[Collagen fiber pathology in atherosclerotic plaques of the coronary arteries in ischemic heart disease].

Structure-metabolic changes of collagen fibers (CF) in atherosclerosis plaques of the coronary arteries in the conditions of ischemic heart disease (IHD) have been studied. Segments of the coronary arteries were received from 68 men after a coronary artery bypass grafting. CF was study with using of the Van Gieson's and the Masson's methods.

[Comparative studies of the evolution of aortic and coronary atherosclerosis in Moscow, Ryazan, and Yakutsk males over 40 years].

Repeated epidemiological morphological investigations of atherosclerosis of the aorta and coronary arteries were performed in apparently healthy men aged 20-59 years in Moscow, Ryazan and Yakutsk at a 40-year interval. More severe atherosclerosis and different rates of its progression were revealed in males of these towns over 40 years.

Monitoring of aortic and coronary atherosclerosis in native and non-native males of Yakutsk over 40 years.

We have analyzed the development of aortic and coronary atherosclerosis over 40 years in native and non-native males of Yakutsk by comparing the data obtained in 1963-1965, 1985-1987 and 2001-2003. The research was carried out in compliance with the WHO program for the atherosclerosis epidemiology studies using autopsy material. Subjects (361 natives and 692 non-natives) included in the research died of external causes at the age of 20-59 years and had no history of chronic diseases, which was confirmed by post-mortem examination.

[A 40-year study of aortic and coronary artery atherosclerosis in male population of Yakutsk].

The trends in development of aortic and coronary atherosclerosis in healthy male population were studied by WHO methods in three trials: in 1963-1965, 1985-1987, 2001-2003. It was found that atherosclerosis and coronary arteries stenosis were less frequent in the native population of Yakutia than in migrants.

[Evolution of atherosclerosis of the aorta and coronary arteries in practically healthy men in Moscow for a 40-year period].

Aim: To assess 40 years evolution of atherosclerosis of the aorta and coronary arteries among practically healthy Moscow men.

Methods: We compared results of 2 studies of prevalence and extent (area) of atherosclerotic lesions in thoracic and abdominal aorta and 2 main coronary arteries. The studies were conducted in 1963-1965 and 2002-2003 according to WHO program.

Hyperplasia of coronary intima in young males in relation to development of coronary heart disease in adults.

Unlabelled: The aim of the investigation was to study structural features of coronary arteries in young males which may influence the development of stenosing coronary atherosclerosis in older age. We studied the coronary arteries from 84 males, 10-39 years old, who died from accidents in Moscow, Malmo and Riga, and 98 males aged 40 and above from Moscow who died from coronary heart disease (71 cases) or other diseases (27 cases). In children and young males from all three cities, musculo-elastic hyperplasia of the coronary intima took place constantly but with different degrees of expression; a strict relationship of the intimal thickness and age was observed.

[Trends in 25-year evolution of coronary atherosclerosis in males fom some cities of Europe and Asia].

Aim: Detection of changes in the course of coronary atherosclerosis (CA) which took place for 25 years of observation in male population in different cities.

Material And Methods: Epidemiological surveys of coronary AS by autopsy data according to WHO program were conducted in 1963-1966 (trial 1) and 1985-1989 (trial 2) in 9 cities: Ashkhabad (Turkmenistan), Bishkek (Kirghizia), Irkutsk, Yakutsk (Russia), Riga (Latvia), Tallinn, Tartu (Estonia), Kharkov, Yalta (Ukraine), Malme (Sweden), Prague (Czechia). The surveys enrolled males aged 20-59 years: 7470 males entered trial 1 and 9600 entered trial 2.

[Features of atherosclerosis in the ascending human aorta and the link between its development and the main risk factors of ischemic heart disease in patients after aortocoronary shunting].

Atherosclerosis was found in all ascending aorta biopsies of 125 patients aged 42 to 65 years who underwent aortocoronary bypass surgery. Lipid spots only were found in 91.2% of cases, in 11 patients (8.

Development of atherosclerosis over a 25 year period: an epidemiological autopsy study in males of 11 towns.

