RESUMEN
Selective coronarography, assessment of hemodynamics, sinus node function, sinoatrial and intraatrial conduction were performed in 53 coronary heart disease (CHD) patients with supraventricular arrhythmia. The severity of cardiac rhythm paroxysms was evaluated at transesophageal pacing by measurements of arrhythmia induction frequency threshold. 29 patients underwent aortocoronary shunting. No relationships were found between the pattern of arrhythmia, degree of stenosis, number of coronary lesions. Aortocoronary bypass changed neither pattern nor severity of supraventricular arrhythmia.
Asunto(s)
Puente de Arteria Coronaria , Isquemia Miocárdica/fisiopatología , Nodo Sinoatrial/fisiopatología , Taquicardia Supraventricular/fisiopatología , Adulto , Femenino , Atrios Cardíacos/fisiopatología , Hemodinámica , Humanos , Masculino , Persona de Mediana Edad , Isquemia Miocárdica/complicaciones , Isquemia Miocárdica/diagnóstico , Isquemia Miocárdica/cirugía , Taquicardia Supraventricular/diagnóstico , Taquicardia Supraventricular/etiologíaRESUMEN
Antiarrhythmic treatment (AAT) adjusted to the variety of arrhythmia and risk to develop complications was given to 336 patients with ischemic heart disease associated with paroxysms of supraventricular tachycardia (SVT), atrial fibrillation or atrial flutter. In the presence of risk to develop AAT complications, the method of choice for SVT patients is transesophageal pacing and impulse therapy. In the presence of arrhythmic collapse, cardiac asthma and pulmonary edema it is preferable to correct arrhythmia by electric impulse therapy.
Asunto(s)
Antiarrítmicos/efectos adversos , Antiarrítmicos/uso terapéutico , Isquemia Miocárdica/tratamiento farmacológico , Taquicardia Paroxística/tratamiento farmacológico , Taquicardia Supraventricular/tratamiento farmacológico , Adulto , Anciano , Fibrilación Atrial/complicaciones , Fibrilación Atrial/tratamiento farmacológico , Fibrilación Atrial/fisiopatología , Aleteo Atrial/complicaciones , Aleteo Atrial/tratamiento farmacológico , Aleteo Atrial/fisiopatología , Hemodinámica/efectos de los fármacos , Humanos , Persona de Mediana Edad , Isquemia Miocárdica/complicaciones , Isquemia Miocárdica/fisiopatología , Factores de Riesgo , Taquicardia Paroxística/complicaciones , Taquicardia Paroxística/fisiopatología , Taquicardia Supraventricular/complicaciones , Taquicardia Supraventricular/fisiopatologíaRESUMEN
In the origin of arterial hypertension in bronchial asthma a significant role is played by the involvement of the lungs in metabolism of steroid hormones. Hypothalamo-hypophyseal-gonadal system was studied in 39 females suffering from bronchial asthma alone and in 47 asthmatic females suffering from bronchial asthma alone and in 47 asthmatic females with arterial hypertension. As indicated by radioimmunoassay, the impaired feedback between hypothalamo-hypophyseal and sexual functions may be responsible for stabilization of arterial hypertension in bronchial asthma.
Asunto(s)
Asma/fisiopatología , Hipertensión/fisiopatología , Sistema Hipotálamo-Hipofisario/fisiopatología , Ovario/fisiopatología , Asma/sangre , Asma/complicaciones , Climaterio/fisiología , Femenino , Humanos , Hipertensión/sangre , Hipertensión/etiología , Menopausia/fisiología , Ciclo Menstrual/fisiologíaRESUMEN
Ten asthmatics in remission and aggravation of the disease were examined for: lipoprotein pre-beta, beta and alpha fractions, total cholesterol and its fractions in atherogenic and antiatherogenic lipoproteins with estimation of the atherogenicity coefficient, activity of 5-nucleotide hydrolase, acid phosphatase, gamma-glutamyl transpeptidase and alcohol dehydrogenase. The results were indicative of more active atherosclerotic process in the presence of blockade which changed the activity of hepatocyte membrane lipoprotein receptors, of simultaneous operation in bronchial asthma patients of infiltrative and cellular mechanisms of atherosclerosis.
Asunto(s)
Arteriosclerosis/etiología , Asma/complicaciones , Hígado/fisiopatología , Adulto , Arteriosclerosis/sangre , Asma/sangre , Asma/etiología , Electroforesis de las Proteínas Sanguíneas , Femenino , Humanos , Lipoproteínas/sangre , Masculino , Persona de Mediana Edad , Receptores Adrenérgicos beta/fisiología , Estado Asmático/sangre , Estado Asmático/complicaciones , Estado Asmático/etiologíaAsunto(s)
Sangre/efectos de la radiación , Terapia por Láser , Proteínas Musculares/efectos de la radiación , Infarto del Miocardio/radioterapia , Miocardio/metabolismo , Animales , Biopsia , Sangre/efectos de los fármacos , Hidroxitolueno Butilado/farmacología , Estudios de Evaluación como Asunto , Corazón/efectos de los fármacos , Peroxidación de Lípido/efectos de los fármacos , Peroxidación de Lípido/efectos de la radiación , Masculino , Proteínas Musculares/biosíntesis , Proteínas Musculares/efectos de los fármacos , Infarto del Miocardio/metabolismo , Infarto del Miocardio/patología , Miocardio/patología , Conejos , VenasRESUMEN
The study of clinical manifestations and cardiodynamics in macrofocal myocardial infarction was conducted a few hours or days since the disease onset. Altogether 36 patients were examined. Obsidan administration was employed in 24 patients, basic indication to its use being clinico-hemodynamic++ signs of sympathetic hyperactivity. Clinical response to the drug was correlated with reactions of neurohumoral adaptation of the acute phase: levels of cyclic AMP, GMP and serotonin. Potentiating effect on obsidan analgesia, resolution of clinical symptoms of sympathetic hypertonus efficient energetic regime of the heart are mediated by activation of stress-limiting systems, i.e. links of cGMP and serotonin mechanisms.