Immunological disorders were studied in 68 patients with herpesvirus infections (41 women and 27 men) aged 18 to 55 years. All patients were examined clinically, also laboratory tests were conducted during the period of exacerbation and clinical remission. Patients with herpesvirus infections showed a significant decrease in the relative number of CD3+, CD4+ T-lymphocytes and their subpopulations during exacerbation of herpes infection. A decrease in the content of CD 3+, CD4+ T-cells during exacerbation of the disease was associated with an increase in CD8+ T-lymphocytes. The immunoregulatory index also decreased. The relative number of CD19+ B cells significantly increased in the exacerbation stage. During the period of remission, the number of CD19+ lymphocytes decreased, remaining above the normal range in patients with severe disease. Studies have shown that patients with herpesvirus infections have immunopathological disorders both during the relapse period and during the remission period, which must be taken into account when treating these patients.
Aim. To assess the role of the algorithm-based selection of antihypertensive therapy (AHT) and the continuous medical education in the treatment of arterial hypertension (AH).Material and methods. Based on the autopsy data, we analysed the prevalence of AH and the structure of its complications and comorbidities among 3239 patients of a multidisciplinary Moscow City hospital. We also analysed the practices of preceding ambulatory AHT and conducted the survey on the quality of continuous medical education lectures delivered to internal medicine specialists working at polyclinics.Results. Among patients who died from cardiovascular disease, a high prevalence of AH (96,1%) was combined with prevalent target organ damage (TOD), a strong association between blood pressure (BP) levels and the risk of major cardiovascular events, and a wide range of comorbidities and AH complications. There was a lack of universal AHT schemes and regimens for patients of similar age, gender, and nature and severity of comorbidities.Conclusion. Achievement of target BP levels failed to prevent major cardiovascular events which resulted in fatal outcomes. AHT was administered without adequate consideration of organo-protective and pleiotropic effects of antihypertensive medications. The development of an algorithm which considered age, gender, TOD presence, and previous major cardiovascular events in the selection of AHT had improved the doctors’ understanding of the lecture information.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.