[Sudden arythmogenic death in hospitals after heart surgery].

29 cases of sudden heart death (SHD) which occurred in hospital after heart surgery within 1989-1998 are reported. More than 50% were SHD after aortocoronary shunting, it occurred in stenosing atherosclerosis of more than 3 arteries. An important role in tanatogenesis belongs to ischemic heart disease (IHD) with complications (chronic aneurysm of the left ventricle, postinfarction failure of the mitral valve) and combination of IHD with aortal heart deficiency which is followed by pronounced hypertrophy of the left ventricle which is an important factor of SHD risk.

[Modern computer data base "necropsy protocol": potential and prospects].

Basic principles in developing computer variant of necropsy protocol with wide illustrative possibilities are presented. Perspectives in the use of this information base for research and practice and for teaching the staff of the research and clinical institutions are demonstrated.

[A biochemical study of creatine phosphokinase in the myocardium and its morphological changes in patients with acute vascular surgical pathology].

The structure and metabolism of various myocardial portions, including the activity of creatine phosphokinase (CPK), were studied by using the autopsies of patients who had died in a surgical clinic. The biochemical studies demonstrated a decrease in CPK activity, which was pronounced in patients with atherosclerotic aneurysm and abdominal aortic rupture. The morphological studies revealed individual cardiomyocytic lesions, segmental lesions of papillary muscle.

[The biochemical and morphological changes in the myocardium of patients with an acute surgical vascular pathology (based on data from early autopsies)].

Biochemical and morphological disorders of glucose 6-phosphate dehydrogenase (G-6-PDH) were studied in the myocardium of 9 patients who had died from different vascular surgical diseases. The inhibition of G-6-PDH activity most prominent in lung artery thromboembolism was shown biochemically. Histological and histoenzymological findings demonstrate low G-6-PDH activity in different myocardial regions and solitary defects of cardiomyocytes.