Kardiologiya
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Ectopic rhythms with impulse frequency of 60-90 per minute are referred to as "accelerated"; those with the frequency of 91-130 impulses per minute are termed "nonparoxysmal tachycardia". Forty patients (27 with nonparoxysmal tachycardia and 13 with accelerated ectopic rhythms) were under observation. ⋯ Nonparoxysmal tachycardia turned to paroxysmal one or vice versa in 7 patients. Cordarone, beta-adrenergic agents and isoptin were particularly effective in the treatment of nonparoxysmal supraventricular tachycardia, while ethmosine, cordaron and rhythmodan proved most effective against ventricular arrhythmia.
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Comparative Study
[Causes of death in myocardial infarct complicated by cardiogenic shock during the use of intra-aortic balloon counterpulsation in their treatment].
On the basis of the analysis of medical histories, clinical pattern of the disease, hemodynamic data and pathologic anatomical findings, conclusions are made as to causes of death in patients with acute myocardial infarction aggravated by cardiogenic shock (with intra-aortal balloon contrapulsation as part of combined treatment). They are mostly related to the duration of coronary disease in the different group of patients. The best results were obtained in cases where coronary disease had lasted for about five years, and the shock developed around 15 hours after the onset of myocardial infarction.
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The authors describe the pathophysiology of disseminated intravascular coagulation and the coagulopathy of utilization. The clinical and laboratory data on different types of shock are described. The efficacy of different antithrombotic agents in shock with disseminated intravascular coagulation is shown.