Alexander inaccessible biography


Sechenova, Faculty Therapeutic Clinic of the FTK named after Doctor of Medical Sciences, Professor. He was born and raised in Moscow, in the Taganka area, in the family of a recipient engineer Viktor Antonovich Nedovup a native of Poltava and librarian Militsa Aleksandrovna Raevskaya, daughter of the Tula priest Prot. Alexander Raevsky. Native aunt A. Nemdopa, doctor of medicine, Raevskaya, was married to Acad.

The Tareev son of a professor of the Moscow Theological Academy, theologian M. Tareev, with whose family Alexander Viktorovich has closely communicated since childhood. He graduated from a secondary school with a gold medal in Sechenov, where A. Strukov, V. Serov, N. Elansky, V. Vasilenko, V. Smolensky were among his teachers, and V. Smolensky brilliantly passing state exams, A.

Inaccessible in G., in two years, Vladimir Nikitich performed his last bypass in his ward. Since student times, from a visit to the circle, led by Professor Vitaly Grigoryevich Popov, the interest of Alexander Viktorovich in cardiology was determined. The parish of A. Nempupa in the clinic coincided with the first steps of the recently created “collapse department” - the first cardioremation department in the USSR; Then A.

The inaccessibility began to deal with the problem of violations of rhythm and conductivity of the heart - his first publication in the journal Therapeutic Archive in the city of inaccessibility entered the graduate school of the department of faculty therapy, in his candidate dissertation was devoted to the new direction in the treatment of arrhythmias in particular, the perceptional arithmia - the electric pulse therapy of the EIT.

Employees of the FTK A. Syrkin, A. Inaccules and I. Maevskaya, one of the first in the USSR in the USSR, a little later, Lithuanian colleagues began to use this method in therapeutic patients and became the authors of the classical monograph “Electrim Pulp the Continuity of the Hearts of the Heart in the therapeutic clinic” on the huge clinical material, which allowed to introduce this method and remains widely introduced and remained and remained left relevant to this day; A comparison of the EIT with drug cardioversion was compared.

The inaccessible to one of the first attracted the attention of the clinicians to the then well -known syndrome of the weakness of the sinus node and together with A. Syrkin and I. Mayevskaya to develop its clinical classification and diagnostic criteria. As its last stage, the Tachi-Brady syndrome was identified, the value of the phenomenon of the post-extracustolic depression of the sinus node was studied.

In the city of underpare, the effectiveness of diphenin in the suppression of ventricular arrhythmias with digitalis intoxication is shown. Later, his attention was drawn to the phenomenon, which he called the "partial delta-wave" and regarded as a possible link in the pathogenesis of arrhythmias in patients without a clear WPW syndrome. Cracling arrhythmia occupies a special place in the scientific activity of A.

Since the middle of the X, he was engaged in statistical analysis of atrial and ventricular rhythm during flickering and trembling atrium with the construction of interval histograms, which made it possible to reveal clear patterns in the “chaotic” electrical activity of the heart and made it possible to study and predict the decreasing effect of drugs. Non -core for the first time is clearly shown by the council.

Platonova and E. Bogdanova, that the development of the decreasing effect of digoxin with atrial fibrillation is largely associated with his ability to “grind” the FF waves to make them more frequent and thereby slow down their implementation through the AB system. In the 10th years, with the participation of O. Belovoy, these works were continued: the study of the influence of digoxin, b-blockers, sotalol and amiodarone on the atrial and ventricular rhythm with attendant arrhythmia allowed to develop a pathogenetically reasonable approach to the reducing rhythm of therapy.

The values ​​of the Holter monitoring of the ECG with atrial fibrillation, spontaneous restoration of sinus rhythm are shown. With the participation of mathematicians, the group of I. Gelfand A. Nedovup has developed decisive rules for predicting the retention of the sinus rhythm after defibrillation in patients with atrial fibrillation of various etiologies, which made it possible to develop clear indications for its planned elimination of the Council.

The prerequisites and clinical significance of spontaneous restoration of the sinus rhythm in patients with long -existing atrial fibrillation are established. These studies formed the basis of the doctoral dissertation of A. Nempup, which he defended in G. G. drawing attention to the clinical and anamnestic features of arrhythmia in some patients, A. Inaccurately studied the effect on paroxysmal atrial fibrimony of hemorutation and plasmapheresis, which had a pronounced and short antiarrhythmic effect in patients without gross organic changes in the heart, especially in the presence of resistance to antiarrhythmics.

