[Structural-functional changes of walls of common carotid and brachial arteries in hypertensive disease and ischemic heart disease].

With the help of ultrasound methods of investigation we carried out comparison of structural-functional and hemodynamic properties of common carotid and brachial arteries in patients with hypertensive disease (HD) including those with concomitant ischemic heart disease (IHD) and in subjects of control group. Patients with HD combined with IHD compared with patients of other groups had more pronounced manifestations of rigidity of carotid arteries walls and statistically significant lowering of velocity of intravascular blood flow.

[New approaches to diagnosing and treating hyperkinetic biliary dyskinesia associated with chronic acalculous cholecystitis]. / Novye podkhody k diagnostike i lecheniiu giperkineticheskikh diskinezii zhelchnogo puzyria v sochetanii s khronicheskim nakal'kuleznym kholetsistitom.

Ninety patients aged 21 to 56 years who had chronic non-calculous cholecystitis (CNCC) concurrent with hyperkinetic dyskinesia (HKD) detectable by a stepwise duodenal probing and sonography, by using a choleretic breakfast and by determining the relaxation coefficient (RC) that was equal to the ratio of the volume of the gallbladder (GB) after the use of a spasmolytic to the baseline GB volume. The patients were divided into 3 groups. The authors used as a spasmolytic agent pinaverium bromide (dicetel) in a dose of 50 mg (1 tablet) in Group 1), octylonium bromide (spasmomen) in a dose of 40 mg (1 dragee) in Group 2, and drotaverine (no-spa) in a dose of 40 mg (1 tablet). There was a more significant sonographic increase in the size of GB in Groups 1 and 2 as compared with Group 3. In the acute drug test and during long-term treatment as well, the highest spasmolytic effect was noted in patients receiving dicetel (Group 1) and spasmomen (Group 2) as compared with that in Group 3 patients taking drotaverine. With this, RC was 1.25 +/- 0.2, 1.6 +/- 0.15, and 1.08 +/- 0.1, respectively. No adverse reactions occurred in the patients having selective calcium blockers (SCBs) whereas the patients receiving no-spa were found to have the following side effects: dry mouth (n = 3), transient constipation (n = 1), and numb tongue (n = 1). Thus, the study has provided evidence for the fact that SCBs have some advantage over myotropic spasmolytic agents in the treatment of CNCC with the signs of HKD.

[Diagnosis of left ventricular congestive heart failure at the onset of acute myocardial infarct]. / Raspoznavanie levozheudochkovoi zastoinoi serdechnoi nedostatochnosti v nachale ostrogo infarkta miokarda.

According to the results of X-ray examination conducted in the first 2 days of the disease, 143 patients with myocardial infarction were separated into 2 groups: those with a normal pulmonary pattern and those with congestion or edema of the lungs. In pulmonary congestion the clinical data were at disparity with the X-ray findings in more than half of the patients. At the same time, comparison of the values of volumetric pulmonary rheography and accelerative kinetocardiography, treated by the method of linear discriminant functions, with the findings of pulmonary roentgenography showed only a small percentage (lesser than that in the clinic) of non-coincidence in the diagnosis of congestive left-ventricular failure.