RESUMO
A total of 4141 patients complaining of chest pain were divided into 7 groups. They were examined for the analysis of heart pain, cardiac rhythm disturbances, and chronic heart failure. Peculiarities of stable angina of effort in aged and elderly patients are described
Assuntos
Angina Estável/diagnóstico , Angina Estável/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Angina Estável/classificação , HumanosRESUMO
To improve differential diagnostics and treatment of coronary heart diseases (CHD) and concomitant climacteric cardiopathy (CCP), we analysed results of clinical examination and laboratory-instrumental studies of 1063 women complaining of chest pain. They were divided in 3 groups: group 1 (817 patients with CHD), group 2 (134 patients with CCP), group 3 (122 patients with CHD+CCP). Peculiarities of laboratory and instrumental diagnostics are described in conjunction with comparative characteristic of multispiral CT coronarography and corononaroangiography.
Assuntos
Doença das Coronárias/diagnóstico , Doença das Coronárias/terapia , Menopausa/fisiologia , Idoso , Comorbidade , Angiografia Coronária , Doença das Coronárias/complicações , Diagnóstico Diferencial , Ecocardiografia , Eletrocardiografia , Feminino , Humanos , Pessoa de Meia-Idade , Tomografia Computadorizada de Feixe Cônico EspiralRESUMO
The study included 1418 patients with FC I-IV stable angina of effort (42.4% men and 57.6% women, mean age 74.6 +/- 1.2 years). The possibility to supplement standard therapy with myocardial cytoprotectors (trimetasidin, mexidol, qudesan) was estimated in 4 groups of patients from the severity of pain syndrome, chronic cardiac insufficiency, and heart rhythm disturbances.
Assuntos
Angina Pectoris/tratamento farmacológico , Angina Pectoris/patologia , Citoproteção , Miocárdio/patologia , Picolinas/uso terapêutico , Trimetazidina/uso terapêutico , Ubiquinona/análogos & derivados , Idoso , Quimioterapia Combinada , Feminino , Humanos , Masculino , Ubiquinona/uso terapêuticoRESUMO
A retrospective analysis of 12 658 records of patients with pain syndrome in the chest was studied. Part of the patients was held multispiral computed tomography of the heart and coronary angiography. Used omeprazole test for differential diagnosis of coronary heart disease and gastroesophageal reflux disease, evaluated the criterion of cost-effectiveness.
Assuntos
Dor no Peito/diagnóstico , Refluxo Gastroesofágico/diagnóstico , Hospitalização , Isquemia Miocárdica/diagnóstico , Idoso , Dor no Peito/diagnóstico por imagem , Angiografia Coronária , Diagnóstico Diferencial , Feminino , Refluxo Gastroesofágico/diagnóstico por imagem , Coração/diagnóstico por imagem , Humanos , Masculino , Prontuários Médicos , Isquemia Miocárdica/diagnóstico por imagem , Estudos Retrospectivos , Síndrome , Tomografia Computadorizada Espiral/métodosRESUMO
During the sleep person is in the state of antiorthostasis, this state provokes vascular cerebral abnormalities (night cerebral hypervolemia). The nature of encephalon blood supply is changing in this horizontal state, in the result there is lowering of hydrostatic blood pressure, rise of the encephalon blood supply and more difficult venous outflow. 60 patients with essential hypertension (1-2 phases) at the age of 64.2 +/- 1.8 years which were in the state of slightly raised upper segment of the head and body during night sleep were examined. By the method of the cerebral venous hemocirculation defined. Conclusion. Cerebral arterial blood flow of examined patients has increased by 25-30% during the sleep, the changes of arterial and cerebral venous hemocirculation have attended hypervolemia. Being in the state of upper (by 10-15 degrees) head of the bed decreases blood redistribution and decreases the extension of cerebral blood circulation's acute abnormalities.
Assuntos
Encéfalo/irrigação sanguínea , Artérias Cerebrais/fisiopatologia , Circulação Cerebrovascular , Hipertensão/terapia , Hipocinesia/terapia , Sono , Idoso , Velocidade do Fluxo Sanguíneo , Encéfalo/fisiopatologia , Feminino , Humanos , Hipertensão/fisiopatologia , Hipocinesia/fisiopatologia , Masculino , Pessoa de Meia-IdadeRESUMO
Coronary heart disease and other diseases caused by atherosclerosis, take first place among the causes of adult mortality. Leading role in the development of atherosclerosis belongs to violations of cholesterol metabolism. Reducing mortality from ischemic heart disease primarily associated with adequate correction of the lipid metabolism. The research of the possible causes and correction of resistant hypercholesterolemia is done. Determined that some patients with resistant to statins hypercholesteremia and normal or elevated levels of hormones T3 and T4 in the blood have isolated symptoms of hypothyroidism, which may be a manifestation of reducing tissue sensitivity to thyroid hormones. Adding to the statins levothyroxine in daily doses of 25-50 mkg have additional cholesterol reducing action, allowing to achieve target levels of lipoprotein in blood in patients. The use of levothyroxine in low doses in combination with statins is highly effective and economically justified.
