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Vestn
Ross Akad Med Nauk. 2003;(4):17-23. |
Chronopharmacological approaches to the therapeutic prophylaxis of chronic cardiac
insufficiency in type I diabetes mellitus.
[Article in Russian]
Sarbilina IV, Makliakov IuS, Karkishchenko NN.
The efficiency of the developed scheme for a drug prophylaxis of chronic cardiac
insufficiency (CCI) in patients with diabetes mellitus I (DM I) of autoimmune
genesis (subtype B) was evaluated; such scheme comprised the inhibitors of angiotensin converting enzyme (ACE) of different chemical
structures and a biological response modifier (BRM)--glutoxime,
which were prescribed with regard for a changed biological rhythm of hemodynamic as well as of metabolic and immune profiles of
patients. The following parameters were examined: cardiohaemodynamics,
the content of cortisol, insulin, ACTH, TTH and
thyroxin in blood, of transport proteins and of the concentration of IL-1 and
TNF-alpha in blood. It was established that the use of ramipril
and fosinopril combined with the glutoxime
BRM within the scheme of drug prophylaxis of CCI concomitant with DM I was
accompanied by an effective removal of desynchronosis
of the immune-endocrine system in the discussed category of patients.