Vol 79, No 1 (1998)

Professor Leopold Matveevich Rachlin

Arleevsky I.P., Zubairov D.M.


January 14, 1998 (January 1, old style) marked the 100th anniversary of the birth of a prominent Russian therapist, scientist, teacher and public figure, Honored Scientist of the RSFSR and TASSR Professor Leopold Matveyevich Rakhlin.

Kazan medical journal. 1998;79(1):1-5
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Electroimpulsive therapy in the treatment of cardiac rhythm disorders

Arleevsky I.P.


More than 30 year experience of the use of electroimpulsive therapy in cardiac rhythm disorders is analyzed. The rate and character of complications in this type of the treatment, the conditions of their development and the possibilities of their prevention are studied. It is noted that electroimpulsive therapy can be used only in the presence of direct indications.

Kazan medical journal. 1998;79(1):6-15
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Effect of sizes and functional characteristics of the left auricle on the peculiarities of the course of auricular fibrillations

Leshchinsky L.A., Tyulkina E.E., Guseva E.V., Dobriyan E.N., Minakov I.V.


The advisability of arresting auricular fibrillations in normal and increased anteroposterior sizes of the left auricle is studied. It is established that atriomegaly is a supporting factor and not a factor of initiation of auricular fibrillations however the size of the left auricle should be taken into account in deciding on the method of their arresting.

Kazan medical journal. 1998;79(1):16-18
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Prognostic importance of late potentials of ventricles and variability of cardiac rhythm in patients with ischemic cardiac disease

Oleinikov V.E., Pozdnyakova N.V.


The combined analysis of cardiac rhythm variability indices, signal-averaged electrocardiogram noting late potentials of ventricles is performed. As many as 158 patients with various forms of ischemic cardiac disease and 70 persons of the control group are examined. Signal-averaged electrocardiograms are registered in dynamics during 18 months, cardiac rhythm variability indices are determined, echocardiography is performed.

Kazan medical journal. 1998;79(1):19-22
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Cardiomyopathies in the clinical picture of emergency cardiology

Latfullin I.A., Bogoyavlenskaya O.V.


The peculiarities of the clinical picture and diagnosis of uncoronarogenic lesions of the myocardium in a period of 5 years are studied. The differential diagnosis of cardiomyopathies and myocardial dystrophies is performed, emphasizing the informativity of contrast and transesophageal echocardiography. Registration of electrocardiographic and echocardiographic data allows to choose among patients the persons demanding the expanding cardiologic examination that provides early diagnosis of latent forms of cardiomyopathies.

Kazan medical journal. 1998;79(1):23-27
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Differential diagnosis of chronic cardiac and pulmonary insufficiency according to the functional ventilation test with berotek

Kozlov V.P.


As many as 33 patients with chronic pulmonary diseases suffering from various degree of pulmonary insufficiency and 20 patients with chronic cardiac diseases with different stage of cardiac insufficiency are examined in stationary conditions. The control group without cardiac and pulmonary diseases and patients with combination of cardiac and pulmonary diseases are stood out. Single use of the dosed aerosol berotek caused the reliable rise of increase indices of the majority of ventilation factors in patients with chronic pulmonary diseases and unreliable rise in patients with chronic cardiac diseases. The functional ventilation test with berotek can be used in differential diagnosis of chronic cardiac and chronic pulmonary insufficiency.

Kazan medical journal. 1998;79(1):28-31
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Vegetative disorders in children with congenital heart diseases of pale type

Khasanova D.R., Medvedev V.N., Nikulin N.L., Vergasov E.A.


The tendency to increase the sympathetic tonus in rest in all age groups especially in 4 children under school age and girls in pubertal period is revealed during the investigation of vegetative egulation by the mathematical analysis of the heart rhythm variability in children with congenital heart diseases of pale type.

Kazan medical journal. 1998;79(1):32-37
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Mathematical modelling of the crossover bypass operation in postthrombotic disease

Ignatiev I.M., Petrushenko Y.Y.


