[Changes of parameters of the functional state of the organism and oxidative stress in patients after surgical revascularization at early stage of restorative treatment].

Early complex restorative treatment with individualized aerobic physical exercise in 2-4 weeks after surgical myocardial revascularization significantly increased physical working capacity and cardiorespiratory reserve of the body. Pronounced oxidative stress which had been present after myocardial revascularization decreased under the action of restorative therapy. Most pronounced increases of total physical capacity and cardiorespiratory reserve and lowering of oxidative stress occurred in patients with lowest initial parameters of the functional state of the organism.

[Long-term prognosis of myocardial infarct patients after intracoronary thrombolytic therapy].

One hundred and thirty-nine patients with acute myocardial infarction (MI) were followed up for 4 to 48 months after intracoronary thrombolysis. Postinfarction cardiovascular function was better in patients subjected to aortocoronary shunting or transcutaneous transluminal coronary angioplasty after antegrade blood flow recovery by thrombolysis. They had a significantly lower incidence of anginal pains, better working capacity and smaller MI recurrence rates.

[Repeat percutaneous transluminal angioplasty in coronary artery restenosis].

Early experience with repeat transcutaneous transluminal coronary angioplasty (TTCA) in 9 coronary patients is reviewed. The interval between the first and the repeat TTCA varied between 1 and 12 months averaging 4.9 +/- 4.

[Results of using percutaneous transluminal coronary angioplasty in patients with stable and unstable angina pectoris and acute myocardial infarct].

Transcutaneous transluminal coronary angioplastics (TTCA) was performed in 28 coronary heart disease patients (8 patients had stable and 5 others labile angina, 15 presented acute myocardial infarction, AMI). The patients with AMI received intracoronary thrombolytic treatment prior to TTCA. Successful dilatation was performed in one patient with narrowing of the main trunk of the left coronary artery, in 14 of 21 patients with the stenosis of the anterior interventricular branch and in 5 of 6 patients with the narrowing of the right coronary artery.

[Use of percutaneous transluminal coronary angioplasty in treating acute myocardial infarct patients].

Transcutaneous transluminal coronary angioplastics was performed in 8 patients with acute myocardial infarction. In five patients dilatation of the coronary artery was carried out after intracoronary thrombolytic therapy and in the 3 others without the preliminary infusion of streptokinase. The method proved effective in 6 out of the 8 patients: the diameter of stenosis of the coronary artery decreased on the average from 70.

[Effectiveness of treatment of patients with acute myocardial infarction by intracoronary administration of nitroglycerin and streptokinase].

The intracoronary administration of nitroglycerin and streptokinase was assigned to 95 patients with acute myocardial infarction. In 69 (79.3%) out of the 87 occluded coronary arteries the antegrade blood flow was restored.

[Functional state of the cardiovascular system in patients with chronic coronary insufficiency 12 months after direct myocardial revascularization depending on the bypass patency].

A comparative study of the functional state of the cardiovascular system (CVS) in the presence of chronic heart failure was performed 12 months following direct myocardial revascularization. It involved 49 patients with open aortal coronary bypasses and 20 patients with bypass occlusion. The CVS functional state was assessed by both invasive and noninvasive methods of investigation.

[Selective thrombolytic patency of the coronary arteries in patients with acute myocardial infarction].

Urgent selective coronarography followed by intracoronary infusion of nitroglycerin and streptokinase (2000-4000 U/min) was performed in 24 patients with acute myocardial infarction. Mechanical recanalization of an occluded coronary artery was also performed in two patients. The coronary artery supplying the infarcted area was occluded in 22 patients while 2 patients had third-degree stenosis.

[Results of emergency coronary angiography and left ventriculography in acute coronary circulation disorders].

The results of urgent coronarography and ventriculography in 95 patients with pre-infarction state and acute myocardial infarction are analyzed. It is established that from the beginning of the acute anginal attack till the end of coronarography 13 h 40 min (average) have elapsed. In 13 patients angiographically normal coronaries have been found, 2 of them had myocardial infarction.

[Significance of postextrasystole potentiation in the preoperative assessment of the reversibility of left ventricular asynergy in ischemic heart disease].

The influence of post-extrasystolic potentiation of asynergy of the left ventricle of the heart has been analysed in 89 patients with ischaemic heart disease. Left ventriculography and coronarography after Judkins was performed in all the patients. It was established that asynergy of the left ventricle of the heart as a result of the post-extrasystolic potentiation became normal in 37.

[External respiratory changes in angiographically established coronary sclerosis].

Information on the functional condition of external respiration in 101 patients with angiographically demonstrated coronary sclerosis is analysed. Definite connections between the findings of coronarography and the values of external respiration were found, which were indicative of increase in the ratio of the residual pulmonary volume to the total pulmonary capacity and of a relative hyperventilation of the lungs in the contingent examined. The discrepancy between ventilation of the lungs and their perfusion was more marked in patients with a greater number of stenosed coronary arteries.