RESUMEN
Improvement of methods for diagnosis and treatment of myocardial infarction and its complications permitted the mortality and disability resulting from this condition to be considerably reduced. The aim of the study was to analyse in retrospect clinical and functional disorders in subjects with a history of ventricular fibrillation in the acute phase. Over 3 years, 1096 patients with acute myocardial infarction had been admitted to the Department of Cardioresuscitation. Ventricular Fibrillation was cause of death in 2.1% of cases. Over this time period, resuscitation was a success in 2.9%. The following item was found out to be a factor of unfavourable prognosis during the first two years after development of acute myocardial infarction: it was postinfarction dilatation of the left ventricle having a part in the evolution of cardiac insufficiency and contributing to formation of arrhythmogenic substrate and, to a lesser degree, to ventricular fibrillation in the acute phase.
Asunto(s)
Infarto del Miocardio/diagnóstico , Fibrilación Ventricular/diagnóstico , Causas de Muerte , Hemodinámica , Humanos , Infarto del Miocardio/complicaciones , Infarto del Miocardio/fisiopatología , Pronóstico , Factores de Tiempo , Ucrania/epidemiología , Fibrilación Ventricular/etiología , Fibrilación Ventricular/fisiopatologíaRESUMEN
Therapeutic interventions policy and efficiency rely on whether one succeeds in identifying accurately and in timely fashion the nature of ventricular arrhythmia which is frequently a primary manifestation of acute coronary disaster. With the view to studying cardiac arrhythmias in 85 patients with acute large size myocardial infarction admitted within 12 hours of the condition development. 24 h Holter monitoring was instituted. The results obtained showed only 27% of patients at relatively low risk development of life-threatening arrhythmias. In all the others, high grades ventricular extrasystoles are recorded, including episodes of ventricular tachycardia in 50% of the patients. High incidence rate of the complex rhythm disturbances development during first 12 hours of monitoring suggest a need for an adequate supplementary antiarrhythmic treatment to be administered within this time period, subsequent to which anti-ischemic therapy is thought to be capable of exerting sufficient antiarrhythmic effect.
Asunto(s)
Arritmias Cardíacas/diagnóstico , Ritmo Circadiano , Infarto del Miocardio/complicaciones , Arritmias Cardíacas/etiología , Electrocardiografía , Ventrículos Cardíacos , Humanos , Persona de Mediana Edad , Factores de Riesgo , Procesamiento de Señales Asistido por Computador , Factores de TiempoRESUMEN
An evaluation was done in 172 patients with progressive stenocardia. The use of intracardiac laser light irradiation of blood in combined treatment was found to improve the clinical course of the illness and to have a beneficial effect on the factors of plasma haemostasis and fibrinolysis which play a pathogenetic role in the destabilization of the ischemic heart disease course, this being manifest by a significant decrease in the activity of factor XIII, platelet factor 4, and an increase in fibrinolysis.
Asunto(s)
Angina Inestable/terapia , Transfusión de Sangre Autóloga/métodos , Sangre/efectos de la radiación , Fibrinólisis/efectos de la radiación , Hemostasis/efectos de la radiación , Terapia por Láser , Plasma/efectos de la radiación , Terapia Ultravioleta/métodos , Angina Inestable/sangre , Terapia Combinada , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Coronary reserve and functional state of myocardium were studied in 27 patients with unstable angina and myocardial infarction which had developed in spite of the treatment. Non-invasive study included stress-tests (transesophageal electrocardiostimulation, bicycle ergometry [correction of veloergometry)], echocardiography and Holter's monitoring. Possibility of early forming of risk group with consequent optimization of the treatment was shown.
Asunto(s)
Angina Inestable/complicaciones , Infarto del Miocardio/etiología , Angina Inestable/diagnóstico , Pruebas de Función Cardíaca , Humanos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/diagnóstico , Infarto del Miocardio/epidemiología , Probabilidad , Pronóstico , Factores de RiesgoAsunto(s)
Angina Inestable/terapia , Trastornos de la Coagulación Sanguínea/terapia , Transfusión de Sangre Autóloga , Viscosidad Sanguínea/efectos de la radiación , Sangre/efectos de la radiación , Terapia por Láser , Terapia Ultravioleta , Angina Inestable/sangre , Angina Inestable/complicaciones , Trastornos de la Coagulación Sanguínea/etiología , Terapia Combinada , Hemostasis/efectos de la radiación , Humanos , Peroxidación de Lípido/efectos de la radiaciónRESUMEN
Effect of autohemotransfusions of ultraviolet-irradiated blood (UVIB) on ventricular arrhythmias and electric stability of myocardium were studied in 85 patients with advancing stenocardia. Bicycle ergometry [correction of Veloergometry], Holter's monitoring and invasive programmed cardiostimulation were used. Results of examination carried out before and after the treatment suggest anti-ischemic effect of PVIB and beneficial influence electrophysiological properties of myocardium which manifested in reduced periods of ventricular tachycardia and onsets of twin extrasystoles.
Asunto(s)
Angina de Pecho/terapia , Transfusión de Sangre Autóloga , Sangre/efectos de la radiación , Terapia Ultravioleta , Adulto , Anciano , Angina de Pecho/diagnóstico , Terapia Combinada , Humanos , Persona de Mediana Edad , PronósticoRESUMEN
Results are reported of an examination of 81 patients with acute macrofocal myocardial infarction. Routine methods of treatment were supplemented by laser and ultraviolet radiation of the blood. This treatment was highly effective in rapid control of stenocardia pain, early stabilization of the ST segment. The proposed treatment is recommended in patients with acute myocardial infarction.