Saratov JOURNAL of Medical and Scientific Research

atherosclerosis

Interaction of atherosclerosis and ageing: is there any discussion questionable?

Year: 2018, volume 14 Issue: №2 Pages: 322-327
Heading: Gerontology and geriatrics Article type: Author's opinion
Authors: Denisova Т.Р., Lipatova Т.Е., Alipova L.N., Yegorova A.V.
Organization: Saratov Regional Hospital for Veterans of Wars, Saratov State Medical University
Summary:

Age-related diseases and their link to involutionary processes in human organism remain as one of the burning problems in internal medicine. The article focuses on the discussable questions of the most common mechanisms of atherogenesis and ageing, their similarity and difference. Both processes mutually burdens each other, bringing the "fading" of the organism closer.

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Optimal frequency characteristics of impulse laser in treatment of patients with atherosclerosis of blood vessels in lower extremities

Year: 2016, volume 12 Issue: №4 Pages: 599-601
Heading: Psysiotherapy Article type: Original article
Authors: Samoilov A.S., Kulchitskaya D.B., Kolbakhova S.N.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

The research goal is to assess on a comparative basis the effects of the infrared low-intensity laser emission with the frequency of 80 Hz and 1500 Hz on the state of microcirculation and peripheral blood circulation among 30 patients with atherosclerosis of the vessels of the lower extremities. Material and Methods. The patients were divided into 2 groups: in the 1st group (15 patients) patients received pulse infrared low-intensity laser radiation with the frequency of 80 Hz; in the 2nd group (15 patients) infrared low-intensity laser radiation with the frequency of 1500 Hz was used. Results. As a result of the conducted investigation, it was found that optimum pulse repetition rate was 80 Hz because more significant changes in the system of microcirculation and peripheral blood circulation among patients with atherosclerosis of the vessels of lower extremities were revealed. Conclusion. The optimal frequency pulse is determined to be 80 Hz.

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Modern issue on the role of microorganisms in the induction and the development of atherosclerosis

Year: 2016, volume 12 Issue: №2 Pages: 113-117
Heading: Macro- and Micromorphology Article type: Review
Authors: Kupryushin AS, Chudaeva DG, Fedorova MG, Latynova IV, Vishnyakova ZhS, Kuprushyna NV, Efimov AA.
Organization: Penza State University
Summary:

More than 70 literature sources are presented and analyzed in the work. Data sources are devoted to the connection between infection and development of atherosclerotic changes. It has been found out that the infection and the presence of pathogenic microorganisms influence the progression of atherosclerosis.

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Multifocal atherosclerosis in patient after acute first degree radiation sickness.

Year: 2014, volume 10 Issue: №4 Pages: 862-867
Heading: radiation medicine Article type: Case report
Authors: Metlyaeva N.A., Lartsev M.A., Shcherbatykh O.V., Bushmanov A.Yu., Krasnyuk V.I.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Purpose: assessment the heavy psychosomatic and all-somatic cardiovascular and cerebrovascular pathology of patient, transferred an acute I degree radiation sickness, from the general evenly gamma-beta radiation. Conclusions. The subdepressive and disturbing-depressive syndrome of patient, transferred an acute radiation sickness (ARS) of I degree, from the general evenly gamma-beta radiation, was independent risk factor of development of multifocal atherosclerosis; Features of development of all-somatic and psychosomatic pathology of patient are based on a combination of genetic prerequisites, environment influences (the stress caused by accident on the ChNPP) and social factors, influencing on him during a course of life, especially during early socialization. Thus at development of psychosomatic frustration the combination of feature of the mental reaction connected with the personal characteristic and special relationship between mental (stress) and physiological (somatic) by aspects of reaction which led to metabolism violation, to aging, decrease in adaptation opportunities of an organism and development age — dependent pathology took place.

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Amputation of extremity in patients with atherosclerotic gangrene

Year: 2011, volume 7 Issue: №4 Pages: 947-953
Heading: Surgery Article type: Original article
Authors: Tsarev О.A., Prokin F.G., Zaharov N.N., Voloshuk I.N., Shinde S., Tsareva Yu.O., Imangulov A.M., Mingan T.
Organization: Saratov State Medical University
Summary:

Aim of investigation — to analyze the results of treatment of patients with atherosclerotic gangrene of a limb, to identify the causes of adverse outcomes amputation. Materials and methods: We analyzed the results of examination and treatment of 218 patients with atherosclerotic gangrene of the limb. Good outcome of amputation was considered the primary surgical wound healing of the stump. Suppuration, secondary healing, re-amputation and death we attributed to the adverse results of amputation. Results: The adverse outcomes of amputation due to technical errors in surgery, properly chosen level, inadequate drainage of the wound stump, an unsuccessful operation on the arteries of a limb, inadequate empirical antibiotic therapy, patient's age, functional capabilities of myocardium, the duration of critical ischemia, as well as the lack of psychological adaptation of patients before amputation. Conclusion: To decide the need for amputation in patients with atherosclerotic gangrene follows the assessment of possible vascular reconstructive surgery. In determining the level of amputation is necessary to objectively assess the degree of disruption of regional blood flow using multilevel manometry and laser Dopplerflowmetry. In preparation for amputation should be paid special attention to the correction of rheological and coagulation properties of blood, normalization of the functional state of the myocardium, as well as specialized psychotherapeutic training for timely and adequate psychological adaptation of the patient

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Clinicopathologic basis of hemodynamics modelling in the system of coronary arteries in consideration of its interaction with myocardium (review)

