[Complete atrioventricular block in systemic scleroderma].
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Biomedical subjects
Publications and source records attributed to N T Vatutin.
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Diurnal Holter ECG monitoring (HM) was used to examine 53 patients with different cardial pathology accompanied by syncopal conditions whose arrhythmogenic genesis was confirmed by long recording of the ECG. Based on the results of comparing the cardiorecorder readings and the diaries of patients' subjective sensations, the authors have demonstrated HM and thorough anamnestic studies to be highly significant in the diagnosis of the syncopal syndrome.
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Patients with ischemic heart disease were treated by routine techniques (53), using also tocopherol acetate (54) and combination of tocopherol with nicotinic acid (53). Changes of the microcirculatory bed of the bulbar conjunctiva was studied biomicroscopically and in the process of blood coagulation hemoelectrocoagulographically. Complex treatment using tocopherol acetate produced a positive effect on the coagulation properties of the blood and did essentially influence the fibrinolytic activity and microcirculation. Tocopherol plus nicotinic acid resulted in normalization of the blood coagulation process, favoured activation of fibrinolysis and improvement of the microcirculatory bed.
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The paper presents results of study of the electric cardioversion (ECV) long-term effects in 216 patients with a chronic form of cardiac fibrillation (CF). The CF relapses were found to occur in 45.4% of cases, with the 43.9% of the whole number of the above relapses falling on the first two weeks, during six months after successful ECV. CF relapses were significantly more common in patients with rheumatic and ischemic heart diseases, as well as in those persons with CF duration of more than one year and in recurrent arrhythmias in instances of left ventricle sizes exceeding 45 mm. CF form does not appear to have a demonstrable effect on the ECV long-term results.