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Query: UMLS:C0151744 (myocardial ischemia)
 31,282 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Premature ventricular contractions are relatively often encountered in patients after surgical treatment of ischaemic heart disease. Mercurascan (MSC), given at 0.05 mg/kg of body weight, favourably affected both the incidence and duration of arrhythmia. Unlike other antiarrhythmics, MSC did not affect the heart rate nor blood pressure. Postoperative treatment of ventricular arrhythmia with MSC is a promising procedure and merits further clinical and experimental investigation.
Cor Vasa 1976
PMID:Antiarrhythmic effect of Mercurascan in patients after surgical treatment of ischaemic heart disease. 5 25

The effect of postextrasystolic potentiation [PESP] on left ventricular [LV] function was assessed by means of left ventricular cineangiography in 26 patients with ischaemic heart disease. Ventricular extrasystoles were induced by a catheter inserted into the LV during injection of the contrast agent. The values of parameters of segmental and global function of LV, found in potentiated and nonpotentiated sinus contractions, were compared. Segmental disturbances present at rest in 13 patients improved or disappeared after extrasystole in 8 patients. Improvements in contraction also took place in segments with normal resting contraction. Global LV function improved significantly; an improvement was observed even without an increase in the LV end-diastolic volume in the postextrasystolic beat. The advantages and limitations of the method for preoperative estimation of the effect of intended myocardial revascularization on the LV function are discussed.
Cor Vasa 1978
PMID:Dynamic ventriculography in patients with ischaemic heart disease. II. Influence of postextrasystolic potentiation on left ventricular function. 8 Mar

In 10 anaesthesized dwarf pigs with an open thorax the effects of extrasystoles on systemic and coronary circulation were investigated. The actual effect of an extrasystole depends on the time of its onset. Early extrasystoles hamper the cardiac blood perfusion, with decreases in the stroke volume, mean arterial pressure, coronary blood flow, and elevation of coronary resistance. Extrasystoles setting on later are of minor haemodynamic and coronarodynamic importance. The effects of bigeminy and 2:1 extrasystolia are more adverse than the consequences of extrasystoles with later onset. With cumulation of several consecutive extrasystoles also adverse the haemodynamic coronarodynamic sequelae increase, in dependence on the magnitude of the quotient coupling time /extrasystolic excitation period [ greater than 1.1], or of the quotient: duration of pre- and postextrasystolic intervals/ normal interval of heart action [ greater than 1.5]. The authors point out the importance of haemodynamic findings during early extrasystoles in ischaemic heart disease.
Cor Vasa 1978
PMID:[The effect of early appearing extrasystoles on systemic and coronary circulation]. 8 Mar 1

For one year 215 patients were followed up who had been taken into the register of patients with myocardial infarction and had survived three months after the incident. At intervals of 3, 6, 9, and 12 months their electrocardiograms of various durations were recorded. Prolongation of the ECG tracing time eases the assessment of the frequencies and nature of heart rhythm disturbances in patients with ischaemic heart disease. Exercise test helps reveal more complicated types of ventricular extrasystoles better than one-hour recording of resting ECG does. Ventricular ectopic activity is more frequently found in patients with unequivocal ECG changes (p less than 0.025), in patients with enlarged heart volume (p less than 0.05), and in men vs. women (p less than 0.05). Presence of ventricular extrasystoles, especially of complicated ones (polytopic, couplets, early) enhances the risk of death of ischaemic heart disease.
Cor Vasa 1978
PMID:Detection of heart rhythm disturbances in patients after myocardial infarction, and their prognostic value. 8 11

In 25 patients with ischaemic heart disease the effect of nitroglycerin [NTG] on segmental and global function of the left ventricle was assessed by means of left ventricular cineangiography. In 14 patients a segmental disturbance of contraction at rest was found; in six of them the function inproved after NTG. After NTG, the left ventricular diastolic volume, end-diastolic pressure, and systolic blood pressure decreased, the heart rate increased. The global left ventricular function did not significantly change. In patients with ischaemic heart disease NTG helps to differentiate reversible and irreversible disturbances of left ventricular contraction.
Cor Vasa 1978
PMID:Dynamic ventriculography in patients with ischaemic heart disease. I. Influence of nitroglycerin on left ventricular function. 9 85

