18 research outputs found

    Effects of Psychopathy on Neurocognitive Domains of Impulsivity in Abstinent Opiate and Stimulant Users

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    Background: Psychopathy and substance use disorders (SUDs) are both characterized by neurocognitive impairments reflecting higher levels of impulsivity such as reward-driven decision-making and deficient inhibitory control. Previous studies suggest that psychopathy may exacerbate decision-making deficits, but it may be unrelated to other neurocognitive impairments among substance dependent individuals (SDIs). The aim of the present study was to examine the role of psychopathy and its interpersonal-affective and impulsive-antisocial dimensions in moderating the relationships between dependence on different classes of drugs and neurocognitive domains of impulsivity.Method: We tested 693 participants (112 heroin mono-dependent individuals, 71 heroin polysubstance dependent individuals, 115 amphetamine mono-dependent individuals, 76 amphetamine polysubstance dependent individuals, and 319 non-substance dependent control individuals). Participants were administered the Psychopathy Checklist: Screening Version (PCL:SV) and seven neurocognitive tasks measuring impulsive choice/decision-making (Iowa Gambling Task; Cambridge Gambling Task; Kirby Delay Discounting Task; Balloon Analog Risk Task), and impulsive action/response inhibition (Go/No-Go Task, Immediate Memory Task, and Stop Signal Task).Results: A series of hierarchical multiple regressions revealed that the interpersonal-affective dimension of psychopathy moderated the association between decision-making, response inhibition and both amphetamine and heroin dependence, albeit differently. For amphetamine users, low levels of interpersonal-affective traits predicted poor decision-making on the Iowa Gambling Task and better response inhibition on the Stop Signal task. In contrast, in heroin users high interpersonal-affective psychopathy traits predicted lower risk taking on the Cambridge Gambling Task and better response inhibition on the Go/No-Go task. The impulsive-antisocial dimension of psychopathy predicted poor response inhibition in both amphetamine and heroin users.Conclusions: Our findings reveal that psychopathy and its dimensions had both common and unique effects on neurocognitive function in heroin and amphetamine dependent individuals. Our results suggest that the specific interactions between psychopathy dimensions and dependence on different classes of drugs may lead to either deficient or superior decision-making and response inhibition performance in SDIs, suggesting that psychopathy may paradoxically play a protective role for some neurocognitive functions in specific subtypes of substance users

    Validation of the Substance Use Risk Profile Scale (SURPS) With Bulgarian Substance Dependent Individuals

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    Background: The Substance Use Risk Profile Scale (SURPS) is a 23-item self-report questionnaire that assesses four well-validated personality risk factors for substance misuse (Impulsivity, Sensation Seeking, Anxiety Sensitivity, and Hopelessness). While the SURPS has been used extensively with adolescents at risk for substance dependence, its properties with adult substance-dependent populations have been understudied. Further, the validity of the Bulgarian version of the SURPS has not been evaluated. The aims of the present study were to examine the factor structure of the Bulgarian version of the SURPS, its psychometric properties, and its ability to distinguish individuals with substance dependence from healthy controls.Methods: Participants included 238 individuals ages 18 to 50 (45% female): 36 β€œpure” (i.e., mono-substance dependent) heroin users, 34 β€œpure” amphetamine users, 32 polysubstance users, 64 controls with no history of substance dependence, 43 unaffected siblings of heroin users, and 29 unaffected siblings of amphetamine users. We explored the factor structure of the Bulgarian version of the SURPS with confirmatory factor analyses, examined its reliability and validity, and tested for group differences between substance dependent and non-dependent groups.Results: Confirmatory factor analyses (CFA) replicated the original four-factor model of the SURPS. The four subscales of the SURPS demonstrated good internal consistency (Cronbach's alphas ranged from 0.71 to 0.85) and adequate concurrent validity. Significant group differences were found on the Impulsivity and Sensation Seeking subscales, with the three substance dependent groups scoring higher than controls.Conclusions: The SURPS is a valid instrument for measuring personality risk for substance use disorders in the Bulgarian population. The Bulgarian version of the SURPS demonstrates adequate to good reliability, concurrent validity, and predictive validity. Its ability to distinguish between groups with and without a history of substance dependence was specific to externalizing traits such as Impulsivity and Sensation Seeking, on which opiate, stimulant, and polysubstance dependent individuals scored higher than non-dependent controls