We conducted an analysis of the data from two epidemiological autopsy studies of atherosclerosis in men aged 20-59 years in 1963-66 (the first study, 7470 cases) and in 1985-88 (the second study, 9600 cases). The investigations were performed in accordance with a special program of the World Health Organization in 11 town populations: Ashkhabad (Turkmenistan), Bishkek (Kirgizstan), Irkutsk and Yakutsk (Russia), Malmo (Sweden), Prague (Czech Republic), Riga (Latvia), Tallinn and Tartu (Estonia), and Kharkov and Yalta (Ukraine). Native and non-native populations were studied separately in Ashkhabad, Bishkek, and Yakutsk.

[A comparative study of the evolution of atherosclerosis in men over a 25-year period in 11 European and Asiatic cities].

Repeated epidemiologic study of atherosclerosis in males on the basis of autopsy material with 25-year interval (1963-66 and 1985-89) has been performed in 7 European cities (Malmö, Praha, Riga, Tallinn, Tartu, Kharkov, Yalta) and 4 Asia cities (Ashkhabad, Bishkek, Irkutsk, Yakutsk). Accelerated development of atherosclerosis in the 2nd study has been revealed in males in the majority of cities except Malmö and Praha. No significant differences in atherosclerosis of aorta and coronary arteries were found in these two cities.

[Atherosclerosis in diabetes mellitus (repeated epidemiologic studies of atherosclerosis with an interval of 25 years)].

Repeated epidemiological studies of atherosclerosis were performed in 1985-1989 (as compared to 1965-1968) in 20-59-year-old males of malme, praha, Tallinn, Yalta and in 40-59-year-old females in Malme, Riga and Yalta. 358 cases of diabetes mellitus (DM) were studied. DM occurred more frequently during the second interval as compared to the first one: 6.

[Evolution of aortic atherosclerosis in specific European cities in the the 60's and 80's].

Repeated study of atherosclerosis epidemiology is performed in 5 European cities (Malme, Prague, Riga, Tallinn, Yalta) according to WHO recommendations 20 years after a similar study in the same regions. More frequent and more pronounced development of atherosclerosis in males of 20-39 years of age is found in the present study in 3 big cities (Prague, Riga, Tallinn) as compared to the population of small cities Malme and Yalta. The rejuvenation of atherosclerosis can not be explained by an ecological situation as in females atherosclerosis was most pronounced in Malme.

[Changes in the course of atherosclerosis occurring over a 25-year period in the male population of 9 cities of the CIS and Baltic countries].

The trends in atherosclerosis presentation were followed up pathomorphologically in a two-stage epidemiological survey performed in 9 cities of CIC and Baltic states at 25-year interval. The investigations were conducted in accordance with WHO program. Stage 1 (1963-1968) covered 6121 cases, stage 2 (1985-1989) included 9201 cases.

[Morphometric characteristics of coronary atherosclerosis in different ethnic groups of Andizhan population].

A gross morphometric study of coronary atherosclerosis was performed in 554 native males aged 20-59 years and 142 migrant males of the same age from Andizhan according to the WHO Expert Programme (Bull, WHO, 1976, vol. 53, p. 485).

[Age-related dynamics of aortic atherosclerosis of various ethnic groups of the male population of Andizhan].

Quantitative study of the aortic atherosclerosis was performed in 587 males of the indigenous (IP) and in 149 males of non-indigenous population (NIP) at the age of 20 to 59 years in the city of Andizhan according to the WHO program. The course of atherosclerosis was more severe in NIP persons although at the age of up to 40 years the differences in the mean surface of atherosclerotic changes were lacking. The surface of lipid spots was similar in both groups or was somewhat lower in NIP, but these spots in NIP persons were thicker and contained more foam cells and more areas of diffuse lipid deposition.

[Structure of aortic lipid spots in two ethnic groups of the Yakutsk population].

Histometric study of aortic lipid spots (LS) in males of both ethnic groups who died of incidental causes at the age of 20-39 showed a decrease of the lipid-containing smooth muscle cells number (SMC), an increase of the foam cell (FC) number and extracellular lipids, retraction of the non-lipid zone surface in LS in proportion with their thickening. LS on the aorta with fibrous plaques in both Yakuts and Russians are characterized by the accumulation of FC, extracellular lipids and by their trend to the thickening as compared to LS in the aorta without fibrous plaques. Thick aortic LS in Russians with a predominant accumulation of FC in the superficial and intermediate layers are the most probable precursors of the atherosclerotic plaque.

