Category Archives: Summary of articles
Microvascular and Hemorheological disorders during ischemic heart disease
T. Urdulashvili, M. Mantskava,
N. Momtselidze, N. Narsia,
G. Mchedlishvili.
Scientific –Practical Journal ISSN 1512-1291.
Cardilogy and Internal Medicine XXIN4 (VIII) 2004, 9-15.
Significance of the hemorheological disorders in development of acute vascular syndromes is presenltky well known, but their role in pathogenesis of chronic ischemic heart disease is not yet sufficiently analyzed. Aim of the present study was investigation of the relationship between the hemorheological, vascular and hemodynamic factors during the ischemic heart disease.
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We investigated 64 patients with ischemic heart disease of functional classes I-IV with and without heart failure. For evaluation of the hemorheological disorders we investigated the most significant symptom, the erythrocyte aggregability, with the Georgian technique” that provided us with direct and quantitative data. In the some patients we investigated the tone of the resistance arteries with an original non-invasive technique. Based on measurement of[/su_animate]
Comparative significance of the principal factors responsible for microcirculatory disorders in type 2 diabetes mellitus
M. Mantskava, N. Momtselidze,
G. Mchedlishvili, N. Pargalava.
The present study was aimed at investigated the comparative changes of the two most significant microcirculatory factors of microvascular blood flow. Possibly producing severe disorders in blood supply to tissues in the diabetic patients – constriction of resistant arteries and the hemorheological disorders in the patients with the type 2 diabetes mellitus.
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By using direct quantitative and highly sensitive investigation techniques we found that insulin improves the blood rheological properties in the microcirculation altered during diabetes. However, when the disorders are strongly pronounced, due to enhanced red blood cells (RBC) aggregation, e.g., during development of the feet diabetic gangrene, the insulin becomes inefficient. As to the arteriolar tone, it seems to play less significant role in the pathogenesis of microcirculatory disturbances in diabetic patients.
Key words: Erythrocyte aggregation, diabetes mellitus, resistance of arterioles.[/su_animate]
Hemorheological, microvascular and hemodynamic disorders during coronary heart disease
Urdulashvili T., Momtselidze N.,
Mantskava M., Narsia N.,
Mchedlishvili G.
Georgian Med News. 2006; (136):55-7 (ISSN: 1512-0112)Department of Internal Medicine, State Medical University, Tbilisi, Georgia.
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Significance of the hemorheological disorders in development of acute vascular syndromes is presently well known, but their role in pathogenesis of chronic coronary heart disease has not been yet sufficiently analyzed. Aim of the present study was the investigation of the relationship between the hemorheological, vascular and hemo-dynamic factors responsible for development of the coronary heart disease. We investigated 64 patients with coronary heart disease of the functional classes I-IV with and without the heart failure.[/su_animate]
Comparative values of erythrocyte aggregability versus other indices of hemorheological disorders in patients with ischemic brain infarcts
G. Mchedlishvili, R. Shakarishvili,
N. Momtselidze, L. Gobejishvili,
M. Aloeva, M. Mantskava.
Microcirculation Research Center, I. Beritashvili Institute of Physiology, Tbilisi, Georgia. Clinical hemorheology and microcirculation (Impact Factor: 3.4). 02/2000; 22(1):9-15.
Source: PubMed
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ABSTRACT The aim of the present study is comparison of changes of principal hemorheological factors responsible for blood flow disorders in the microcirculation in patients with ischemic brain infarcts. It was found that in venous blood samples the erythrocyte aggregability (examined with a direct, highly sensitive, quantitative technique) was considerably more increased (by mean of 120%) than the blood plasma fibrinogen contents, blood plasma viscosity, and hematocrit which increased only by 23.7%, 7.4% and 3.6%, respectively, as compared to the same hemorheological factors in the healthy controls. [/su_animate]
Arteriolar resistance and hemorheological disorders related to raynaud’s phenomenon
George Mchedlishvili, Maia Mantskava, Nugzar Pargalava.
