[The clinical and functional evaluation of cardiac electrical instability in patients with silent myocardial ischemia].

Abstract:

AIM:To study markers of myocardial electrical instability in patients with coronary heart disease (CHD) during silent myocardial ischemic episodes. SUBJECTS AND METHODS:Eighty-two patients with stable CHD (mean age 62.6 +/- 5.4 years) were examined. In addition to standard physical examination, a complex of their study comprised 12-lead electrocardiography (ECG), Holter ECG monitoring, exercise testing, echocardiography, average signal (AS) ECG recording with identification of late ventricular potentials (LVP), analysis of cardiac rhythm variability (CRV), and estimation of QT interval duration. RESULTS:The study revealed that a combination of Holter ECG monitoring and exercise testing (bicycle ergometry) was required to diagnose silent CHD and to evaluate functional condition severity. Diurnal myocardial ischemia and the number of silent ischemic episodes were found to associate with AS-ECG readings, QT interval dispersion, and LF/HF ratio. In patients with silent CHD, the incidence of Q-wave myocardial infarction and the frequency of high-grade ventricular premature beats were higher, late ventricular potentials were more frequently found, and autonomic vegetative control of sinus rhythm proved to be more significantly impaired. CONCLUSION:No pain signal in patients with CHD leads to underestimation of the seriousness of the situation and, accordingly, to inadequate measures for its elimination therefore early diagnosis and correction of silent myocardial ischemia are prognostically important in preventing life-threatening acute manifestations of CHD and arrhythmic complications.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Tatarchenko IP,Pozdniakova NV,Morozova OI,Zaĭtseva AV

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

22-7

issue

4

eissn

0040-3660

issn

2309-5342

journal_volume

82

pub_type

杂志文章
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  • [Low doses of recombinant erythropoietin in the treatment of renal anemia in patients on chronic hemodialysis and ambulatory peritoneal dialysis].

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    authors: Aleksandrova EN,Chemeris NA,Karateev DE,Novikov AA,Brodetskaia KA,Nasonov EL

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  • [The problem of secondary immunodeficiencies in patients with chronic bronchitis].

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    doi:

    authors: Shirinskiĭ VS,Sennikova IuA

    更新日期:1993-01-01 00:00:00

  • [Regulatory R proteins and lipid peroxidation in rheumatoid arthritis].

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    doi:

    authors: Kochetova EV,Ignat'ev VK

    更新日期:1996-01-01 00:00:00

  • [Experience in using Prolia in patients with postmenopausal osteoporosis in clinical practice].

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  • [Biliary tract in patients with chronic viral hepatitides].

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    pub_type: 杂志文章

    doi:

    authors: Pal'tsev AI,Osipenko MF,Voloshina NB

    更新日期:2005-01-01 00:00:00

  • [Efficacy of ivabradin in combined treatment of patients with postinfarction systolic chronic cardiac failure].

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    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Potapenko AV,Abdulazizov OSh,Diachuk LI,Kiiakbaev GK,Kobalava ZhD,Moiseev VS

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  • [The mechanisms of intravascular blood coagulation in patients with systemic scleroderma].

    abstract::Hemostasis was investigated in 2 groups of patients with systemic scleroderma (SSD) with minimal (12 patients) and moderate (9 patients) activity of the process. It has been shown that in SSD, the triggering factor of intravascular blood coagulation is the release of Willebrand's factor, an activator of platelets, fro...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Diubanova GA,Sidorova LD,Barkagan LZ,Movchan EA,Valentik MF

    更新日期:1990-01-01 00:00:00

  • [Shereshevsky-Turner syndrome: Estrogen replacement therapy and cardiovascular risk factors].

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  • [Changes in plasma hemostatic parameters under intravascular laser irradiation of blood in patients with community-acquired pneumonia].

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    journal_title:Terapevticheskii arkhiv

    pub_type: 临床试验,杂志文章

    doi:

    authors: Burduli NM,Pilieva NG

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  • [Chronic obstructive lung diseases associated with systemic arterial hypertension].

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    doi:

    authors: Kubyshkin VF,Soldatchenko SS,Konovalov VI

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  • [Correlation of the indices of phase structure of left ventricular systole in patients with isolated left ventricular and combined biventricular myocardial infarction].

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    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Denisenko BA,Solov'eva NN,Belogolov AB,Pogorelova LI,Shlafer ID

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  • [The hemodynamic disorders in erysipelas of the lower extremities].

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    journal_title:Terapevticheskii arkhiv

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    doi:

    authors: Bondarov LS,Zhidkikh VN

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  • Acute ischemic stroke in the setting of essential thrombocytemia (clinical cases).

