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[Effect of blood gravitation surgery on lipid metabolism in patients with ischemic heart disease].

Gravitation plasmapheresis (GP) used in coronary heart disease patients with unstable angina pectoris of the III-IV functional class, in the presence of dyslipoproteinemia, leads to a significant decrease of high levels of cholesterol (Ch), triglycerides (TG), cholesterol in low-density lipoproteins (Ch-LDLP) and an increase of cholesterol in high-density lipoproteins (Ch-HDLP) followed by gradual recovery of these parameters up to the initial level in the whole group of patients during 6 months of observation. In patients with dyslipoproteinemia (DLP), types IV and II A, the initial level was recovered earlier (during one month), in those with type II B--after 6 months, although the levels of Ch and TG were high, that does not exclude the presence of progressing coronarosclerosis. The duration of clinical remission comprised on the average 7.4 months, in patients with type II A it was 5 months, with type IV--6.5 months. It has been suggested that pathogenetic features of DLP types formation are responsible for varying effects of GP on different types of DLP.