Kardiologiya
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The in-hospital and intermediate outcomes in 341 patients with acute coronary syndrome treated with conservative (non-invasive) interventions were analysed. The coronary reperfusion was achieved in 59% patients with acute myocardial infarction (MI) treated with thrombolysis, but in 27% patients with MI treated only heparin and aspirin. In-hospital survival was 91% in 93 patients with MI treated with thrombolysis and 82% in 71 patients with MI without thrombolysis. On 6 month survival was 86% in patients with MI treated with thrombolysis, 70% in patients with MI without thrombolysis, 79% in patients with non-Q-wave MI and 88% in patients with unstable angina.
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MONICA (MONItoring trends and determinants of CArdiovascular diseases) study was carried out in Kaunas in 1983-1993 in three random samples of population aged 35-64 (overall 2694 men and 2801 women). The prevalence of previous MI among men was higher than among women in the first and in the third surveys (2,2 and 1,1%, p <0,05 and 4,4 and 1,2%, p <0,001, respectively). The prevalence of angina pectoris among men and among women did not reveal statistically significant difference in all three surveys. ⋯ Total mortality, mortality from CVD and from IHD among men with IHD was higher than among men without IHD. Total mortality and mortality from CVD among women with silent myocardial ischemia and IHD was higher than in control group. The differences in mortality among women with different forms of IHD were not significant from those without IHD.
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Registration of 24-hour blood pressure in adolescents with and without hypertension revealed active participation of sympathetic nervous system in genesis of juvenile hypertension. Hypertension in adolescents was mainly systolic, blood pressure elevation as a rule was accompanied by accelerated heart rate and increased pulse pressure. ⋯ Desynchronization of 24-hour rhythms due to excessive nocturnal blood pressure lowering was found to be typical for this age group. More than two thirds of adolescents with episodes of blood pressure elevation had also 'white coat hypertension'.