Year: 2011, volume 7 Issue: №4 Pages: 762-768
Heading: Macro- and Micromorphology Article type: Review
Authors: Chelnokova N.O., Golyadkina A.A., Schuchkina O.A.
Organization: Saratov State Medical University
Summary:

The review presents the features of modern viewpoints on the theory of atherosclerosis pathogenesis. The possibilities of mathematical modelling of hemodynamics in coronary arteries in consideration of their morphological parameters and relationship with myocardium are described

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Homocysteine as a risk factor of ischemic heart disease development (review)

Year: 2011, volume 7 Issue: №3 Pages: 619-624
Heading: Internal Diseases Article type: Review
Authors: Skvortsov Yu.l., Korolkova A.S.
Organization: Saratov State Medical University
Summary:

Homocysteine is a product of methionine metabolism. Increased levels of homocysteine strengthen oxidizing stress, disturb endothelial function, raise arterial blood pressure and lead to thrombus formation. Homocysteine increases the risk of development of atherosclerosis, coronary heart disease, cerebral and peripheral vessels diseases. By severity it can be compared with smoking and hypercholesterolemia. High levels of homocysteine cause the development of cardiovascular diseases that occur in people who have never suffered from heart attacks. Vitamin B-12 and folate decrease the homocysteine level and convert it into cysteine and methionine

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Peculiarities of dyslipidemia in patients with psoriatic arthritis: connection with atherosclerosis, cardiovascular risk factors and inflammation activity

Year: 2010, volume 6 Issue: №3 Pages: 592-596
Heading: Internal Diseases Article type: Original article
Authors: Rebrov A.P., Gaydukova I.Z.
Organization: Saratov State Medical University, Saratov Regional Clinical Hospital
Summary:

Objective: to found the dyslipidemia in patients with psoriatic arthritis and to study the connection between dyslipidemia and cardiovascular risk factors, atherosclerosis and inflammation activity. 40 persons with PsA without cardiovascular diseases were involved in the study, 25 healthy people were examined like controls. Activity of PsA was learned by DAS, Likert index, Ritchie Arthicular Index, Number of swelling joints (NSJ), ESR, C-reactive protein (CRP) and fibrinogen. Total cholesterol, triglycerides, low and high density lipoprotein cholesterol, hypertension, body mass index, individual cardiac history were performed like cardiovascular risk markers. The ultrasound measuring the thickness of intima-media layer (IML) in carotid arteries was performed to subclinical atherosclerosis study. Increase of total cholesterol, triglycerides and low density lipoprotein cholesterol level was found in patients with PsA comparative with controls. There was prevalence of high and moderate increase of total cholesterol in patients with PsA, and in controls only low increase was measured. Correlation between total cholesterol and NSJ, fibrinogen, hypertension and IML was found. Low density lipoproteins were tingly interrelated with ESR, hypertension and IML. Very low density lipoproteins were connected with age of disease beginning, hypertension and IML, and triglycerides-with hypertension, enthesitis and dactilitis. Dyslipidemia in patients with PsA characterizes by total cholesterol, triglycerides, low density lipoprotein cholesterol increase, but not high density lipoprotein decrease. There is the connection between dyslipidemia in PsA and inflammation activity, arterial hypertension and IML

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The dynamic of aterosclerosis affection on brachio-cefalic arterys of the high risk patients under the hypolipidemic treatment

Year: 2010, volume 6 Issue: №2 Pages: 341-345
Heading: Internal Diseases Article type: Original article
Authors: V.V. Simerzin, M.A. Kachkovskiy, N.A. Kirichenko, O.A. Rubanenko
Organization: Samara State Medical University
Summary:

Purpose. To study the statin influence on lipid exchange and the degree of the brachiocefalic arterys alteration. Methods. The research included 33 high risk patients. The patients inverstigation included lipid spectrum, blood coagulation indexes, by the means of triplex scanning of the brachiochefalic arterys the thickness of the intima - media complex and the expression of stenosis of carotid, vertebral and subclavian arterys were measured. Results. All the patients were divided into the groups according to the total cholesterol and low density lipoprotein cholesterol levels. Patients were divided into subgroups according to the expression of stenosis. The 1 group of patients received rosuvastating 10 mg, the 2 group - atorvastain 20 mg, 3the 3 group - simvastatin 40 mg. This inverstigation shows that the high risk patients with high levels of total cholesterol and low density lipoproteins have the highest expressiveness of brachiocefalic arterys atherosclerosis affection. Conclusion. The assignment of the statins to these patients is accompanied by the lowering of the levels of total cholesterol and low density lipoproteins and the quantity of arteries affected by the atherosclerosis and also by decreasing of the stenosis expression

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New Methodological Approach To Hypertension And Atherosclerosis Treatment

Year: 2009, volume 5 Issue: №4 Pages: 562-563
Heading: Internal Diseases Article type: Author's opinion
Authors: Ya.A. Katz
Organization: Saratov State Medical University
Summary:

A new methodological approach has been proposed according to the insufficient results of hypertension (HD) and atherosclerosis (AT) treatment and preventive measures. This method is characterized by the determination and taking into account the phases of systematic chronic inflammatory process in vessels and concentrates on the conduction of an active anti-inflammatory therapy (AIT). Special attention has been paid to the diagnostics and treatment of different phases of interseizure period (ISP), mainly of preactive phase. These measures should both prevent activation and progressing of the process and become a kind of prophylaxis

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