    Testing macroecological abundance patterns: The relationship between local abundance and range size, range position and climatic suitability among European vascular plants

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    Aim: A fundamental question in macroecology centres around understanding the relationship between species' local abundance and their distribution in geographical and climatic space (i.e. the multi‐dimensional climatic space or climatic niche). Here, we tested three macroecological hypotheses that link local abundance to the following range properties: (a) the abundance-range size relationship, (b) the abundance-range centre relationship and (c) the abundance-suitability relationship. Location: Europe. Taxon: Vascular plants. Methods: Distribution range maps were extracted from the Chorological Database Halle to derive information on the range and niche sizes of 517 European vascular plant species. To estimate local abundance, we assessed samples from 744,513 vegetation plots in the European Vegetation Archive, where local species' abundance is available as plant cover per plot. We then calculated the 'centrality', that is, the distance between the location of the abundance observation and each species' range centre in geographical and climatic space. The climatic suitability of plot locations was estimated using coarse‐grain species distribution models (SDMs). The relationships between centrality or climatic suitability with abundance was tested using linear models and quantile regression. We summarized the overall trend across species' regression slopes from linear models and quantile regression using a meta‐analytical approach. Results: We did not detect any positive relationships between a species' mean local abundance and the size of its geographical range or climatic niche. Contrasting yet significant correlations were detected between abundance and centrality or climatic suitability among species. Main conclusions: Our results do not provide unequivocal support for any of the relationships tested, demonstrating that determining properties of species' distributions at large grains and extents might be of limited use for predicting local abundance, including current SDM approaches. We conclude that environmental factors influencing individual performance and local abundance are likely to differ from those factors driving plant species' distribution at coarse resolution and broad geographical extents

    Filtering Knowledge: A Comparative Analysis of Information-Theoretical-Based Feature Selection Methods

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    The data used in machine learning algorithms strongly influences the algorithms' capabilities. Feature selection techniques can choose a set of columns that meet a certain learning goal. There is a wide variety of feature selection methods, however, the ones we cover in this comparative analysis are part of the information-theoretical-based family. We evaluate MIFS, MRMR, CIFE, and JMI using the machine learning algorithms Logistic Regression, XGBoost, and Support Vector Machines.Multiple datasets with a variety of feature types are used during evaluation. We find that MIFS and MRMR are 2-4 times faster than CIFE and JMI. MRMR and JMI choose columns that lead to significantly higher accuracy and lower root mean squared error earlier. The results we present here can help data scientists pick the right feature selection method depending on the datasets used.CSE3000 Research ProjectComputer Science and Engineerin

    Concentration of Polyphenolic Antioxidants in Apple Juice and Extract Using Ultrafiltration

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    The aim of the present work was to study the potential of ultrafiltration with three polyacrylonitrile membranes (1, 10, and 25 kDa) to concentrate polyphenolic antioxidants in apple juice and extract. The permeate flux, total polyphenols, polyphenolic profile, phenolic acid content, and total antioxidant capacity were determined using the FRAP and DPPH tests, the content of water-soluble proteins during ultrafiltration was established, and the concentration factors and rejections were determined. The permeate flux decreased by increasing the volume reduction ratio and decreasing the molecular weight cut-off of the membranes. The concentration factor and rejection of polyphenolics increased with the increase in the volume reduction ratio (VRR) for all membranes and both liquids. The concentration and rejection effectiveness of the 1 kDa membrane was higher than those observed for 10 and 25 kDa during the ultrafiltration of the apple extract, while these values were comparable for 1 and 10 kDa during the ultrafiltration of the apple juice. The concentration factors and rejections of total polyphenols were higher in the extract than in the juice. Chlorogenic acid was the main compound in the polyphenol profile of apple juice. The total content of phenolic acids, determined by using HPLC, increased by 15–20% as a result of the membrane concentration, but the separation process did not significantly change the ratio between the individual compounds