The circadian rhythms of the functions of the cellular components of haemostasis, and their response to administration of ACTH, were studied in 30 healthy volunteers and in 17 patients with cardiosclerosis secondary to past myocardial infarction. A biphasic periodicity was found of the counts and functional activities of thrombocytes and basophilic leukocytes during 24-h periods. The phase of peak activities of both formed blood elements was established between 11.00 and 14.00 hours; in the night their functional capacities were lower than in the morning. Administration of ACTH elicited analogous shifts in the above mentioned indicators, but with a faster development of the first phase. In ischaemic heart disease the normal circadian rhythm of functions of the specified indicators was disturbed, and they exhibited signs of inertia, which phenomenon, in the author's opinion, reflects a lowered reliability of function of the haemostatic system.
Cor Vasa 1978
PMID:Circadian rhythms of the functions of thrombocytes and basophils in the blood of healthy volunteers and of patients with ischaemic heart disease. 21 72

The authors analyze the results of 220 applications of internal cold cardioplegia in 136 patients with ischaemic heart disease, treated surgically by aortocoronary bypass. The operation was performed under neuroleptanalgesia and artificial circulation with hypothermia (27.9 +/- 0.2 degrees C) and haemodilution (24.9 +/- 0.3%). On the basis of clinical examination, electron microscopy of the myocardial ultrastructure, and investigation of the myocardial metabolism (contents of glucose, lactate, pyruvate, free fatty acids, catecholamines, and oxygen in arterial and venous blood flowing out of the myocardium), they come to the conclusion that internal cold cardioplegia efficiently protects the myocardium during aortocoronary bypass and secures favourable conditions for the development of anastomoses between coronary arteries and venous shunts.
Cor Vasa 1979
PMID:Myocardial protection during aortocoronary bypass. 31 79

In 305 patients operated upon for symptomatic ischaemic heart disease, a series of resting electrocardiograms, obtained during the first days after operation, was evaluated. A new Q wave was found in 10% of the patients. The genesis of this EGG change had not correlation with the patients' age and sex, presence of hypertension and diabetes mellitus, tobacco smoking, blood cholesterol level, functional calss of angina pectoris, previous myocardial infarction, the number of affected coronary arteries, duration of extracorporeal circulation or anoxic circulatory arrest, and peroperatively measured graft blood flow. A new Q wave after revascularization occurred more frequently in patients with multiple venous aortocoronary bypasses. The new Q wave is an EGG manifestation of myocardial necrosis with subsequent local disturbance of left ventricular function.
Cor Vasa 1979
PMID:A new Q wave in the electrocardiogram in patients operated upon for ischaemic heart disease. 53 2

A phonocardiological analysis of the first heart sound was made and systolic time intervals were measured in 40 patients (ischaemic heart disease, hypertensive heart disease, cardiomyopathies) with incipient cardiac failure (functional groups I--II according to the NYHA) with auscultatory changes of the first heart sound and in controls of randomly selected healthy persons or patients in whom cardiopulmonary disease was excluded. The patients in all diagnostic groups differed significantly (P less than 0.05--0.001) in practically all the phonocardiographic indicators from the controls. The most constant abnormal finding was a pathological split of the first heart sound which may be divided into three phonocardiographic forms. Simultaneously, systolic time intervals alterations (P less than 0.02--0.001) were also found in these patients and indicated a lowered performance of the left ventricle. The results suggest that 1) a certain relation exists between systolic time intervals and the phonocardiographic pattern of the first heart sound in patients with cardiovascular diseases and those without it; 2) the modified (pathologically splitted and prolonged) first heart sound could be a sign of incipient cardiac failure.
Cor Vasa 1979
PMID:The first heart sound abnormalities accompanied with alteration of systolic time intervals in incipient heart failure. 53 4

In 50 normal subjects and in 63 patients with ischaemic heart disease, the left ventricular apexcardiogram with its first derivative (dA/dt), electrocardiogram and phonocardiogram were recorded simultaneously. This allowed to measure four systolic and diastolic time intervals using the first derivative of apexcardiogram. In patients with ischaemic heart disease in increase of the interval R to peak dA/dt, systolic upstoke time of dA/dt, and early apexcardiographic relaxation time (the time from the onset of the aortic component of the second heart sound in the phonocardiogram to the negative peak of the dA/dt) was established. It is concluded that dA/dt is a suitable technique for more exact non-invasive determination of some time intervals than conventional apexcardiogram in ischaemic heart disease.
Cor Vasa 1979
PMID:The use of the first derivative of apexcardiogram for determining some systolic and diastolic time intervals in ischaemic heart disease. 54 71


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