CORONARY STATUS, PHYSICAL CAPACITY, LEFT VENTRICULAR FUNCTION AND PROGNOSIS IN MEDICALLY STABILIZED PATIENTS WITH UNSTABLE ANGINA

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SEXUAL ACTIVITY BEFORE AND AFTER CORONARY ARTERY BYPASS GRAFTING

Improved functional capacity after coronary surgery implies that a better level of any aspects of quality of life, sexual activity inclusive, could be expected. The aim of this study was to evaluate the changes in the sexual activity in the patients with coronary artery disease having undergone coronary artery bypass grafting (CABG). The mean age of the contingent of 18 male and 2 female patients was 58 ±5,6 (range 44-66) years. After clinical examination the patients completed a sexual activity questionnaire and an exercise test 20 ±14 (range 4—52) months after CABG. All the patients were married and had permanent sexual partner. At the time of the observation 6 patients (30%) were symptomatic. Data about angina pectoris was available for 5 patients, and one patient experienced symptoms of heart failure. The NYHA class of the patients increased significantly after CABG (1,9 ±0,8 vs 3,1 ±0,5, p 0,001). Only 5 (25%) patients reported increased sexual activity after CABG. Fourteen (70%) patients reported no change in the sexual activity and one (5%) patient had decreased sexual intercourse frequency. After CABG, 16 patients (80%) used beta-blockers. Although the NYHA class of the patients increased significantly after CABG, a few of them experienced an improved sexual activity. Possible reasons were the psychological problems (depression, fear of sexual failure, lack of appreciation and support by the sexual partner), diabetes mellitus, beta-blocker usage, etc. The physician in charge of the CABG patient should ask actively for sexual problems and refer the patient to specialized evaluation when needed

LEFT VENTRICULAR HYPERTROPHY, LEFT VENTRICULAR FUNCTION AND BETABLOCKERS IN PATIENTS WITH ESSENTIAL HYPERTENSION

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EARLY ATRIAL PACING TEST FOR MYOCARDIAL CONTRACTILITY EVALUATION IN PATIENTS WITH UNSTABLE ANGINA PECTORIS

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LEFT VENTRICULAR RELAXATION AND RAPID FILLING IN PATIENTS WITH ESSENTIAL HYPERTENSION AND UNSTABLE ANGINA PECTORIS

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EARLY VELOERGOMETRIC TEST AND ATRIAL PACING TEST IN PATIENTS WITH UNSTABLE ANGINA PECTORIS

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QT DISPERSION AND DIPYRIDAMOLE-INDUCED MYOCARDIAL ISCHEMIA

The relationship between QT interval dispersion and dipyridamole-induced, transient myocardial ischemia was assessed in 32 male patients with ischemic heart disease. A standardized, high dose dipyridamole-ECG stress test was used as dipyridamole infusion of 0,56 mg/kg applied i. v. for 4 min followed by 4 min interval of no-dose with E C G and blood pressure monitoring, and in negative test - by a dipyridamole infusion of 0,28mg/kg i. v. for 2 min. Seventeen patients (53%) developed a transient myocardial ischemia with duration of 20 ±7 (4-40) min during the dipyridamole infusion while 15 ones (47%) did not. No regular dynamics and significant differences in the values of total QT interval dispersion and maximum adjacent QT interval dispersion estimated before, during and after the dipyridamole infusion could be established. It was supposed that the severity, duration and time for development of dipyridamole-induced transient myocardial ischemia were not sufficient to generate a dispersion in ventricular repolarization detectable as changes in QT dispersion parameters on surface ECG. The combination of QT dispersion with various non-invasive markers of arrhythmogenic mechanisms could help the estimation of arrhythmogenic risk in the patients with ischemic heart disease

STRUCTURE OF THE HOSPITAL MORTALITY FROM ACUTE MYOCARDIAL INFARCTION

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CLINICO-LABORATORY CHARACTERISTICS AND PATHOGENETIC FEATURES OF THE MORGAGNI-STEWART-MOREL SYNDROME

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CHANGES IN THE FUNCTIONAL STATE OF THE LIVER IN THYROTOXICOSIS PATIENTS

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