[The determination of ventricular myocardial mass by magnetic resonance tomography].

MR-tomography (MRT) was used to investigate 10 isolated hearts from patients who died of various cardiovascular diseases. The purpose was to study the accuracy of MRT for determination of the myocardial mass (MM) of the left and right ventricles. MM was calculated using Simpson's method and the "area-length" formula.

[Modern methods for the instrumental diagnosis of intracavitary thrombosis of the left ventricle in myocardial infarct].

To study the sensitivity and specificity of two-dimensional echocardiography in the diagnosis of left ventricle thrombosis which often attends myocardial infarction and to define diagnostic potentialities of the new research methods (digital subtraction ventriculography and MR tomography), 449 patients with acute transmural myocardial infarction were examined. Based on the comparison of the echocardiographic readings and morbid anatomy data it has been shown that the sensitivity of two-dimensional echocardiography in revealing left ventricle thrombosis amounts to 89%, specificity to 88%. Digital subtraction ventriculography has a lower (77%) sensitivity, with the specificity being satisfactory enough (88%).

[Age-related dynamics of aortic atherosclerosis in males of Riga].

The epidemiological autopsy study of 1338 men in Riga aged 20-59 was repeated 20-25 years after the first similar investigation. Aortas were stained with Sudan IV and atherosclerotic lesions were graded by visual-planimetric method. It was the significant growth, with age, of all kinds of lesions except lipoid streaks, having the most prominent increase in men aged 40-49.

[Myocarditis and dilated cardiomyopathy (an analysis of questions of etiology, pathogenesis and differential diagnosis in a clinical example)].

Development and clinical course of dilated cardiomyopathy is analysed in detail on one clinical case. Myocardial biopsy findings, immunologic data and autopsy findings are compared. The data obtained indicate that myocardial lymphocyte infiltration correlates with the rise in titres of antibodies to cytomegalovirus and the virus of herpes simplex as well as increase in serum alpha-interferon, neopterin and beta-2-microglobulin concentrations.

[Myocardial hypertrophy, arterial hypertension and sudden cardiac death].

721 cases of sudden coronary death (SCD) of men aged 30-59 were studied. It was found out that SCD happened in majority of cases in subjects with increased weight of heart: 44.2% of patients had heart weight of 500 g or more.

[Histopathology of the myocardium in cases of sudden coronary death without myocardial infarct and postinfarct cardiosclerosis].

231 cases of sudden coronary death of men aged 30-59 were studied; in 138 cases no focal cardiosclerosis of myocardium was observed; in 93 cases there were only few focuses less than 0.5 cm on diameter. In 83.

Isoenzyme spectrum of creatine kinase and lactate dehydrogenase in the myocardium of patients with ischaemic heart disease.

The purpose of the study was to find out the character of the restructuring of enzymes and isoenzymes of creatine kinase (CK), lactate dehydrogenase (LDH) and glucose-6-phosphate-dehydrogenase (G 6 P-DH) in the myocardium, which occurs in patients with ischaemic heart disease (IHD), and to compare the activity of the aforementioned enzymes in the myocardium of patients with IHD, examined intra vitam, and in patients who died suddenly. An analysis was made of 11 samples obtained by myocardial biopsy from the left ventricle of patients with IHD and of 11 samples obtained at autopsy of patients with IHD who have died a sudden death. Serving as controls was bioptic material from the myocardium of 12 patients without IHD.

Enzymatic detoxication of superoxide anion-radicals and lipoperoxides in intima and media of atherosclerotic aorta.

Unusually high activities of the "antioxidative" enzymes (superoxide dismutase, glutathione peroxidase) have been found in the cells isolated from the intima and media of normal human aorta. The activities of "antioxidative" enzymes of the intima and media of the human aorta in different types of atherosclerotic lesions (lipid spots, fibrous plaques) have been demonstrated to be greatly lowered.