[Clinico-functional correlations of left atrial myocardial excursions in patients with mitral valve defects]. / Kliniko-funktsional'nye korreliatsii kharakteristik ékskursii miokarda levogo predserdiia u bol'nykh porokami mitral'nogo klapana.

The pre- and intraoperative drug maintenance was evaluated in 50 patients with mitral valvular disease and compared with the types of left atrial myocardial excursions. The maintenance with cardiac glycosides and diuretics was greatly different in 3 groups of patients with various types of left atrial myocardial excursions. In patients with Type I excursions the maintenance was minimal, in those with Type III excursions it was maximal, those with Type II excursions, it was intermediate. It is concluded that the functional characteristics of left atrial myocardial excursions may be used as an indicator of cardiac performance.

[Evaluation of right ventricular myocardial excursions in patients with mitral valve stenosis without pulmonary hypertension]. / Otsenka ékskursii miokarda pravogo zheludochka u bol'nykh s mitral'nym stenozom bez legochnoi gipertenzii.

As many as 23 patients with mitral stenosis were examined intraoperatively, by evaluating of intracardiac hemodynamics and right ventricle myocardial excursions. Before mitral stenosis was corrected, 56% of patients had demonstrated myocardial excursion disorders. After the correction the number of patients with myocardial dysfunction halved. The transition of patients belonging to the group with abnormal myocardial excursions to the group with normal excursions depends on the scope of surgical intervention and pharmacological support. After the correction of mitral stenosis cardiogenic and pulmonogenic complications may mostly be seen in the patients' group showing abnormal myocardial excursions. It is concluded that the symptom of abnormal right ventricle myocardial excursions is of prognostic significance with respect to the development of complications in the early postoperative period.

[Clinical and functional correlations of left-atrial myocardial excursions in patients with mitral valve defects (I)]. / Kliniko-funktsional'nye korreliatsii kharakteristik ékskursii miokarda levogo predserdiia u bol'nykh porogami mitral'nogo klapana (soobshchenie I).

Three types of atrial excursions correlating with the somatic symptoms of circulatory and respiratory dysfunctions, as well as with the degree of left atrial dilatation were intraoperatively recorded in patients with mitral valvular disease. Types I and II excursions were more common in patients with left atrioventricular stenosis, Type III in those with mitral incompetence. It is concluded that it is advisable to use left atrial myocardial excursion characteristics in the diagnosis of cardiac disease.