    Аortic regurgitation – hemodynamic changes and evaluation

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    ΠšΠ»Π°ΠΏΠ½ΠΈΡ‚Π΅ ΡΡŠΡ€Π΄Π΅Ρ‡Π½ΠΈ заболявания са Π²ΠΎΠ΄Π΅Ρ‰Π° ΠΏΡ€ΠΈΡ‡ΠΈΠ½Π° Π·Π° Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ Π² качСството ΠΈ ΠΏΡ€ΠΎΠ΄ΡŠΠ»ΠΆΠΈΡ‚Π΅Π»Π½ΠΎΡΡ‚Ρ‚Π° Π½Π° ΠΆΠΈΠ²ΠΎΡ‚. ЕпидСмиологията ΠΈΠΌ Π²Π°Ρ€ΠΈΡ€Π° Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»Π½ΠΎ Π² цСлия свят. ΠžΡ‚ ΠΈΠ·ΠΊΠ»ΡŽΡ‡ΠΈΡ‚Π΅Π»Π½ΠΎ Π²Π°ΠΆΠ½ΠΎ Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ Π΅ ΠΏΠΎΠ·Π½Π°Π²Π°Π½Π΅Ρ‚ΠΎ Π½Π° Ρ…Π΅ΠΌΠΎ- Π΄ΠΈΠ½Π°ΠΌΠΈΡ‡Π½ΠΈΡ‚Π΅ ΠΏΡ€ΠΎΠΌΠ΅Π½ΠΈ, Π΄ΠΎ ΠΊΠΎΠΈΡ‚ΠΎ водят. Π’ΠΎΠ²Π° позволява ΠΏΡ€Π°Π²ΠΈΠ»Π½ΠΎ ΠΈΠ·Ρ€Π°Π±ΠΎΡ‚Π²Π°Π½Π΅ Π½Π° статСгия относно Π±ΡŠΠ΄Π΅Ρ‰ΠΈ ΠΈΠ½Ρ‚Π΅Ρ€- Π²Π΅Π½Ρ†ΠΈΠΈ Π²ΡŠΡ€Ρ…Ρƒ клапния Π°ΠΏΠ°Ρ€Π°Ρ‚. ΠŸΡ€Π΅Π· послСднитС Π³ΠΎΠ΄ΠΈΠ½ΠΈ сС отбСлязва ΠΈΠ·ΠΊΠ»ΡŽΡ‡ΠΈΡ‚Π΅Π»Π΅Π½ Π½Π°ΠΏΡ€Π΅Π΄ΡŠΠΊ Π² Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚Π²Π°Π½Π΅Ρ‚ΠΎΒ  Π½Π° Ρ€Π°Π·Π»ΠΈΡ‡Π½ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΠΊΠΈ Π² сфСрата Π½Π° ΠΎΠΏΠ΅Ρ€Π°Ρ‚ΠΈΠ²Π½ΠΎ ΠΈ ΠΈΠ½Ρ‚Π΅Ρ€Π²Π΅Π½Ρ†ΠΈΠΎΠ½Π°Π»Π½ΠΎΡ‚ΠΎ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π½Π° ΠΊΠ»Π°ΠΏΠ½ΠΈΡ‚Π΅ заболявания. Π’ Ρ‚ΠΎΠ·ΠΈ Ρ€Π°Π·Π΄Π΅Π» Π½ΠΈΠ΅ сС спирамС основно Π½Π° Π°ΠΎΡ€Ρ‚Π½Π°Ρ‚Π° рСгургитация ΠΈ Π½Π΅ΠΉΠ½Π°Ρ‚Π° значимост. Valvular diseases are a leading cause of morbidity, mortality and impaired quality of life in all over the world with different epidemiology. It is extremely important to know the hemodynamic changes for the proper development of a strategy for future interventions. The recent years shows progress in various methodologies of the field of surgery and interventional treatments of valvular diseases. In this section, we focus mainly on aortic regurgitation and its clinical significance

