[Effectiveness of diet therapy in patients with ischemic heart disease and a history of myocardial infarction at young age]. / Effektivnost' dietoterapii u bol'nykh ishemicheskoi bolezn'iu serdtsa, perenesshikh infarkt miokarda v molodom vozraste.

To elucidate the effect of dietetics on the onset and course of coronary heart disease (CHD) patients who survived myocardial infarction at young age were investigated. The analysis of clinical and metabolic changes, psycho-vegetative disorders permitted the authors to distinguish two groups of patients: group 1--patients with normal body mass, and group 2--those with excessive body mass who received, respectively, A1 (basic) and Ar (reduced) variants of theanti- arteriosclerotic diet. It was established that the Ar diet produced positive effects on the dynamics of body mass reduction, on the cardiovascular system, on parameters of lipid metabolism, hemostasis and psycho-physiologic parameters of group 2 patients. Diet therapy combined with tranquilizers is recommended for group 1 patients.

[Psychoemotional condition and autonomic nervous system in patients suffering from myocardial infarction in the young age]. / Psikhoémotsional'noe sostoianie i vegetativnaia nervnaia sistema u bol'nykh perenesshikh infarkt miokarda v molodom vozraste.

The analysis of clinical pattern, psychovegetative disturbances and metabolic defects in coronary patients with a history of myocardial infarction at young age provided information for recognition of two subgroups: normal-weight and overweight patients. Metabolic derangement manifesting with high total cholesterol and triglycerides levels occurred in group II whereas dystonia was registered in both groups as shown by assessment of reactivity and vegetative tone. Background parasympathetic activation and sympathoadrenal activation in exercise grew. Overweight patients seemed to have a marked vegetative dysfunction. The two patterns established have both theoretical and practical significance in terms of design of therapeutical measures.