The mathematical model of the crossover femoro-femoral autovenous bypass operation using in the treatment of unilateral occlusions of iliac veins is created. The optimum conditions of crossover bypass functions on the basis of hydrodynamic laws are determined. The most important factors providing the success of the bypass operation are the sufficient diameter of a bypass and the gradient of pressure at its ends. The dependence between them is inversely proportional and its correlation can be fixed by experiments. The conservation ef valve function, of the crossover bypass has a relative meaning because a reverse blood flow is not hemodynamically meaningful even in the absence of valves.

Kazan medical journal. 1998;79(1):38-40
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Treatment of syndactylia of the hand

Mikusev I.E., Latypova N.A.


The comparative analysis of the treatment results of congenital syndactylia of the hand in children by traditional method (33) and using preliminary distraction (32) is performed. The significan difference in results of these two methods is not revealed: good and satisfactory results in distraction are obtained in 48% of patients, in traditional method — in 41% of the patients. However the distractional method provides skin reserves decreasing the volume of free epidermatoplasty. The causes of syndactylia relapse in remote terms are revealed.

Kazan medical journal. 1998;79(1):41-43
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Antithrombin III in shock and disseminated intravascular coagulation

Vinazzer H.A.


Antithrombin III (AT III) is the physiological inhibitor of a series of activated clotting factors. Its diminution increases the tendency of thromboembolism. In cases of acute DIC, AT III binds to thrombin and to other activated factors in circulation. Thereby both partners of the reaction become inactive. When by this mechanism the available biologic activity of AT III diminishes below about 50% of normal any further inactivation of active clotting enzymes is greatly inhibited. In such cases, the mechanism of DIC decompensates and the full symptoms of consumption coagulopathy develop. It was, therefore, obvious to attempt a substitution with concentrates of AT III in such cases. In different randomized trials it could be shown which effect AT III concentrates had on the outcome of Die. In these tests it could be clearly shown that repeated administration of AT HI concentrates in a dose that keeps AT III activity constantly around 100% had the following advantages over therapy with heparin. The duration of symptoms of DIC could be considerably shortened from an average of 120 h in the heparin group to 40 h in the AT HI substitution group. Furthermore, in most severe cases of acute consumption coagulopathy due to septic shock, the death rate could be considerably and highly significantly diminished in the patients who received AT III. Similar results were also found by different authors who were able to demonstrate that the average survival rate in patients with septic shock increased from 20% to over 70% when AT III was substituted. Key Words: Antithrombin III—Heparin—Diffuse intravascular coagulation.

Kazan medical journal. 1998;79(1):44-48
pages 44-48 views

Hemolytic disease of infants caused by abo-conflict

Sadykov B.G., Abdrakhmanova L.R.


The effect of Rh-belonging of blood in pregnants with ABO-conflict on pregnancy termination is studied. The necessity to reveal this pathology in earlier terms of pregnancy is noted. The methods of establishing the ABO-conflict during pregnancy are proposed.

Kazan medical journal. 1998;79(1):49-51
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Some controversial aspects of the influence of gestosis on the state of the blood-milk barrier

Pikuza O.I., Alexandrova Y.Y.


Gestosis is one of the most common complications of pregnancy and childbirth and is one of the main causes of maternal and perinatal mortality. This pathology is characterized by inadequate adaptation of the mother's body to the development of the ovum. Currently, the priority of immune disorders in the genesis of preeclampsia is undeniable. Among the etiological factors, vascular disorders, neuroendocrine disorders, and primary enzymatic dysfunction of the placenta are also distinguished. Modern forms of gestosis are very diverse.

Kazan medical journal. 1998;79(1):52-53
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A case of visceral leishmaniasis in a child

Bulatov V.P., Petrova G.P., Krinkina R.A., Kletenkova G.R., Polyakova O.P., Zagidullina Z.M.


