Estimation of functional reserves of the body and risk of cardiovascular events in patients with myocardial infarction with comorbid pathology undergoing rehabilitation

Abstract Objective: The study of reaction to dosed physical load of patient with recent experience of myocardial infarction or unstable angina to assess objectively physical condition and performance, to appoint an adequate individual program of physical rehabilitation and to optimize the effectiveness of the sanatorium stage of rehabilitation of this category of patients.Design: Study and observational analysis.Parameter: The subsidiary «Sanatorium-resort rehabilitation center «Slaviansk resort», the sanatorium «Yubileiny», Ukraine.Participants: Patients with recent experience of myocardial infarction or unstable angina who arrived at the sanatorium stage of rehabilitation from cardiological hospitals of Donetsk and Lugansk regions (Ukraine).Intervention: Non-invasive treatment (i.e. therapeutic exercise)Results: 3530 patients who arrived at the sanatorium stage of rehabilitation from cardiological hospitals of Donetsk and Lugansk regions (Ukraine) on 29,4 ±2,4 day of illness were examined. Men accounted for 64%, women - 36%. The average age of the patients was 54,4 ±1,8 years old. 1127 people (31,93 %) had a Q-positive myocardial infarction (MI), 388 people (10,99 %) – a Q-negative, 2015 people (57,08 %) – an unstable angina.When studying the tolerance to dosed physical activity, threshold or inadequate reactions were observed in 144 patients (12.78%) who had Q-positive myocardial infarction, 13 patients (3.35%) who had Q-negative myocardial infarction and 89 patients (4.42%) who had unstable angina. Threshold or inadequate responses in patients with recent experience of Q-positive myocardial infarction were recorded 3-4 times more often. The electrocardiographic examination revealed most often changes in the terminal part of the ventricular complex in the form of inversion or reversal of T waves, to a greater extent in patients who had Q-positive myocardial infarction.Conclusions: It was found in the course of study that patients with recent experience of Q-positive myocardial infarction master less physical activity at the sanatorium stage of rehabilitation than patients of other groups. Our study has shown that an insufficient level of physical activity does not give an optimal effect in increasing the functional reserves of the cardiovascular system and the body as a whole, and insufficient control of an increase in the level of physical activity is fraught with negative consequences.Careful selection of optimal physical activity for this category of patients allowed to prescribe adequate physical activity to patients and avoid possible complications.

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Mutual Influence Study of Food Acids and Polysaccharides of Different Nature on the Sensory Perception of Low-Calorie Sweet Dishes

Food Industry ◽

10.29141/2500-1922-2020-5-2-9 ◽

2020 ◽

Vol 5 (2) ◽

pp. 71-78

Author(s):

Ekaterina Minnikhanova ◽

Nataliya Zavorokhina ◽

Anna Gilina

Keyword(s):

Mutual Influence ◽

Raw Materials ◽

Sucrose Solution ◽

Complex Mixture ◽

The Body ◽

Sensory Characteristics ◽

Apple Pectin ◽

Low Calorie ◽

Functional Reserves ◽

Materials Used

Abstract The inclusion of polysaccharide thickeners in the recipes of sweet dishes increases the functional reserves of the body, contributes to the preservation of health and the prevention of diseases. The purpose of the research is to study the sensory characteristics of polysaccharides of various nature when combined with food acids, to develop a recipe for a basic mixture of low-calorie meals for public catering. The authors analyzed citric, lactic and succinic acids in combinations with polysaccharides of various nature. Organoleptic tests were evaluated by a touch panel. The organization of the tasting analysis corresponded to GOST ISO 6658-2016; the consistency was determined according to GOST 31986-2012, GOST ISO 11036-2017, GOST ISO 8588-2011. The optimal organoleptic combinations of the presented food acids and complex additives of sweeteners (CDP) were identified, which included aspartame, sodium saccharinate, Sucralose, sweetness coefficient – 340: the mixture with citric acid had a long pleasant aftertaste without foreign tastes and the best taste characteristics. Using the “A-not A” method, we found that the sample with the addition of CDP is identical to the sucrose solution. In the second part of the study, polysaccharides were added to model samples of acids with complex sweeteners; the best sensory characteristics were obtained by model samples consisting of a mixture of low-esterified Apple pectin with lactic acid and KDP. The technology of obtaining a stable elastic jelly using low-esterified Apple pectin has been developed, since the complex mixture of sweeteners and food acids does not have a dehydrating effect. Developed a dry mix recipe that can serve as a basic development, low-calorie sweet products for catering and has a variance of use of lactic and succinic acids, depending on the flavor characteristics of the raw materials used and its corrective ability.

