RESUMEN
Starting from 1995 in the 3rd Military Central Clinic Hospital by A. A. Vishnevskii the staff specialists apply transesophageal echocardiography as intraoperative monitor when operating on heart. On their personal experience and literature information the authors prove that the method of intraoperative application of echocardiography in heart surgery is very effective. When operating on revascularization of myocardium, on correction or replacement of heart valve or foreign body removal, this method makes it possible to receive all necessary information on the functional and morphological changes in the heart right on the operation table. Transesophageal echocardiography proved itself as highly valuable for noninvasive evaluation of cardiovascular patients.
Asunto(s)
Anestesia , Procedimientos Quirúrgicos Cardíacos , Ecocardiografía Transesofágica , Monitoreo Intraoperatorio , Ecocardiografía Transesofágica/instrumentación , Ecocardiografía Transesofágica/métodos , Circulación Extracorporea , Humanos , Personal Militar , Monitoreo Intraoperatorio/instrumentación , Monitoreo Intraoperatorio/métodos , Federación de RusiaAsunto(s)
Angiografía Coronaria , Electrocardiografía , Isquemia Miocárdica/diagnóstico , Adulto , Anciano , Enfermedad Crónica , Medios de Contraste , Angiografía Coronaria/estadística & datos numéricos , Diatrizoato , Electrocardiografía/clasificación , Electrocardiografía/efectos de los fármacos , Electrocardiografía/estadística & datos numéricos , Humanos , Masculino , Mesilatos , Persona de Mediana EdadRESUMEN
In contrast to standard bicycle exercise with moderate or submaximal effort, low-effort exercises were employed by the author who studied their effect on cardiovascular system of stage II hypertension patients. They were males (n-126) aged 47.2 +/- 3.6 with the disease history of 8.4 +/- 1-9 years. Associated coronary heart disease was diagnosed in 82% of the patients. The test subjects were divided randomly into three groups: group 1 patients received drugs only, group 2 received drugs and exercised walking, group 3 received drugs and exercised on bicycle ergometer in the nonstrenuous regimen. It was found that exercise tolerance of the patients was different and depended on the hemodynamic type. Hypokinetic circulation patients showed the lowest exercise tolerance. Low-effort bicycle exercise in addition to drugs is indicated for hyper- and eukinetic circulation patients. Walking is inferior to the bicycle exercise and can be recommended as a variety of nonpharmacological treatment of hypertension stage II. The combined effect of walking and chemotherapy produced the rise in cardiac capacity in the absence of the adequate increment in coronary blood flow, whereas bicycle exercise seems to enhance cardiac coronary circulation in hypertensive subjects.