The 23rd Congress of the CPSU opened another new page in the development of our society along the path to communism.
It has now been established that the development of atherosclerosis is largely due to factors of hereditary predisposition.
We were interested in the question of the peculiarities of atherosclerosis accompanying cardiac forms of rheumatism and chronic pulmonary tuberculosis.
In recent years, vitamins Bb, B12 and C have been widely used in atherosclerosis. Vitamin Bb, due to its participation in important metabolic processes, is indicated for heart failure, coronary atherosclerosis, liver diseases, central nervous system (P. Lukomsky, Ducheny, Selis, Pla, etc.).
In 1912, Tsang showed in animal experiments that in the area of the coronary sinus there is a center of relatively high automatism, which can become a pacemaker after the sinus node is turned off.
The problem of studying heart sounds is reduced to the spectral decomposition of these sounds, i.e., to a quantitative and qualitative analysis, which serves as a spectral analysis, and to the determination of the duration of tones and noises and their place in the cardiac cycle, which is possible when studying the PCG recorded together with the ECG. In this aspect, you can schematically imagine the sounds of the heart as they are shown in the figure, where the three main criteria of sounds are reflected (time, frequency, amplitude).
In the diagnosis of mitral defect, the leading place is taken by auscultation, the prize of which the doctor determines the strength of the I tone, compares the loudness of the I and II tones, reveals the nature and severity of noises, their relationship with tones, localization and conductivity of noises.
Some elements of the pathogenesis of rheumatism are currently explained by the consequence of the reaction autoantigen - autoantibody (A.I. Nesterov, 1962; T.R. Lavrova, 1962; V.I. Ioffe, 1962; Misher and Forlender, 1963; etc.)
Determination of the activity of the rheumatic process is one of the urgent problems of rheumatology.
Only a few reports are devoted to the study of changes in the lipoprotein spectrum in rheumatism. Meanwhile, it is difficult to imagine systemic mucoid and fibrinoid changes in connective tissue in collagenoses without disturbing lipoprotein textures.
The question of the activity of serum cholinesterase in children with rheumatism was studied in detail by E. A. Bley and T. S. Krasavina. The authors investigated the activity of cholinesterase in 73 children aged 5-16 years suffering from rheumatism. 46 of them were sick with chorea.
The accumulation of under-oxidized products in the body, which is expressed in the amount of vacant oxygen (ѴO2) in urine, has been studied by only a few, and the results obtained were contradictory.
Currently, rheumatism (Sokolsky's disease - Buyo) and nephritis are recognized as typical infectious and allergic diseases etiologically associated with streptococcal infection.
A number of authors (A. Ya. Gubergrits, A. B. Shakhnazarov, N. I. Speransky and S. R. Belous and others) recommend using the definition of local leukocytosis to assess the activity of rheumatism.
Examined 250 patients out of 500 operated at our institute in 1953-1965. Of these, 193 were examined in the polyclinic of the institute and 57 - in the hospital.