[Non-specific resistance and immune responsiveness in patients with ischemic heart disease and cardiac arrhythmias]. / Nespetsificheskaia rezistentnoct' organizma i immunologicheskaia reaktivnost' u bol'nykh ishemicheskoi bolezn'iu serdtsa s narusheniiami serdechnogo ritma.

Nonspecific resistance (peripheral leukogram, integral leukocytic indices, types of adaptive responses, and phagocytosis) and immunological responsiveness (T- and B-immunity systems) were studied in 30 patients with chronic coronary heart disease (CHD) concurrent with various cardiac arrhythmia. In the patients, there was an increase in the relative counts of band neutrophils and lymphocytes, a decrease in the counts of segmented granulocytes and monocytes. A number of integral leukocytic indices (leukocytic index, lymphocytic-and-granulocytic index, total index, and deviation index) were increased and the neuthrophil/lymphocyte ratio was decreased. A higher frequency of a reactivation response and a lower frequency of a training response were revealed in the structure of their adaptive reactions. The patients with CHD concurrent with arrhythmia were also found to have increased granulopectic and phagocytic indices and higher tetrazolium nitroblue test values than healthy individuals. Their immunological responsiveness was characterized by a reduction in the absolute and relative counts of theophylline-sensitive T lymphocytes and an elevation of immunoglobulins A concentrations.

[Integral indices of peripheral blood leukogram in the estimation of non-specific immunological reactivity in patients with ischemic heart disease]. / Integral'nye pokazateli leikogrammy perifericheskoi krovi v otsenke nespetsificheskoi immunologicheskoi reaktivnosti u bol'nykh s ishemicheskoi bolezn'iu serdtsa.

With the help of differential blood count analysis and velocity of erythrocyte sedimentation (VES), 30 healthy persons (donors), 30 patients with chronic ischemic hearty disease (IHD) and 34 patients with acute myocardial infarction (AMI) underwent the procedure of calculation for leukocyte index (LI), leukocyte intoxication index (LII), leukocyte shift index (LSI), leukocyte and VES ratio (LVESR), leukocytic and granulocytic index (LGI), general index (GI), neurophil-lymphocyte ratio (NLR), neurophil-monocyte ratio (NMR), lymphocyte-monocyte ratio (LMR) and lymphocyte-eosinophil ratio (LER). Unlike healthy people, patients with chronic IHD had higher indices of LVESR, GI and LER while patients with AMI had increasing indices of LII, LSI, NLR, LER and decreasing indices of LI, LGI, GI, LMI. In case of AMI compared with chronic IHD, average indices of LII, LSI, NLR were higher and indices of LI, LGI, LVESR, GI, LMR were lower. The obtained results show expansion of possibilities to get information about the state of non-specific immunologic reactivity in patients with various IHD forms with the help of integral indices in blood leukogram.