[Cardiomyopathies in the practice of sports medicine]. / Kardiomiopatii v praktike sportivnoi meditsiny.

In the past 10 years, cardiomyopathy has been diagnosed in 16 athletes, out of them in 13 this abnormality has been ascertained for the first time when they were examined or they were in the outpatient department. The paper provides clinical and instrumental findings of 13 patients with hypertrophic cardiopathy and 3 with dilated cardiomyopathy whose diagnosis was established by making a differential diagnosis of congenital and acquired heart diseases, coronary heart disease, essential hypertension and athletic heart. Most athletes with hypertrophic cardiomyopathy has an asymptomatic or mild natural history.

Bilateral symmetrical striopallidodentate calcification associated with pseudohypoparathyroidism demonstrated in a patient with cerebellar astrocytoma.

A case of calcification in the striopallidodentate system associated with pseudohypoparathyroidism, clinically manifested after operation for a cystic astrocytoma of the cerebellar vermis, is reported. Bilateral symmetrical striopallidodentate calcification accompanying a disturbance in calcium metabolism is rare. Only a few cases have been described previously in the literature, of which only six were accompanied by pseudohypoparathyroidism. The importance of identifying hypoparathyroidism, especially pseudohypoparathyroidism, early in the course of investigation is discussed.

[The syndrome of disseminated intravascular coagulation in marathon athletes]. / Sindrom disseminirovannogo vnutrisosudistogo svertyvaniia u sportsmenov-marafontsev.

The paper is concerned with four Marathon athletes who developed grave impairments in hemodynamics and microcirculatory disorders in the organs (collapse, acute renal failure, cerebral abnormalities) and signs of the grave acute syndrome of disseminated intravascular coagulation with thrombohemorrhage and bleeding after competitions carried out under unfavourable conditions (a temperature of 30 degrees C and high air humidity). Three patients died. The diagnosis of the syndrome of disseminated intravascular coagulation was supported at autopsy. One of the athletes suffered brain stroke. The clinical and laboratory examination of the other 19 Marathon athletes showed that after competitions 6 persons had subclinical hemostatic disorders characteristic of the syndrome of disseminated intravascular coagulation. It is recommended that control and correction of hemostatic disorders should be strictly exercised in athletes experiencing hard and prolonged physical exercise.