These works allowed to identify some humoral mechanisms of arrhythmogenesis. In the future, the council. Tsaregorodtsev, V. Kulikova, an assessment of the clinical effectiveness of plasmapheresis and his possible mechanisms in patients with resistant rhythm disorders of various genesis, in the further search for ways to increase the effectiveness of the treatment of arrhythmias cited A.Non -core to the study of psycho -vegetative ratios in cardiology.

Pionerskaya became his work of Council. Fedorova and K. Dmitriev on the study of a special variant of the course of hypertension, called the authors of labile arterial hypertension of the elderly lagp. The drug was found to clonazepam, which, due to its powerful vegetostabilizing properties, not only stabilized the level of blood pressure in elderly patients with impaired autonomic regulation, but also turned out to be extremely useful in patients with autonomic dysfunction of the sinus node, paroxysmal perceptional arrhythmia.

Using a computer analysis EEG SOMM. Vasyukov managed to show that paroxysmisms of atrial fibrillation, as well as to sharp fluctuations in blood pressure in patients with lagp, are preceded by a coordinated change in electrical activity of the brain, corresponding to the concept of “paroxysmal brain”. Based on A.'s own own data, the possibility of effective and safe use of antiarrhythmic preparations of class I into vol.

More than once reprinted artists about errors in the treatment of arrhythmias “How do not treat arrhythmias”, deontological problems in cardiology were shown.

Alexander inaccessible biography

The experience of the diagnosis and treatment of rhythm disorders form the basis of the monographs “How to treat arrhythmias”, which has withstood 12 editions, “Drug treatment of heart rhythm disorders. Sulimov, O. Belovoy, M. Gilyarov, N. Novikova,, chapters in textbooks and national leadership in cardiology since the middle of the x work of A. Nedyupop and his students O. Blagov received a completely new direction: thanks to the emergence of modern methods of laboratory diagnostics and the implementation of the FTK of the method of endomyocardial biopsy V.

Sulimov, a significant role in the immun-inflammatory lesion of myocarditis myocarditis in the genesis of the so-called idiopathic arrhythmias of both ventricular and supraventricular myocardial myocardium was established, approaches to basic therapy are developed in conjunction with antiarrhythmic treatment of both drug and intervention. These works gave an impetus for a comprehensive study of myocarditis, as well as other non -coronary diseases of the myocardium cardiomyopathy and are reflected in the monograph “myocardial and pericardial diseases: from syndromes to diagnosis”, a special study was devoted to the study of the sarcoidosis of the heart - its clinical manifestations, modern capabilities of diagnosis and treatment of councils.

Ivanova and S. Borisov, all the scientific works of A. Nedoropa are characterized by the originality of the idea, the thoroughness of execution and a clear practical orientation, which always distinguished the scientific school of FTK. His performances in the press and before his colleagues are designed in the best traditions of the Moscow therapeutic school: they are based, first of all, on a huge personal experience, daily work with patients, deep clinical analysis of the material and always cause a lively response from colleagues.

Non -core has always been distinguished by an active civic position. In the years of the twentieth century, he was close to dissident circles, later departed from them, established himself in Orthodox-state ideology. And in those years, and later disinterestedly provided medical assistance to disgraced dissidents, writers including A. Solzhenitsyn, L.

Borodin, scientists I. Shafarevich, and clergymen were one of the regular doctors about. Kirill Pavlov, numerous representatives of the creative and scientific intelligentsia and “ordinary” residents of Moscow, many other cities of Russia, for each of which he made a maximum possible. True intelligence, exceptional and deeply sincere goodwill, wisdom, decency, artistic giftedness of A.

Nizhovpers make communication with him especially valuable. Having devoted the scientific activity of cardiology, he remains a true therapist, an internalist of a wide profile, which has never become close in a narrow specialty. In the clinic and abroad, he uses a reputation as an excellent diagnostician; He is distinguished by a truly Christian attitude to the sick. These qualities make Alexander Viktorovich an example of a real Russian doctor for his colleagues, students and patients who see in him not only a doctor, but a friend, adviser, and a spiritual mentor.

The inaccessible to constantly dealt with the history of the FTK, preserving her heritage.