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Faculty Opinions recommendation of Acute myocardial infarction versus other cardiovascular events in community-acquired pneumonia.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.726006478.793514626 ◽

2016 ◽

Author(s):

Sebastian R Ott

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Cardiovascular Events ◽

Community Acquired Pneumonia

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ElevatedChlamydia pneumoniaeAntibodies, Cardiovascular Events, and Azithromycin in Male Survivors of Myocardial Infarction

Circulation ◽

10.1161/01.cir.96.2.404 ◽

1997 ◽

Vol 96 (2) ◽

pp. 404-407 ◽

Cited By ~ 449

Author(s):

Sandeep Gupta ◽

Edward W. Leatham ◽

David Carrington ◽

Michael A. Mendall ◽

Juan Carlos Kaski ◽

...

Keyword(s):

Myocardial Infarction ◽

Cardiovascular Events ◽

Male Survivors

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Immunoglobulin G levels predicts risk of recurrent adverse cardiovascular events in myocardial infarction patients

Acta Cardiologica ◽

10.1080/00015385.2019.1611189 ◽

2019 ◽

Vol 75 (6) ◽

pp. 497-502

Author(s):

Kathryn E. Hally ◽

Ana S. Holley ◽

Gisela A. Kristono ◽

Scott A. Harding ◽

Peter D. Larsen

Keyword(s):

Myocardial Infarction ◽

Immunoglobulin G ◽

Cardiovascular Events

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Establishment of a prognostic model based on the Sequential Organ Failure Assessment score for patients with first-time acute myocardial infarction

Journal of International Medical Research ◽

10.1177/03000605211011976 ◽

2021 ◽

Vol 49 (5) ◽

pp. 030006052110119

Author(s):

Shuai Zheng ◽

Jun Lyu ◽

Didi Han ◽

Fengshuo Xu ◽

Chengzhuo Li ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Intensive Care Unit ◽

Intensive Care ◽

Sequential Organ Failure Assessment ◽

Organ Failure ◽

Sofa Score ◽

Cardiovascular Events ◽

Failure Assessment ◽

First Time

Objective This study aimed to identify the prognostic factors of patients with first-time acute myocardial infarction (AMI) and to establish a nomogram for prognostic modeling. Methods We studied 985 patients with first-time AMI using data from the Multi-parameter Intelligent Monitoring for Intensive Care database and extracted their demographic data. Cox proportional hazards regression was used to examine outcome-related variables. We also tested a new predictive model that includes the Sequential Organ Failure Assessment (SOFA) score and compared it with the SOFA-only model. Results An older age, higher SOFA score, and higher Acute Physiology III score were risk factors for the prognosis of AMI. The risk of further cardiovascular events was 1.54-fold higher in women than in men. Patients in the cardiac surgery intensive care unit had a better prognosis than those in the coronary heart disease intensive care unit. Pressurized drug use was a protective factor and the risk of further cardiovascular events was 1.36-fold higher in nonusers. Conclusion The prognosis of AMI is affected by age, the SOFA score, the Acute Physiology III score, sex, admission location, type of care unit, and vasopressin use. Our new predictive model for AMI has better performance than the SOFA model alone.

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Association between Serum Zinc Levels and Clinical Index or the Body Composition in Incident Hemodialysis Patients

Nutrients ◽

10.3390/nu12103187 ◽

2020 ◽

Vol 12 (10) ◽

pp. 3187

Author(s):

Tatsunori Toida ◽

Reiko Toida ◽

Shou Ebihara ◽

Risa Takahashi ◽

Hiroyuki Komatsu ◽

...

