Publications by authors named "Maĭorov N"

Accumulation of cholesterol in arterial wall macrophages is a main hallmark of atherosclerosis. The ABCG1 transporter mediates cholesterol efflux to high density lipoproteins (HDL) and plays an important role in macrophage foam cell formation. The goal of our study was to investigate the potential role of ABCG1 in atherosclerosis development in humans.

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Objective: To assess whether the quality of the results of myocardial perfusion single-photon emission computed tomography (SPECT) may be improved by applying an individual approach to choosing the exposure time of a study.

Material And Methods: The results of myocardial perfusion SPECT with the radiotracer (RT) Technetril upon 25-sec (short) and 60-sec (long) exposures in 22 patients with valvular heart disease (VHD) and coronary heart disease (CHD) were retrospectively analyzed. The basis for the comparative assessment of the study results was the number of myocardial impulses (NMI).

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ABCA1 transporter is one of the key factors defining the level of antiatherogenic HDL in plasma. It is actively involved in the removal of cholesterol from peripheral tissues by reverse cholesterol transport. However, the influence of the level of ABCA1 mRNA and the level of ABCA1 protein 1 in macrophages in atherosclerosis remains unexplored.

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The article is devoted to long-term results of pilot clinical investigation of using mononuclear fraction of autologous bone marrow cells as an additional procedure to standard surgical treatment of heart valve failure in order to improve local perfusion and contractive ability of the myocardium. The article presents results of an analysis of findings of the examination of 7 living patients within 6 years or 7 years after operation as also data of pathologicoanatomical investigation of three dead patients. The data obtained show the safety and effectiveness of this method of cell therapy in patients with heart valve failure.

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V. cholerae infection with clearly pronounced diarrhea was reproduced in adult rabbits with the use of the RITARD system. The state of the APUD system of the intestine of the animals and morphological changes in internal organs in experimental cholera were described.

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Blood gamma-endorphin concentrations were repeatedly measured, using an original radioimmunoassay, in patients with myocardial infarction. In the early days of acute myocardial infarction, high levels of this opioid peptide were observed, then plasma gamma-endorphin concentration gradually decreased by the time of discharge. In patients with grave complications, gamma-endorphin level was significantly lower, as compared to patients with uncomplicated infarction.

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The results of myocardial scintigraphy with 201Tl used in combination with bicycle ergometry in 19 patients with typical angina and in 41 patients with an atypical pain syndrome are reported. Possible use of a single 201Tl dose at the peak of exercise is considered. The diagnostic value of myocardial scintigraphy with 201Tl was not basically different from that of conventional bicycle ergometry in patients with typical angina, whereas in cases of an atypical pain syndrome myocardial scintigraphy had an essential advantage over bicycle ergometry, which in this case was associated with a noticeably increased number of uncertain or negative results.

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The effect of the intravenous administration of nitroglycerin on the general course of myocardial infarction as well as on such syndromes as acute left ventricular insufficiency, progressive congestive cardiac failure and the recurring painful syndrome was studied. The assessment of the effect of the drug was carried out in relation to its capacity to limit the extension of myocardial infarction and regulate the blood supply to the organs. The data on the frequency and nature of side-effects following nitroglycerin administration are presented.

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On the basis of the review of their own and literature data, the authors describe a current concept of the development of heart failure in the acute period of myocardial infarction. They also discuss the relationship between the degree of this syndrome and such factors as the extent of necrosis, defects of the regulation of the systemic functions in the first days of the disease, as well as contractility disorders preceding myocardial infarction. The authors suggest original interpretation of the functional impairments in relation to different reactions of acute tension.

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In 57 patients on different days of myocardial infarction a comparison of haemodynamic and myocardial contractility parameters was made with their predicted values which were calculated with due consideration of oxygen utilization, arterial pressure and the heart rate. It is established that the majority of patients with myocardial infarction have insufficiency of cardiac output and of contractile activity of the heart beginning with the 1-2d day of illness. At the same time, absolute values of the parameters, stress-caused, can exceed the analogous parameters in patients with ischaemic heart disease outside the period of exacerbation, at rest.

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The use of beta-adrenoblockers in patients with acute myocardial infarction, accompanied by hypertension and hyperdynamia, leads to normalization of the arterial pressure, of parametres of haemo- and cardiodynamics, to a decrease of the degree of ischaemia of the damaged myocardium and to an increase of the heart work efficacy.

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Integral rheography is conducted by M. I. Tishchenko's method by means of bipolar rheographs which do not ensure accurate reading of the values which form the formula for determining the stroke volume.

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The work demonstrates the efficacy of glucagon in acute myocardial infarction and its complications, particularly in bradycardia, hypotension, disorders of cardiac rhythm and conduction, cardiogenic shock, cardiac insufficiency in complete atrioventricular heart block and recurrent forms of ventricular fibrillation. A differential approach and dynamic control over the effect of the drug on the values of hemodynamics, respiration, and metabolism are necessary under the conditions of units of intensive therapy and cardioresuscitation.

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