    Invasive hemodynamic assessment of patients with cardiomyopathies

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    Π˜Π½Π²Π°Π·ΠΈΠ²Π½Π°Ρ‚Π° Ρ…Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΡ‡Π½Π° ΠΎΡ†Π΅Π½ΠΊΠ° Π½Π° ΡΡŠΡ€Π΄Π΅Ρ‡Π½ΠΈΡ‚Π΅ заболявания ΠΏΡ€ΠΈΠ΄ΠΎΠ±ΠΈΠ²Π° всС ΠΏΠΎ-голяма роля ΠΏΡ€Π΅Π· послСдни- Ρ‚Π΅ дСсСтилСтия. ΠŸΠΎΡ€Π°Π΄ΠΈ ΠΏΠΎ-ΡˆΠΈΡ€ΠΎΠΊΠ°Ρ‚Π° си Π΄ΠΎΡΡ‚ΡŠΠΏΠ½ΠΎΡΡ‚ ΠΈ бСзопасност Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈΡ‚Π΅ Ρ‚Π΅Ρ…Π½ΠΈΠΊΠΈ са основнитС ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ, ΠΈΠ·ΠΏΠΎΠ»Π·Π²Π°Ρ‰ΠΈ сС Π·Π° ΠΎΡ†Π΅Π½ΠΊΠ° Π½Π° ΡΡŠΡ€Π΄Π΅Ρ‡Π½Π°Ρ‚Π° функция. Π₯Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΡ‡Π½Π°Ρ‚Π° ΠΎΡ†Π΅Π½ΠΊΠ° Ρ‡Ρ€Π΅Π· ΡΡŠΡ€Π΄Π΅Ρ‡Π½Π° катСтСризация сС ΠΏΡ€ΠΈ- Π»Π°Π³Π° Π·Π° Ρ€Π΅ΡˆΠ°Π²Π°Π½Π΅ Π½Π° диагностични ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠΈ, ΠΊΠΎΠΈΡ‚ΠΎ Π½Π΅ ΠΌΠΎΠ³Π°Ρ‚ Π΄Π° Π±ΡŠΠ΄Π°Ρ‚ Ρ€Π΅ΡˆΠ΅Π½ΠΈ Ρ‡Ρ€Π΅Π· Ρ€ΡƒΡ‚ΠΈΠ½Π½ΠΈΡ‚Π΅ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΠΊΠΈ. Π’ΠΎΠ·ΠΈ Ρ‚ΠΈΠΏ изслСдванС трябва Π΄Π° бъдС ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»ΠΈΠ·ΠΈΡ€Π°Π½ΠΎ спрямо ΠΊΠΎΠ½ΠΊΡ€Π΅Ρ‚Π½ΠΈΡ‚Π΅ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠΈ Π½Π° всСки ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ ΠΈ Π±Π°Π·ΠΈΡ€Π°Π½ΠΎ Π½Π° ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½ΠΈΡ‚Π΅ ΠΎΡ‚ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈΡ‚Π΅ изслСдвания Ρ€Π΅Π·ΡƒΠ»Ρ‚Π°Ρ‚ΠΈ. Π˜Π½Π²Π°Π·ΠΈΠ²Π½Π°Ρ‚Π° диагностика сС ΠΈΠ·ΠΏΠΎΠ»Π·Π²Π° ΡˆΠΈΡ€ΠΎΠΊΠΎ ΠΏΡ€ΠΈ ΠΎΡ†Π΅Π½ΠΊΠ°- Ρ‚Π° Π½Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈΡ‚Π΅ с Ρ€Π°Π·Π»ΠΈΡ‡Π½ΠΈ ΡΡŠΡ€Π΄Π΅Ρ‡Π½ΠΎ-съдови заболявания, Π²ΠΊΠ»ΡŽΡ‡ΠΈΡ‚Π΅Π»Π½ΠΎ ΠΈ ΠΊΠ°Ρ€Π΄ΠΈΠΎΠΌΠΈΠΎΠΏΠ°Ρ‚ΠΈΠΈ. Π’ настоящия ΠΎΠ±Π·ΠΎΡ€ Ρ€Π°Π·Π³Π»Π΅ΠΆΠ΄Π°ΠΌΠ΅ ролята Π½Π° ΡΡŠΡ€Π΄Π΅Ρ‡Π½Π°Ρ‚Π° катСтСризация, Π½Π΅ΠΉΠ½ΠΈΡ‚Π΅ прСдимства ΠΈ Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΡŠΡ†ΠΈ ΠΊΠ°Ρ‚ΠΎ част ΠΎΡ‚ цялостната ΠΎΡ†Π΅Π½ΠΊΠ° Π½Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈΡ‚Π΅ с ΠΊΠ°Ρ€Π΄ΠΈΠΎΠΌΠΈΠΎΠΏΠ°Ρ‚ΠΈΠΈ.Β  Invasive hemodynamic assessment of cardiac diseases has become an important diagnostic tool in recent decades. Non-invasive methods are the main techniques used to assess cardiac function, due to their wider availability. Cardiac catheterization is useful when there are diagnostic problems that cannot be solved with routine methods. Cardiac catheterization should be individualized according to the specific problems of the patient and based on the results from non-invasive methods. Invasive diagnostics is used in the assessment of patients with various cardiovascular diseases, including cardiomyopathies. In this review, we consider the role of cardiac catheterization, its advantages and disadvantages as part of the overall assessment of patients with cardiomyopathies.