Keyword(s):

Body Composition ◽

Regression Analysis ◽

Cardiovascular Events ◽

Serum Zinc ◽

Fluid Volume ◽

The Body ◽

All Cause Mortality ◽

Cox's Regression ◽

Zinc Levels ◽

Serum Zinc Levels

Background: The relationships between serum zinc levels and body composition or clinical outcomes of incident hemodialysis (HD) patients remain unclear. Methods: This prospective observational study examined the relationships between serum zinc levels and clinical indexes, including body composition, in 142 incident HD patients using a bioelectrical impedance analysis. Patients were divided into three groups according to baseline serum zinc levels: tertile, <45, 45–59, and ≥60 µg/dL. The reference group was set as ≥60 µg/dL. Cox’s regression analysis was performed to investigate the relationships between serum zinc categories and cardiovascular events and all-cause mortality after adjustments for potential confounders. Results: Serum zinc levels positively correlated with the nutritional index and negatively correlated with fluid volume markers. In a mean follow-up of 2.5 years, there were 20 cases of cardiovascular events and 15 of all-cause mortality. In the Cox’s regression analysis for cardiovascular events and all-cause mortality, the hazard ratio increased with a decrease in serum zinc levels, but was not significant. Conclusion: Serum zinc levels were associated with nutritional and fluid volume markers in incident HD patients. To clarify the relationship between serum zinc levels and cardiovascular events or mortality, further studies with a larger number of cases will be necessary.

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Paediatric-onset coronary artery anomalies in pregnancy: a single-centre experience and systematic literature review

Cardiology in the Young ◽

10.1017/s1047951117000658 ◽

2017 ◽

Vol 27 (8) ◽

pp. 1529-1537 ◽

Cited By ~ 3

Author(s):

Michelle Keir ◽

Catriona Bhagra ◽

Debra Vatenmakher ◽

Francisca Arancibia-Galilea ◽

Katrijn Jansen ◽

...

Keyword(s):

Myocardial Infarction ◽

Cardiac Arrest ◽

Coronary Artery ◽

Cardiovascular Events ◽

Coronary Anomalies ◽

Coronary Artery Anomalies ◽

Major Cardiovascular Events ◽

Coronary Aneurysms ◽

Increased Risk ◽

In Pregnancy

AbstractObjectivesIndividuals with childhood-onset coronary artery anomalies are at increased risk of lifelong complications. Although pregnancy is thought to confer additional risk, a few data are available regarding outcomes in this group of women. We sought to define outcomes of pregnancy in this unique population.MethodsWe performed a retrospective survey of women with paediatric-onset coronary anomalies and pregnancy in our institution, combined with a systematic review of published cases. We defined paediatric-onset coronary artery anomalies as congenital coronary anomalies and inflammatory arteriopathies of childhood that cause coronary aneurysms. Major cardiovascular events were defined as pulmonary oedema, sustained arrhythmia requiring treatment, stroke, myocardial infarction, cardiac arrest, or death.ResultsA total of 25 surveys were mailed, and 20 were returned (80% response rate). We included 46 articles from the literature, which described cardiovascular outcomes in 82 women (138 pregnancies). These data were amalgamated for a total of 102 women and 194 pregnancies; 59% of women were known to have paediatric-onset coronary artery anomalies before pregnancy. In 23%, the anomaly was unmasked during or shortly after pregnancy. The remainder, 18%, was diagnosed later in life. Major cardiovascular events occurred in 14 women (14%) and included heart failure (n=5, 5%), myocardial infarction (n=7, 7%), maternal death (n=2, 2%), cardiac arrest secondary to ventricular fibrillation (n=1, 1%), and stroke (n=1, 1%). The majority of maternal events (13/14, 93%) occurred in women with no previous diagnosis of coronary disease.ConclusionsWomen with paediatric-onset coronary artery anomalies have a 14% risk of adverse cardiovascular events in pregnancy, indicating the need for careful assessment and close follow-up. Prospective, multicentre studies are required to better define risk and predictors of complications during pregnancy.

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