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Biomedical subjects

V S Moiseev

Publications and source records attributed to V S Moiseev.

At least 73 records · Page 4Linked to original sources
PubMed1989

[Hemodynamic effects of the treatment of hypertension with the calcium channel blocker diltiazem].

The 1.5-benzotthazepine derivative diltiazem, which blocks slow calcium channels, is an effective hypotensive agent, used for the treatment of moderate hypertension. Treatment with diltiazem alone, its dose adjusted on an individual basis, controlled arterial blood pressure in 58% of the patients. With a 240 mg daily dose, blood pressure was controlled in 12 of 52 patients; when the daily dose was increased to 360 mg, blood pressure was controlled in another 18 patients. In the remaining 22 patients, blood pressure was only controlled after captopril was added in a daily dose of at least 50 mg. The drop of arterial blood pressure was associated with falling total peripheral resistance and end diastolic blood volume, and was accompanied by an increase in left-ventricular ejection fraction and myocardial oxygen want.

Adult↗
PubMed1989

[Hypertrophic cardiomyopathy: clinical picture and diagnosis in myocardial hypertrophy of various localizations].

Sixty-nine patients with hypertrophic cardiomyopathy (HCMP) were subjected to clinical, electrocardiographic and ultrasound cardiographic examinations. Two-dimensional ultrasound cardiography revealed 4 types of most frequently occurring localizations of myocardial hypertrophy. The relationship was found between obstruction of the outlet tract of the left ventricle and localization and thickness of myocardial hypertrophy. The clinical and electrocardiographic signs of the disease were established in patients with HCMP in different localizations of myocardial hypertrophy. Subject to examination were also 15 relatives of the 5 patients. In 7 of them, HCMP was diagnosed for the first time.

Adolescent↗
PubMed1988

[Hemodynamic effect of a combination of prazosin with cardiac depressants in the treatment of hypertension].

Arterial blood pressure and central hemodynamic changes were assessed in 44 patients with essential hypertension, uncontrollable by prazosin alone, after propranolol (anaprilin), celiprolol, clonidine (clofelin) or verapamil were added to the treatment schedule. A selective beta 1-adrenoblocker, celiprolol, is shown to be the best option in prazosin-treated patients with reflex increment of heart rate and stroke volume. The prazosin-verapamil combination is also justified in cases of moderately increased pulse rate, while propranolol and clonidine produce no additional hypotensive effect when combined with prazosin.

Anti-Arrhythmia Agents↗
PubMed1987

[Importance of alcoholism markers in the diagnosis of alcoholic heart lesions].

A study was made of opportunities for the use of some signs of alcoholic intoxication in the verification of alcoholic etiology of heart lesion. Clinical signs like hyperemia of the face with telangiectasia, venous plethora of the eyeballs, tremor of the lips, tongue, limbs, Dupuytren's contracture, enlarged liver size combined with a positive macrocytosis test and, to a lesser degree, with a higher activity of gamma-glutamyl transpeptidase, and the detection of fatty hepatosis in liver puncture biopsy were shown to suggest alcoholic intoxication, and excluding other cases of heart lesion they can be of great help in the verification of diagnosis of alcoholic heart lesion.

Adult↗
PubMed1987

[Genetic aspects of hypertrophic cardiomyopathy (familial studies and relation of HLA to obstructive hypertrophic cardiomyopathy)].

The purpose of the paper was to study the families of 31 patients with hypertrophic cardiomyopathy (HCMP) to establish the hereditary nature of disease as well as to study the peculiarities of distribution of HLA-A, B and DR antigens in 44 patients (Russians) with obstructive HCMP using a method of histocompatibility typing. Echocardiographic investigation of 105 relatives of 31 patients with various types of HCMP revealed 32 patients with the same pathology among 84 persons in 20 families suggesting the familial pattern of disease. Antigen markers of predisposition to obstructive HCMP were established: HLA-B27, DR1 and DR4. DR4 antigen has primary relationship with the disease. Some differences in the distribution of HLA-antigens in men and women with obstructive HCMP were revealed. There was no correlation of HLA-markers with the severity of disease and patient's age at which the disease developed.

Adolescent↗
PubMed1986

[Senile amyloidosis of the heart].

A morphologic study of 376 hearts from individuals who died between 75 and 98 years of age demonstrated senile amyloidosis of the heart in 307 (82%) of the cases, using the Congo red stains for polarized light studies and the thiosine red for luminescent microscopy. The frequency of cardiac amyloidosis detection increased with age, and reached 100% in those above 90. Clinico-anatomical correlations showed repolarization changes to be the most common findings (80%), followed by arrhythmia (over 50%), conductivity disorders and reduced voltage of electrocardiographic waves. Chronic heart failure was less common (about 10%). In most cases, moderately marked coronary atherosclerosis was also found at autopsy. Amyloidosis was thought to be making a more significant contribution towards myocardial lesions, as compared to atherosclerosis, in elderly people above 85 years of age.

Age Factors↗
PubMed1985

[The origin of hypertrophic cardiomyopathy].

The author describes the clinical cases of hypertrophic cardiomyopathy (CMP). The development of obstructive CMP in a patient with hyperparathyroidism indicates a possible pathogenetic role of endocrine factors and calcium metabolism abnormalities. The familial character of the disease and its combination with hereditary diseases (familial microspherocytosis) point to the significance of genetic factors. In addition, marked hypertrophy of the myocardium (without dilatation) including hypertrophy with obstruction of the outflow tract of the left ventricle was observed in nonspecific protracted myocarditis, alcoholic injury to the heart, in athletes, in coronary heart disease (after survival of myocardial infarction). It is suggested that hypertrophic CMP (similarly to restrictive and congestive CMP) is most likely a syndrome of varying origin.

Adenosine↗