    Survival of patients with cardiomyopathies

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    ΠšΠ°Ρ€Π΄ΠΈΠΎΠΌΠΈΠΎΠΏΠ°Ρ‚ΠΈΠΈΡ‚Π΅ са Ρ…Π΅Ρ‚Π΅Ρ€ΠΎΠ³Π΅Π½Π½Π° Π³Ρ€ΡƒΠΏΠ° заболявания. ΠžΡΠ½ΠΎΠ²Π½ΠΈΡΡ‚ ΠΏΠ°Ρ‚ΠΎΠ³Π΅Π½Π΅Ρ‚ΠΈΡ‡Π΅Π½ ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΡŠΠΌ Π΅ ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π½Π° ΡƒΠ²Ρ€Π΅Π΄Π°, Ρ€Π΅Π·ΡƒΠ»Ρ‚Π°Ρ‚ Π½Π°ΠΉ-чСсто Π½Π° Π³Π΅Π½Π΅Ρ‚ΠΈΡ‡Π½ΠΈ ΠΌΡƒΡ‚Π°Ρ†ΠΈΠΈ. Π’Π΅ са Π΅Π΄Π½Π° ΠΎΡ‚ Π²ΠΎΠ΄Π΅Ρ‰ΠΈΡ‚Π΅ ΠΏΡ€ΠΈΡ‡ΠΈΠ½ΠΈ Π·Π° Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ Π½Π° ΡΡŠΡ€Π΄Π΅Ρ‡Π½Π° Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΡŠΡ‡- ност, Π²Π½Π΅Π·Π°ΠΏΠ½Π° ΡΡŠΡ€Π΄Π΅Ρ‡Π½Π° ΡΠΌΡŠΡ€Ρ‚ ΠΈ ΠΆΠΈΠ²ΠΎΡ‚ΠΎΠ·Π°ΡΡ‚Ρ€Π°ΡˆΠ°Π²Π°Ρ‰ΠΈ Π°Ρ€ΠΈΡ‚ΠΌΠΈΠΈ. ΠŸΡ€ΠΎΠ³Π½ΠΎΠ·Π°Ρ‚Π° ΠΏΡ€ΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈΡ‚Π΅ с ΠΊΠ°Ρ€Π΄ΠΈΠΎΠΌΠΈΠΎΠΏΠ°Ρ‚ΠΈΠΈ сС опрСдСля основно ΠΎΡ‚ Π½Π°Π»ΠΈΡ‡ΠΈΠ΅Ρ‚ΠΎ ΠΈΠ»ΠΈ липсата Π½Π° ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈ Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΈ, асоциирани с нСблагоприятно ΠΏΡ€ΠΎΡ‚ΠΈΡ‡Π°Π½Π΅, ΠΊΠ°ΠΊΡ‚ΠΎ ΠΈ ΠΎΡ‚ Π΅Ρ‚Π°ΠΏΠ° Π½Π° диагностициранСто ΠΈΠΌ. ΠŸΡ€Π΅ΠΆΠΈΠ²ΡΠ΅ΠΌΠΎΡΡ‚Ρ‚Π° ΠΏΡ€ΠΈ ΠΎΡ‚Π΄Π΅Π»Π½ΠΈΡ‚Π΅ Π²ΠΈΠ΄ΠΎΠ²Π΅ ΠΊΠ°Ρ€Π΄ΠΈΠΎΠΌΠΈΠΎΠΏΠ°Ρ‚ΠΈΠΈ Π΅ Ρ€Π°Π·Π»ΠΈΡ‡Π½Π°, ΠΊΠ°Ρ‚ΠΎ Π²ΠΎΠ΄Π΅Ρ‰Π° ΠΏΡ€ΠΈΡ‡ΠΈΠ½Π° Π·Π° повишСна ΡΠΌΡŠΡ€Ρ‚Π½ΠΎΡΡ‚ Π΅ ΠΊΡŠΡΠ½ΠΎΡ‚ΠΎ ΠΎΡ‚ΠΊΡ€ΠΈΠ²Π°Π½Π΅ Π½Π° заболяванСто ΠΈ ΡΡŠΠΎΡ‚Π²Π΅Ρ‚Π½ΠΎ Π·Π°Π±Π°Π²Π΅Π½ΠΎΡ‚ΠΎ Π·Π°- ΠΏΠΎΡ‡Π²Π°Π½Π΅ Π½Π° Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅. ΠžΡΠ½ΠΎΠ²Π½ΠΈΡ‚Π΅ ΠΊΠ°Ρ€Π΄ΠΈΠΎΠΌΠΈΠΎΠΏΠ°Ρ‚ΠΈΠΈ, Ρ€Π°Π·Π³Π»Π΅Π΄Π°Π½ΠΈ Π² настоящия ΠΎΠ±Π·ΠΎΡ€, са Ρ…ΠΈΠΏΠ΅Ρ€Ρ‚Ρ€ΠΎΡ„ΠΈΡ‡Π½Π°, Π΄ΠΈΠ»Π°Ρ‚ΠΈΠ²Π½Π°, рСстриктивна, Π›Πš нСкомпактност ΠΈ Π°Ρ€ΠΈΡ‚ΠΌΠΎΠ³Π΅Π½Π½Π° дСснокамСрна кардиомиопатия. Cardiomyopathies are a heterogeneous group of diseases. The main pathogenetic mechanism is myocardial damage due to genetic mutations. Cardiomyopathies are one of the leading causes of heart failure, sudden cardiac death, and life-threatening arrhythmias. Certain factors associated with poor prognosis determined the prognosis in this group of patients. Survival in different types of cardiomyopathies depends on the time of diagnosis and initial treatment. The types of cardiomyopathies discussed in this review are hypertrophic cardiomyopathy, dilative cardiomyopathy, restrictive cardiomyopathy, left ventricle non-compaction, and arrhythmogenic right ventricular cardiomyopathy

