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T N Zamiro

Publications and source records attributed to T N Zamiro.

7 recordsLinked to original sources
PubMed2004

[Risk and prevention of atrial fibrillation of non-valvular origin].

Atrial fibrillation (AF) is an independent risk factor for ischemic stroke. In patients with AF, cardioembolias present about 10% of ischemic strokes. Transesophageal echocardiography is an ideal instrument for diagnostics of intracardiac thrombi. An aim of the study was to find the high risk markers for stroke in patients with AF of non-valvular origin. The patients have been divided into 2 groups with and without stroke in anamnesis. To search for stroke dependence of clinical and echocardiographic high risk markers, the data were analyzed using Poly Analyst Power statistical package. In the group of the patients with stroke in the anamnesis, echocardiographic markers for high risk of thromboembolia occurred significantly more frequently. Thrombi in the left atrial or its appendage were registered in 12.5% patients without stroke in anamnesis and in 31% of those, who survived stroke. The independent risk factors for stroke were age, AF duration, left ventricular ejection fraction, diabetes mellitus and arterial hypertension.

Adult↗
PubMed2004

[How to manage patients with atrial fibrillation in a general hospital].

AIM: To evaluate efficacy of use of technological charts (TC) in upgrading management and treatment safety in patients with atrial fibrillation (AF). MATERIAL AND METHODS: Two groups of AF patients were compared: 196 patients treated before introduction of TC (group 1) and 431 patients managed according to TC technology (group 2). RESULTS: In group 2 treatment duration reduced from 26.1 to 18.5 days, rehospitalizations occurred by 6% less frequently, number of unexpected side effects fell 2.5-fold, the rate of varfarin prescription for prevention of thromboembolic complications rose from 18 to 64%, the patients were satisfied with the treatment in 97% vs past 79%. CONCLUSION: TC was a tool of treatment improvement and introduction of the latest clinical recommendations into clinical practice with reference to facilities and staff qualification of an individual hospital without additional financial input.

Aged↗
PubMed1990

[Results of surgical treatment of ventricular tachycardia].

Surgical treatment is the method of choice in patients with ventricular tachycardia refractive to drug therapy. Fifty-six patients with ventricular tachycardia of various genesis were examined and separated into two groups according to the main heart disease. Group 1 was formed of patients with ischemic heart disease. In 16 of the 17 patients of this group disorders of left-ventricular contractility were revealed, the ejection fraction varied from 18 to 56% (average 32 +/- 13.8%). The attacks of ventricular tachycardia in patients of group 1 were characterized by an extremely severe course and cardioversion had to be resorted to repeatedly in order to relieve them. Endo- and epicardial mapping revealed localization of the arrhythmogenic focus on the boundary of the myocardial area involved in fibrosis. Surgical treatment was successful in 72% of cases in this group. Group 2 included patients with ventricular tachycardia of noncoronary genesis. In electrophysiological examination tachycardia could not be induced in 6 patients of this group. In 12 of 39 patients attacks of tachycardia were not attended by hemodynamic disorders. Contractility of the left-ventricular myocardium was disturbed only in 14 (36%) patient. The arrhythmogenic focus was in the right ventricle in 22 patients and in the left ventricle in 11 patients. Operation was performed on 29 patients of this group. The arrhythmogenic focus was successfully removed in 79% of cases. Surgical treatment of ventricular tachycardias of various genesis was successful in 76% of cases in follow-up periods of 2 months to 6 years.

Adolescent↗