[Effect of long-term epidural analgesia and nitroglycerin infusion on formation of necrosis zone and clinical course of myocardial infarction].

Abstract:

AIM:To study effects of long-term morphine-clofelin epidural analgesia and infusion of nitroglycerin on formation of the necrosis focus and the clinical course of acute myocardial infarction (MI). MATERIAL AND METHODS:Ninety patients were examined within the first 12 hours of anterior macrofocal MI. Forty six patients of the study group received long-term morphine-clofelin epidural analgesia and nitroglycerine infusion within the first 24 hours of the disease. Forty-four control patients were anesthetized conventionally with intravenous morphine. Development of MI was assessed with electrocardiotopography and dynamic examination of MV CK in the blood serum. RESULTS:The degree and area of the myocardial lesion were initially similar in the study and control groups. These indices were less in dynamics in the study group. On MI day 5 and 10 myocardial necrosis zone significantly diminished in the study group. CONCLUSION:Long-term epidural analgesia and nitroglycerin infusion provide effective analgesia, localizes the ischemic and necrotic focus, have a good effect on hemodynamics and improve a MI clinical course.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Tumak VN,Dzizinskiĭ AA

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

22-5

issue

8

eissn

0040-3660

issn

2309-5342

journal_volume

76

pub_type

临床试验,杂志文章
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    doi:

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  • [Use of angiotensin-converting enzyme inhibitors in chronic kidney insufficiency].

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    doi:

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  • [Evaluation of the efficiency of diagnostic regimens for enterohemorrhagic escherichiasis. Etiological verification of hemolytic uremic syndrome in the Russian Federation].

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    doi:

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  • [The prevalence of bacterial overgrowth syndrome and its associated factors in patients with inflammatory bowel diseases (according to the data of the Novosibirsk registry)].

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  • [Use of monoclonal antibodies to tumor necrosis factor (remicade) in rheumatoid arthritis: preliminary results].

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    doi:

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    journal_title:Terapevticheskii arkhiv

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    doi:

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  • [Changes in myocardial function in patients with hypertension during treatment with minipress].

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    doi:

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  • [Changes in the functional status of the adrenal glands in patients with chronic renal failure during the treatment by programmed hemodialysis].

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    pub_type: 杂志文章

    doi:

    authors: Neĭmark MI

    更新日期:1988-01-01 00:00:00

  • [Use of life quality indices in the rehabilitation therapy of inflammatory and degenerative rheumatic diseases].

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    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Grekhov RA,Aleksandrov AV,Alekhina IIu,Zborovskiĭ AB

    更新日期:2009-01-01 00:00:00

  • [Echocardiographic study of patients with alcoholic heart lesions].

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    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Berezovskiĭ AD,Orlov MV,Elkonin BL

    更新日期:1985-01-01 00:00:00

  • [Gender features of cardiovascular events in patients with chronic glomerulonephritis at the pre-dialysis stage of the disease].

    abstract:AIM:To identify the gender differences of cardiovascular events in patients with chronic glomerulonephritis (CGN) at the pre-dialysis stage of chronic kidney disease (CKD). SUBJECTS AND METHODS:A total of 170 patients (median age 40±11 years) with CGN who did not receive hemodialysis were examined. According to gender...

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    pub_type: 杂志文章

    doi:10.17116/terarkh201789656-61

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    更新日期:2017-01-01 00:00:00

  • [Relationship between the intima-media complex thickness, the risk factors of cardiovascular diseases, and the level of C-reactive protein in gouty patients].

    abstract:AIM:To estimate a relationship between the intima-media thickness (TIM), cardiovascular risk (CVR) factors, and the level of C-reactive protein (CRP) in gouty patients. SUBJECTS AND METHODS:Eighty-nine patients at an interattack interval were examined. The patients' mean age was 46.0 +/- 11.4 years; the duration of th...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Il'ina AE,Varfolomeeva EI,Volkov AV,Mach ES,Aleksandrova EN,Novikov AA,Il'inykh EV,Barskova VG,Nasonov EL

    更新日期:2009-01-01 00:00:00

  • [The characteristics of the clinical picture and course of gastric and duodenal peptic ulcer in patients with ischemic heart disease].

    abstract::Altogether 117 case reports were analyzed and 32 patients with associated gastric or duodenal ulcer and coronary heart disease (CHD) as well as 48 controls suffering from gastric or duodenal ulcer were examined. A relationship was established between the clinical picture and the course of associated ulcer disease and ...

    journal_title:Terapevticheskii arkhiv

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    doi:

    authors: Korzhikov VV,Zvenigorodskaia LA,Arbuzova VG

    更新日期:1990-01-01 00:00:00

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  • [Acute Ph-negative lymphoblastic leukemias in adults: Risk factors in the use of the ALL-2009 protocol].

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    doi:

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