestation of depressive disorder, anamnestic burden, the course and severity of stress factors and impaired communication. The relationship between cognitive dysfunction and the level of suicidal risk, differentiated depending on the type of depressive disorder, was determined. The identified suicidal risk factors can serve as diagnostic criteria for differential diagnostics and should be taken into account when creating psychocorrectional programs aimed at reducing suicidal risk in patients with cognitive impairment in depressive disorders.

Significance of balloon imprint during coronary angioplasty.

Balloon imprint during angioplasty is often seen, but not at all inflations. We prospectively studied 235 consecutive patients undergoing 282 PTCAs during a 4-month period, who were divided into two groups: those with balloon imprint during inflation (159 patients, 190 lesions; 67%) and those without (76 patients, 92 lesions; 33%). Clinical and lesion characteristics and immediate outcome were compared. Patients undergoing urgent PTCA had less balloon imprint than those undergoing nonurgent PTCA (14.2% vs. 28.3%; P < 0.005). Although not reaching statistical significance, younger patients and diabetic patients tended toward less balloon imprint (P < 0.06). Patients with observed imprint had less visible thrombus at lesion site (31.1% vs. 42.4%; P < 0.05), and a tendency without statistical significance toward more dissections but less acute closure was observed (P < 0.07). In addition, more stents were implanted in the imprint group (79.5% vs. 66.3%; P < 0.02). Patients needing pressure > 6 atm to break the imprint had more eccentric lesions (68% vs. 27.1%; P < 0.000) and more dissections (13.9% vs. 5.1%; P < 0.03) than those needing lower pressure. Patient and lesion characteristics may determine the appearance of balloon imprint at PTCA, which in turn influences the procedure and its immediate outcome. Cathet Cardiovasc Intervent 2001;53:331-333.