[Effectiveness of control over hemodynamic indexes and prognosis for patients with CHF and atrial fibrillation in real-life clinical practice].

BACKGROUND: Earlier studies have demonstrated a high prevalence of atrial fibrillation (AF) in patients with CHF. It was noticed that tachycardia and hypotension provoked high risks for cardiovascular mortality. The presence of arterial hypertension (AH) in CHF patients also impairs life prognosis. AIM: To determine prognosis for patients based on the control of hemodynamic indexes and titration of pulse-slowing therapy in real-life clinical practice. MATERIALS AND METHODS: This prospective study with a one-year followup period included 580 patients after decompensated CHF who were discharged from the Municipal Center for Treatment of CHF. 46.9% of patients had AF. Patients with AF were divided into groups with paroxysmal and persistent AF (combined) and permanent AF. RESULTS: Among patients with CHF and AF, 56.3%, 38.6%, and 5.1% had permanent, persistent, and paroxysmal AF, respectively. Patients with permanent AF had a higher CHF FC. The FC was evaluated using the 6­min walk test and Clinical Condition Scale at baseline and after the one-year follow-up. Incidence of hypotension and tachycardia was higher in the group with permanent AF. In patients without AF, baseline systolic blood pressure (SBP) (139.5±24.5 mm Hg) was higher than in patients with any AF type (132.1±24.2 mm Hg, p.

[Prenatal ontogenesis of the human brain cortex temporal area].

Prenatal ontogenesis of temporal areas of the human cortex was studied. In the fetal cortex at the gestational age of 16-18 weeks three zones can be distinguished: marginal zone (eI layer), cortex plate and subplate. At 20-26 weeks cortex plate is divided into following layers: eII, eIII, eIV, eV and eVI, with "efferent" complex of layers being wider than "associative" one. The subplate neurons are eliminated in the fetus at 27-33 weeks, when "associative" complex composes over 50 per cent of the cortex thickness. The subplate has been identified by positive correlation between layer eII and the upper subplate layer spu cell density.