Microvascular Research DOI: 10.1006/mvre.2001.2335
Volume 62, Issue 2, September 2001, Pages 190–195.
Abstract
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The functional condition of resistance arteries in human hands was monitored with a noninvasive test. Blood flow velocity changes (Doppler flow meter) were monitored in the radial artery before and after a 1-min stop flow in the hand under conditions of stable systemic arterial pressure. In addition, the most significant parameter of hemorheological disorders in microcirculation, RBC aggregability, was investigated in the same patients' blood samples.[/su_animate]
Hemorheological disorders and arteriolar resistance during ischemic heart disease
T. Urdulashvili., N. Momtselidze.,
M. Mantskava., N. Narsia.,
G. Mchedlishvili.
Clinical hemorheology and microcirculation 2004;30(3-4):399-401.
Abstract
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It could be conjectured that the hemorheological disorders are involved in development of the ischemic heart disease. But this fact was so far insufficiently cleared up. The present studies were carried out in patients with various forms of chronic ischemic heart disease. We investigated the most significant factor of rheological disorders in the microcirculation, the erythrocyte aggregability, with a technique that provided us with the direct and quantitative data.[/su_animate]
Direct beneficial effect of insulin on blood rheological disorders in the microcirculation
M. Mantskava, N. Pargalava,
G. Mchedlishvili.
Clinical hemorheology and microcirculation 2004;30(3-4):431-3.
Abstract
Under both the in vivo and in vitro conditions we investigated the insulin effect on the most significant factor disturbing the blood rheological disorders in the microcirculation, the red blood cell aggregability.
[su_animate type=”slideInRight”]The in vivo studies we carried out in the 42 insulin treated diabetic patients (diabetes mellitus type II), as well as conducted the in vitro investigations of the blood both of the diabetic patients (24) and of the healthy people (20) where the insulin was added to the blood ex vivo. The RBC aggregability in blood investigated with the “Georgian technique” was found significantly enhanced, by about 100 per cents in the diabetic patients.[/su_animate]
Regional and systemic hemorheological disorders during feet diabetic gangrene.
N. Pargalava., Maya Mantskava.,
George Mchedlishvili.
Clinical hemorheology and microcirculation 2004;30(3-4):457-9.
Abstract
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We investigated the RBC aggregability in the patients with the foot diabetic gangrenes: in the venous blood samples taken from the damaged foot before its amputation, as well as from the cubital vein (the systemic circulation). The RBC aggregability was investigated with the "Georgian technique" that is sensitive and provided us with direct and quantitative data. We found that the RBC aggregability was higher by about 20%, in the blood flowing from the gangrenous tissue than in the systemic circulation.[/su_animate]
Hemorheological disorders during ischemic brain infarcts in patients with and without diabetes mellitus
N. Momtselidze., M. Mantskava.,
G. Mchedlishvili.
Clinical hemorheology and microcirculation 2006;35(1-2):261-4.
Abstract
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The aim of the present study was the comparative analysis of the role of specific hemorheological derangements in the pathogenesis of ischemic brain infarcts with and without diabetes mellitus. Blood plasma viscosity, as well as red blood cells (RBC) aggregability were quantitatively investigated in all patients during the study. Both of the above mentioned indices of hemorheological disorders were significantly higher in the patients with brain infarcts and diabetes mellitus as compared to the control and the group of ischemic brain infarcts without diabetes.[/su_animate]
Hemorheological disorders in patients with type 1 or 2 diabetes mellitus and foot gangrene
M. Mantskava., N. Momtselidze.,
N. Pargalava., G., Mchedlishvili.
Clinical hemorheology and microcirculation 2006;35(1-2):307-10.
Abstract
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The aim of the present study was to evaluate blood rheological disorders, in particular RBC enhanced aggregation, and compare changes in these parameters in patients with type 1 and 2 diabetes mellitus. For evaluation of RBC aggregability in the present study we applied the "Georgian technique", which was developed and applied for several years in our laboratory. Its advantage is that it is a direct and quantitative method. In all the investigated patients, diabetes mellitus was complicated with the foot gangrenes.[/su_animate]
