[Increase in beta-adrenoreactivity of coronary arteries exposed to blood serum].
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Biomedical subjects
Publications and source records attributed to V S Zaugol'nikov.
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A total of 325 patients with occlusions and aneurysms of the aorta and its main branches were investigated preoperatively. The patients were divided into 2 groups; in one of those (32 patients), esophageal electrostimulation of the heart was used for the diagnosis of latent coronary insufficiency. In addition to the degree of myocardial ischemia, the efficiency of antianginal drugs and the results of preoperative medication were assessed here. Comparative analysis of the results demonstrated a higher sensitivity and diagnostic value of esophageal electrostimulation, as compared to routine lead tests, which, in combination with the test's simplicity and noninvasiveness as well as possible identification of diagnostically-meaningful criteria, makes it a method of choice.
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Epidural analgesia (EA) with dicaine and morphine has been compared in 34 patients with pain syndrome caused by degenerative dystrophy of lumbar vertebrae. The advantages of EA with dicaine have been observed. 35.3% of patients have been subject to surgery. In the rest of patients pain syndrome was relieved. Radionuclide epidurography has shown that the volume of the anesthetic solution injected should not exceed 10 ml.
A prolonged blockade of the brachial plexus by a subclavicular approach was performed in a 22-year-old patient with combined trauma and severe pain in the left arm. The administration of 20 ml of a 0.3% dicaine solution through a catheter led to spinal anesthesia accompanied by the development of transient hemodynamic and respiration disturbances, which were arrested without medication or controlled lung ventilation. A possible reason for this complication is traumatic plexitis. When performing a blockade of the brachial plexus one should administer a test dose of an anesthetic prior to the entire drug dosage.
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