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    journal_title:Terapevticheskii arkhiv

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    doi:10.26442/terarkh2018907102-104

    authors: Tanashyan MM,Kuznetsova PI,Raskurazhev AA,Subortseva IN,Melikyan AL

    更新日期:2018-08-17 00:00:00

  • [The treatment of nephrotic-type chronic glomerulonephritis with Sandimmun (cyclosporin A)].

    abstract::Sandimmun (ciclosporin A) treatment of chronic glomerulonephritis with nephrotic syndrome in a dose 2.5-5 mg/kg for 6-10 months relieved nephrotic syndrome in 2 and resulted in clinical improvement in other 2 of 4 patients treated. In 3 cases the patients failed previous therapy with high-dose corticosteroids and cyto...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Mukhin NA,Tareeva IE,Krasnova TN,Shilov EM,Miroshnichenko NG

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  • Case of thrombosis of the portal vein and its branches in a patient seropositive for Borrelia antigens.

    abstract::Borreliosis after sucking ticks is an acute problem in the world. People do not go to doctors after that often, which leads to the development of various complications. Thrombosis of veins of various localization can be one of them. Thrombosis of the portal vein represents a significant problem too with high morbidity...

    journal_title:Terapevticheskii arkhiv

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  • [Effectiveness of antiinflammatory therapy in patients with interstitial lung diseases using re-assay of biomarker mucin 3EG5].

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    journal_title:Terapevticheskii arkhiv

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    doi:

    authors: Avdeeva OE,Lebedin IuS,Avdeev SN,Chuchalin AG

    更新日期:2000-01-01 00:00:00

  • [Significance of the duration of arterial hypertension and the age of the patient in shaping the structure and function of the left ventricle].

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    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Karnolski IN,Zhelev VS

    更新日期:1990-01-01 00:00:00

  • Clinical, Virusological and Immunological characteristics of hospitalised HIV-infected patients.

    abstract:AIM:The primary objective of this study was to describe clinical, virusological and immunological characteristics of hospitalised HIV--infected patients, who had different stages of the disease. MATERIALS AND METHODS:This study was conducted at Moscow Infectious Diseases Hospital №2 in 2012-2015. We have clinically ob...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

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  • [Acarbose (glucobai) effects on lipid metabolism in patients with non-insulin dependent diabetes mellitus].

    abstract:AIM:To investigate the effect of acarbose, intestinal alpha-glucosidase inhibitor, on lipid metabolism in patients with non-insulin-dependent diabetes mellitus (NIDDM). MATERIAL AND METHODS:Glucobai was given for 6 months in a dose 300 mg/day to 63 NIDDM patients aged 40-69 years. The examination covered indices of gl...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Rosliakova LV,Roĭtman AP,Ametov AS,Dolgov VV

    更新日期:2000-01-01 00:00:00

  • [Vaccine prophylaxis of viral hepatitis B in patients with acute leukemia].

    abstract:AIM:To assess efficacy of vaccine against viral hepatitis B (VHB) in adults after achievement of acute leukemia (AL) remission. MATERIAL AND METHODS:Specific prevention of VHB was made in 30 AL patients with recombinant vaccine Engerix B by two schemes: 0-1-2-12 and 0-1-2-6 months with double adult dose 40 mcg. Effica...

    journal_title:Terapevticheskii arkhiv

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    doi:

    authors: Gurina NM,Svedentsov EP,Shardakov VI,Cherepanova VV

    更新日期:2008-01-01 00:00:00

  • [Gluten enteropathy].

    abstract::The authors relate the results of 10 years of observations of 113 patients suffering from gluten enteropathy (GE) of the adults. In all the patients, the diagnosis was supported by the presence of hyper-regenerative atrophy of the small intestinal mucosa (total in 70% and subtotal in 30%). Metabolic disorders and cell...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Parfenov AI,Krums LM,Ekisenina NI,Gudkova RB,Sivash ES,Chikunova BZ

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  • The effectiveness of combination antihypertensive therapy in patients with arterial hypertension and additional risk factors: obesity and obstructive sleep apnea syndrome.

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    pub_type: 杂志文章

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  • Сomorbidity and polymorbidity of the patient with chronic obstructive pulmonary disease and cardiovascular diseases.

    abstract:AIM:the study of comorbid status and characteristics of clinical course of ischemic heart disease (IHD) in patients with chronic obstructive pulmonary disease (COPD). MATERIALS AND METHODS:We conducted a retrospective analysis of case histories of 958 IHD patients aged 32 to 93 years (mean age of 60.8±10.2 years), inc...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

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  • [Enteral tube feeding in adult patients with cystic fibrosis and respiratory failure].

    abstract:AIM:To evaluate the efficiency of nocturnal hyperalimentation in adult patients with cystic fibrosis (CF) and respiratory failure. SUBJECTS AND METHODS:The investigation enrolled 17 patients older than 18 years (mean age, 25.6±4.2 years) diagnosed with very severe CF (forced expiratory volume in one second (FEV1), < 3...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

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  • [Causes of death in patients with rheumatic diseases in Moscow].

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    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Demina AB,Radenska-Lopovok SG,Folomeeva OM,Erdes Sh

    更新日期:2005-01-01 00:00:00

  • [In vivo and vitro effects of interferon-alpha 2b on functional activity of T-lymphocytes from patients with rheumatoid arthritis].

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    journal_title:Terapevticheskii arkhiv

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    authors: Iarilina AA,Nikonova MF,Litvina MM,Balabanova RM,Iarilin AA

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  • [Possibility of evaluating the effectiveness of renal artery sympathetic denervation in resistant hypertension early after radiofrequency ablation].

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