Vol 330, No 5 (2009)

It was the purpose of this search to announce that elaborating an optimal tactics for patients with coronary heart disease (CHD), complicated with ischemic mitral regurgitation (IMR). There were operated 85 patients with CHD and IMR in the course of 2006-2008. Previously all patients were separated on 3 groups in dependence of severity of IMR, character of damage of coronary race and changing of left ventricle. In the first and the second groups was realized an aorta-coronary shunting with annuloplasty. In the third group was realized an isolated shunting. Mortality in hospital was zero percents. A rudimentary regurgitation was noted by 10% of patients of the 1st group. The maximum period of monitoring was 24 months. Freedom from mitral regurgitation for the 1st and 2nd group was 95%, for the 3rd - 93%. So, adequate and mutual estimation of flap-connected factors as well as condition of coronary race by the patients with IMR reduces the risk of by-pass mitral regurgitation and shows good short-term and long-term results.

According to conception of evolution of the service of clinical laboratory diagnostics of RF for period 2003-2010, «the laboratory service requires a grand reorganization and correction of some sections with a glance to maximal possible economical expenses, connected with re-equipment of clinical-diagnostic laboratories, in conditions of improvement of theirs diagnostic effectiveness». The conception is elaborated in accordance to active legislation of RF and to the resolution of «Conference of main specialists in the sphere of clinical laboratory diagnostic» of constituent of the Russian Federation from 17.04.2002. The article presents a survey of problems, existing in laboratory service of the central hospital, and ways of theirs solving.