Value of determining serum enzyme activity during the exercise test in evaluating the functional condition of patients with ischemic heart disease and concomitant diabetes mellitus

Exercise-induced changes in the activity of serum lactate dehydrogenase (LDG) and its isoenzymes, CK, aspartate and alanine aminotransferase, were examined in postmyocardial-infarction coronary patients with second-type diabetes mellitus and 18 chronic coronary patients with second-type diabetes mellitus. Patients from both groups showed increased total LDG and LDG-5 activity at rest and reduced total LDG, LDG-1, LDG-2 and LDG-3 activity in response to exercise, which may be an evidence of prevailing anaerobic glycolysis as a manifestation of tissue hypoxia. Rationed bicycle ergometric exercise produces no rise in blood CK, aspartate and alanine aminotransferase activities in coronary patients with second-type diabetes mellitus, suggesting that exercise of this kind has no damaging effect on myocardial and skeletal-muscle myocytes.     

Protein-loading test, urinary albumin excretion and renal morphology in diagnosis of subclinical diabetic nephropathy.

The acute effects of protein loading (1.5 g kg-1) on glomerular filtration rate (GFR) and urinary albumin excretion (UAE) were investigated in 23 type-I diabetic patients with no clinical nephropathy, and in 7 healthy subjects (controls). The results were compared with renal morphology data. In controls and in 14 diabetic patients (group 1) GFR increased by 27 and 37%, respectively, corresponding to normal renal reserve, but in 9 patients (group 2) GFR decreased by 20%, indicating the absence of a renal reserve. Microalbuminuria was found in none of the patients in group 1 and in 50% of patients in group 2. Two hours after the load UAE increased in all groups, but the increase was most marked in group 2, despite the fall in GFR. The two groups of patients did not differ with regard to the duration and control of diabetes, but differed markedly in terms of baseline GFR (131 vs. 195 ml min-1, P less than 0.01, in groups 1 and 2, respectively). Renal morphology showed minimal non-specific glomerular injury in group 1, and signs of glomerulosclerosis in group 2. We conclude that the impaired renal response to protein load precedes other subclinical manifestations of diabetic renal injury, and may be useful in the diagnosis of latent diabetic nephropathy.     

Mathematical model of the biomechanics of respiration during artificial ventilation

Conclusions The mathematical model of the biomechanics of respiration during AV presented makes it possible to solve particular problems of determining the parameters of the optimal regime of artificial ventilation for each particular patient (direct problem); to solve the problem of identification — to determine the characteristics of the human respiratory system (inverse problem); to expand the MIDIS to an adaptive system, where by adaptation is meant the solution of the inverse problem (identification of the model) and by control is meant the solution of the direct problem (determination of an equivalent AV regime).It is especially necessary to note that the use of the mathematical model of the biomechanics of respiration makes it possible to solve the problem of optimizing the AV process completely only in combination with other parts of the general mathematical model describing gas exchange, geodynamics, and other necessary subsystems.All-Union Scientific Surgical Center, Academy of Medical Sciences, Moscow. Translated from Meditsinskaya Tekhnika, No. 1, pp. 11–13, January–February, 1990.     

Effect of hydra peptide morphogen on cyclic nucleotide levels in injured tissues

Novokuznetsk Branch, Central Research Institute of Prosthetics. Translated from Byulleten' Éksperimental'noi Biologii i Meditsiny, Vol. 108, No. 10, pp. 486–487, October, 1989.     

Cortisol,acth, and biosynthesis of apolipoproteins in rat hepatocytes

The effect of cortisol (5 mg/kg, 5 and 10 days) on biosynthesis of apoproteins of very low density lipoproteins in the liver and on synthesis of apoproteins of very low, low, and high density lipoproteins in blood serum of intact animals was investigatedin vivo. Cortisol, within the periods specified, inhibits biosynthesis of apoproteins of very low density lipoproteins (apo-VLDL) in liver. After adrenalectomy apo-VLDL synthesis is intensified and this effect is abolished during replacement administration, of cortisol. Apoprotein synthesis is activated 5 h after a single injection of cortisol and ACTH; a single dose and prolonged administration of cortisol give opposite results. Investigation of the specific radioactivity of apolipoproteins in the blood serum indicates a change in lipoprotein metabolism: disturbance of conversion of very low density into low density lipoproteins. An important role in the pathogenesis of the hyperlipidemia induced by cortisol within the specified period is played not by increased lipoprotein synthesis in the liver, but by a disturbance of their metabolism in the blood.All-Union Cardiological Scientific Center, Academy of Medical Sciences of the USSR, Moscow. (Prosented by Academician of the Academy of Medical Sciences of the USSR E. I. Chazov.) Translated from Byulleten' Éksperimental'noi Biologii i Meditsiny, Vol. 86, No. 11, pp. 538–540, November, 1978.     

"Silent" myocardial ischemia and the activity of the sympathetic-adrenal system in hypertension patients

The aim of the study was to assess the sympathoadrenal activity at the time of silent ischemia event in hypertensive patients. In 15 hospitalized hypertensive patients having silent ischemia event during Holter ECG monitoring while walking, blood samples for catecholamines were taken at the time of silent ischemia event, pointed with alarm by the real time ECG "Q Med" monitor (USA). Control blood samples were taken under the same conditions without ST-segment depression. Plasma noradrenaline (NA) during silent ischemia was significantly higher than the control level without ischemia (458 +/- 71 ng/l vs 717 +/- 95 ng/l) (p less than 0.01). The changes in plasma NA correlated with left ventricular mass assessed by echocardiography (r = 0.70, p less than 0.01). The role of sympathoadrenal hyperactivity in the genesis of silent myocardial ischemia in patients with essential hypertension is discussed.