[Cholecystectomy in patients with bradyarrhythmic disorders and continuous electrocardiostimulation].
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Biomedical subjects
Publications and source records attributed to R S Nosov.
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The article analyses arrhythmias recorded in the hospital period in patients with various disorders of atrioventricular conduction in continous asynchronous stimulation of the heart. The frequency with which the competitive rhythm occurred in implantation of 134 asynchronous cardiostimulants was 11.9%. Mortality from its development was 18.8%. The authors believe unjustified widening of the scope of indications for asynchronous stimulation of the heart to be one of the main causes of parasystole. Strict adherence to these indications in conducive to marked decrease in the incidence of this complication but does not rule it out completely. Implantation of biocontrolled cardiostimulants, in cases with corresponding indications, is the optimum method for the prevention of competitive rhythm.
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The problem of a surgical management of rheumatic mitral stenosis in open-heart procedures under extracorporeal circulation is discussed. The experience of 240 surgical corrections is presented: 139 open mitral commissurotomies, 101 prosthetic replacements of the mitral valve. The current status of the problem is discussed along with the problems of diagnosis, complications of mitral stenosis, and open-heart technique of surgery. On the basis of the obtained results the advantages of the open correction of complicated forms of mitral stenosis over the closed techniques are demonstrated.
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Explore the source record for details and available documents.