Currently, timely diagnosis of visceral leishmaniasis in connection with migration processes in the CIS is of particular relevance. This disease almost never occurs in the regions of the Volga region, and its diagnosis causes great difficulties.

Kazan medical journal. 1998;79(1):54-55
pages 54-55 views

Adenocystic tracheal cancer

Taziev R.M., Rabbaniev I.F., Pusher L.I., Muravyov V.Y., Potanin V.P., Gilyazutdinov I.A.


Primary tracheal cancers account for 0.1-0.2% of the number of all malignant neoplasms, which was established by I.V. Davydovsky (1940). Cancer accounts for half of all tracheal tumors. The age of patients varies widely, but persons over 40 years of age prevail.

Kazan medical journal. 1998;79(1):55-56
pages 55-56 views

To the differential diagnosis of fibroids of the uterine body

Kozlov L.A., Khairutdinova S.G., Kovaleva Y.A.


Among the various localization of fibromatous nodes of the uterus, the most difficult to diagnose is their submucous location.

Kazan medical journal. 1998;79(1):56-56
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Treatment of patients with myocardial infarction

Latfullin I.A.


A patient with suspected myocardial infarction (MI) or with a confirmed diagnosis should be admitted to a specialized (cardiological) hospital. Its treatment includes five main aspects: patient support, pain relief, reperfusion with thrombolytics and aspirin (all patients should receive 300 mg of aspirin tablets), heart rate correction, and respiratory resuscitation with defibrillation.

Kazan medical journal. 1998;79(1):57-69
pages 57-69 views

Fluoroquinolone antibacterial drug ciprofloxacin

Wiesel A.A., Bankova E.I., Ozol S.M., Tagirova D.I.


In the past few years, general practitioners have increasingly started prescribing new drugs - fluoroquinolones. A survey conducted among doctors in Kazan and a number of regional centers of Tatarstan showed that not all of them clearly understand the indications for use, the advantages and some disadvantages of these drugs.

Kazan medical journal. 1998;79(1):70-73
pages 70-73 views

XI International Symposium "Current Trends in Views on Atherosclerosis" (5-9 October 1997, Paris)

Epiphany V.F.


The symposium was attended by large delegations from Japan, Australia, and the countries of the Pacific region along with the heads of scientific schools in Europe, the USA and Canada. Russia was represented by 20 people.

Kazan medical journal. 1998;79(1):74-76
pages 74-76 views

"Surgical treatment and prevention of inflammatory diseases of the pelvis and gluteal region. Substantiation of the localization of the pathology of injection methods of treatment and novocaine blockades". I.A. Ibatullin, I.G. Mukhametshina, G.G. Ruppel, A.D. Tarasco - Kazan, Medicine, 1996. - Circulation of 1200 copies - 250 pages

Salikhov I.A.


The monograph under review is a timely and fundamental work: the treatment of inflammatory diseases in the pelvic, small pelvis and gluteal region is still a very difficult task, and the results are not very encouraging. The existing topographic and anatomical concepts of diseases in this area do not always correspond to clinical realities.

Kazan medical journal. 1998;79(1):74-76
pages 74-76 views

"The history of medicine in Tatarstan in persons". Ya.G. Pavlukhin. - Kazan, Medicine., 1997 - Circulation 1600 copies - 405 pages

Emelin T.A., Sadovnikova O.I., Cheranova A.I.


A book has been released that will undoubtedly go down in the history of healthcare. The author is Yakov Georgievich Pavlukhin, Honored Doctor of the RSFSR, surgeon, health care organizer, who has worked for decades in the health care system in leadership positions. This book demanded a truly titanic work from the author.

Kazan medical journal. 1998;79(1):78-78
pages 78-78 views



By the decree of the President of the Russian Federation, the honorary title was awarded: "Honored Scientist of the Russian Federation"

Kazan medical journal. 1998;79(1):78-78
pages 78-78 views

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