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CASE REPORT

Right coronary artery thrombosis within drug eluting stents more than 10 years after deployment: Two cases of very, very late stent thrombosis

We present two rare cases of very late stent thrombosis occurring beyond ten years post initial drug eluting stent deployment.

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ORIGINAL RESEARCH ARTICLE

Surgical treatment of multi-valve heart disease associated with infective endocarditis

Our results of surgical treatment of multi-valve heart defects with infective endocarditis showed the efficacy of developed complex preoperative and intraoperative measures in surgical treatment of IE. This new treatment approach is associated with significant improvement of left ventricular function and low mortality rate.

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ORIGINAL RESEARCH ARTICLE

Candidemia in critically ill patients admitted to a cardiothoracic intensive care unit: a retrospective, observational study

Candidemia was an uncommon infectious complication, but associated with a significant mortality. Our data support the identification of high-risk cardiac surgery patients who may benefit from empirical antifungal therapy.

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REVIEW

Echocardiographic evaluation of heart valve prosthetic dysfunction

Patients with replaced heart valve submitted to echocardiographic examination may have symptoms related either to valvular malfunction or ventricular dysfunction from different causes. Clinical examination is not reliable in a prosthetic valve evaluation and the main information regarding its function could be obtained using different cardiac ultrasound modalities. This review provides a description of echocardiographic and Doppler techniques useful in evaluation of prosthetic heart valves.

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ORIGINAL RESEARCH ARTICLE

Availability of cardiac surgical care in surgical correction of acquired heart defects in patients of older age group

Thus our study demonstrated accesibility of surgical care for elderly patients is the highest for the urban areas with specialized cardiac surgery centers, where patients referred from rural regions.

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PROTOCOL

Treating endocarditis: A protocol of an antimicrobal treatment from a middle-income country

The following protocol is intended to be a useful and practical guide to empirical and pathogen directed antimicrobial therapy of infective endocarditis (IE) in adult patients

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ORIGINAL RESEARCH ARTICLE

Primary detection of congenital heart diseases in the Kyrgyz Republic

In this study, we sought to study the structure of newly diagnosed CHD and the age of the diagnosis within Kyrgyz Republic.

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CASE REPORT

Difficulty in weaning and cardiopulmonary rehabilitation in inoperable severe mitral regurgitation: a case report

The present report describes one strategy used for cardiopulmonary rehabilitation and to help wean a patient from mechanical ventilation, with prohibitive comorbidities that contra-indicate surgical mitral valve repair, using respiratory and peripheral muscle training associated with positive pressure ventilation

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ORIGINAL RESEARCH ARTICLE

Predictors of left ventricular hypertrophy development in patients with essential hypertension: role of pro- and anti-inflammatory cytokines

Our study demonstrates the modulating role of inflammation on the processes of myocardial remodeling in hypertension.

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REVIEW

Characteristics of woman`s heart with disorder of coronary circulation

We present review of current evidence on ischemic heart disease in women. The risk factors, clinical manifestations, diagnosis and treatment and prevention of ischemic heart diseases in women are discussed.

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ORIGINAL RESEARCH ARTICLE

Total cardiovascular risk among native population of Kyrgyzstan with diabetes mellitus type 2 and impaired glucose tolerance in high- and low-altitude regions

In diabetes mellitus (DM) type 2, there is a very high risk of developing cardiovascular (CV) events. We aimed to study the total CV risk of the indigenous people of Kyrgyzstan with impaired carbohydrate metabolism (DM type 2 and impaired glucose tolerance, IGT), depending on the region of residence (low and high altitudes), and to develop targeted preventive measures.

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CONFERENCE PAPER

Implantation of left ventricular assist device as a "bridge" to heart transplantation: our first experience

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CONFERENCE PAPER

The prevalence of smoking as a risk factor for cardiovascular diseases among children and teenagers of Bishkek city

The results of an anonymous survey among 1039 schoolchildren of Bishkek city to study the prevalence of smoking as a risk factor for cardiovascular diseases are presented. As a result, there is a tendency to an increase in the prevalence of tobacco use in the modern population of teenagers and a decrease in the age of the smoker. This is an unfavorable risk factor for the development of chronic pathologies of the organism of the younger generation.

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CONFERENCE PAPER

Retrospective analysis of HF detection in city hospitals of Bishkek in three-year study (2016-2018)

In this article, we analyzed prevalence of heart failure in patients visited cardiology departments of secondary level hospitals of Bishkek city, Kyrgyz Republic.

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CASE REPORT

Bundle branch reentrant tachycardia treated with cardiac resynchronization therapy in a patient with dilated cardiomyopathy

A 66 years old woman with known dilated cardiomyopathy and severely reduced ejection fraction presented with bundle branch reentrant tachycardia. Bundle branch reentrant tachycardia is an uncommon form of ventricular tachycardia incorporating both bundle branches into the reentry circuit. The diagnosis is based on electrophysiological findings and pacing maneuvres that prove participation of the His- Purkinje system in the tachycardia mechanism.

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REVIEW

Technological advances in cardiac pacing and defibrillation

In this review, the recent developments about the accesses for pacemakers and ICD will be described: the axillary and the femoral vein. The His bundle pacing and the advantages of the entirely subcutaneous defibrillator will also be presented.

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CASE REPORT

A rare case of bacterial infective endocarditis caused by Streptococcus alactolyticus

We describe a case of Streptococcus alactolyticus infective endocarditis complicated by bacteriemia. A 64-year-old male with a previous history of coronary artery bypass grafting applied to our cardiology outpatient clinic with complaints of dyspnea, fever, confusion and an apical holosystolic murmur.

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REVIEW

The gut and the heart: a concise narrative review

Foods have a wider role besides simply satisfying hunger, and the gut may be the source of several diseases. The human gut is populated by 100 trillion microorganisms and the most abundant phyla are the Firmicutes ( 60 a 80%), such as the lactobacilli, and the Bacteroidetes ( 20 a 40%), such as the gender Bacteroides.The obesity epidemics may be related to the constant availability of food, less physical exercise, and influences on the gut microbiota such as type of food ingested (low fiber, high calorie, and high fat).

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ORIGINAL RESEARCH ARTICLE

Epidemiological and nosological structure of patients with chronic heart failure according to institutions of tertiary level of healthcare of the Kyrgyz Republic

To define epidemiological and nosological structure of patients with chronic heart failure (CHF) according to hospitals of tertiary level of the Kyrgyz Republic (National Center of Cardiology and Therapy and Scientific Research Institute of Heart Surgery and Organs Transplantation).

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ORIGINAL RESEARCH ARTICLE

The risk of type 2 diabetes in the native population of highlands Aksay of Kyrgyzstan

The prognosis of the indigenous people of the high-altitudes of Kyrgyzstan regarding the risk of developing T2DM depends on phenotypic factors and living conditions in the high altitudes, with hypoxia playing the leading role. Among the highlanders of Kyrgyzstan, metabolic factors are dominated by abdominal obesity, and it is likely that regular intake of fruits and vegetables is effective to reduce the risks of developing diabetes, along with the fight against other negative factors.

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