[The atrial complex of transbronchial ECG leads in the early diagnosis of cor pulmonale in patients with chronic nonspecific lung diseases. 2]. / Predserdnyi kompleks transbronkhial'nykh otvedenii EKG v rannei diagnostike legochnogo serdtsa u bol'nykh khronicheskimi nespetsificheskimi zabolevaniiami legkikh. Soobshchenie 2.

The atrial complex of ECG transbronchial leads (TB ECG) was in all cases recorded as two waves in line with right and left atrial contractions. Changes in atrial electrical activity reflect alterations in the lesser circulation. A new criterium of TB ECG atrial complex quantitation is suggested devised upon comparison of shifts in pulmonary artery pressure measured at Doppler echocardiography with TB ECG analysis. TB ECG registration allows recording of early sings of arising cor pulmonale in pulmonary disease patients.

[The differential treatment of patients with neurocirculatory dystonia depending on the type of hemodynamic disorders]. / Differentsirovannoe lechenie bol'nykh neirotsirkuliatornoi distoniei v zavisimosti ot tipa gemodinamicheskikh narushenii.

Echocardiography and tetrapolar impedance plethysmography were employed to study 160 patients with normotensive, hypertensive and hypotensive neurocirculatory asthenia (NCA). In hyperkinetic circulation registered in 53.8% of the examinees the patients received therapy aimed at stabilization of cardiac output, i.e. beta-adrenoblockers, calcium antagonists. In NCA free of hyperkinetic hemodynamics on-demand use was made of diuretics, cholinolytic and sedative drugs. The correction of bioenergetic and metabolic impairments detected in the myocardium was performed with potassium drugs, antioxidants, metabolic agents. Positive shifts achieved with the treatment available for general practitioners were seen in 90.7% of the NCA patients permitting recommendation of this approach for introduction into outpatient practice.