    Serum biomarkers for pulmonary hypertension

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    НалицС са Π·Π½Π°Ρ‡ΠΈΠΌΠΈ изслСдвания ΠΈ Π½Π°ΡƒΡ‡Π½ΠΈ Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚ΠΊΠΈ, ΡΠ²ΡŠΡ€Π·Π°Π½ΠΈ с патофизиологията Π½Π° ΠΏΡƒΠ»ΠΌΠΎΠ½Π°Π»Π½Π°Ρ‚Π° хипСртония (ПΠ₯), вслСдствиС Π½Π° ΠΊΠΎΠ΅Ρ‚ΠΎ сС ΡƒΠ²Π΅Π»ΠΈΡ‡Π°Π²Π°Ρ‚ Π²ΡŠΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΠΈΡ‚Π΅ Π·Π° Ρ‚Π΅Ρ€Π°ΠΏΠ΅Π²Ρ‚ΠΈΡ‡Π½ΠΎΡ‚ΠΎ ΠΈ повлияванС. Π’Ρ€Π°Π΄ΠΈΡ†ΠΈΠΎΠ½Π½ΠΈΡ‚Π΅ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ Π·Π° диагностика ΠΈ ΠΌΠΎΠ½ΠΈΡ‚ΠΎΡ€ΠΈΡ€Π°Π½Π΅ Π½Π° ПΠ₯ Π²ΠΊΠ»ΡŽΡ‡Π²Π°Ρ‚ Схокардиография ΠΈ дясна ΡΡŠΡ€Π΄Π΅Ρ‡Π½Π° катСтСризация, допълнСни ΠΎΡ‚ ΠΎΡ†Π΅Π½ΠΊΠ° Π½Π° функционалния клас ΠΏΠΎ NYHA ΠΈ 6-ΠΌΠΈΠ½ΡƒΡ‚Π΅Π½ тСст с Ρ…ΠΎΠ΄Π΅Π½Π΅ (6 MWT). Нарастващият Π±Ρ€ΠΎΠΉ Ρ†ΠΈΡ€ΠΊΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΈ Π±ΠΈΠΎΠΌΠ°Ρ€ΠΊΠ΅Ρ€ΠΈ, ΠΊΠΎΠΈΡ‚ΠΎ сС ΠΏΠΎΠ²ΠΈΡˆΠ°Π²Π°Ρ‚ ΠΏΡ€ΠΈ ПΠ₯ ΠΌΠΎΠΆΠ΅ Π΄Π° ΠΏΠΎΠ΄ΠΏΠΎΠΌΠΎΠ³Π½Π΅ клинициститС ΠΊΠ°ΠΊΡ‚ΠΎ Π² диагностиката, Ρ‚Π°ΠΊΠ° ΠΈ ΠΏΡ€ΠΈ ΠΎΡ†Π΅Π½ΠΊΠ° тСТСстта Π½Π° заболяванСто ΠΈ ΠΎΡ‚Π³ΠΎΠ²ΠΎΡ€Π° ΠΎΡ‚ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅Ρ‚ΠΎ. In the fi eld of development of pathophysiology of pulmonary hypertension, there are growing number of signifi cant recent advances, which leads to new therapeutic agents. Traditional methods of diagnosing and monitoring this condition have comprised echocardiography and right heart catheterization, in addition to functional measures, such as estimation of functional class and the 6-min walk test. An increasing number of biomarkers have been described that are elevated in pulmonary hypertension and which may assist the clinician in diagnosis and in the assessment of disease severity and response to treatment.
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