[Dynamics of postinfarction left ventricular remodeling during long term use of perindopril, amiodarone, and beta-adrenoblockers].

Perindopril was used in 287 patients with left ventricular ejection fraction < or =40% for 1 year after myocardial infarction either alone (n=53), or in combination with amiodarone (n=53), metoprolol (n=32), bisoprolol (n=32), carvedilol (n=32), atenolol (n=32), amiodarone and carvedilol (n=53). According to echocardiography data the use of combination of perindopril with metoprolol and especially carvedilol but not with amiodarone, bisoprolol, or atenolol, was associated with augmented anti-remodeling effect. The use of metoprolol, bisoprolol, and carvedilol but not of atenolol was associated with improvement of left ventricular systolic function.

[Correction of baroreflex sensitivity impairment and efficacy of prevention of sudden arrhythmic death in patients with postinfarction left ventricular dysfunction].

Baroreflex sensitivity was assessed in 287 patients with history of myocardial infarction and left ventricular ejection fraction < or =40% by phenylephrine test and was found to be depressed (4.44+/-0.38 ms/mm Hg).

[Local treatment of suppurative wounds].

The authors treated 327 patients with purulent wounds, using a solution containing dimexide, iodine, tannin, and as well the flowing-aspirating drainage and silver nitrate electrophoresis. Rapid cleaning of the infected wounds and shortening of duration of the in-patient treatment were noted.

[Liver echinococcosis].

On the basis of the experience with surgical treatment of 168 cases of hepatic echinococcosis in Algeria the author has concluded that such cases need an intense therapy both in pre- and postoperative period. To prevent from the recurrence of the disease it is sufficient to process the hydatid cyst fibrosal tunic with a tampon moistened with 5% formaline or 1% tripaflavine solution. The excision of the fibrosal tunic extended down to the cyst "bottom", followed by the suturing of the capsule stump to the liver wound margins, or primary suturing, before the drainage is started, in cases of a narrow wound cavity, result in 98.