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Lipid metabolism has been examined in coronary patients from the content of the blood serum phospholipid fractions during exposure to the health resort factors at the South of the Primorye territory. Qualitative composition of phospholipids included 5 fractions, i.e. phosphatidylcholine, sphingomyelin, lysophosphatidylcholine, phosphatidylethanolamine, and phosphatidylinosite. Decreased levels of phosphatidylcholine and elevated concentrations of lysophosphatidylcholine and sphingomyelin have been detected in the patients. No differences in the concentrations of phospholipid fractions in patients with extensive and small-focus myocardial infarctions have been observed. Patients with repeated myocardial infarctions in the history have developed drastic changes in lipid metabolism, i.e. abnormal levels of phosphatidylcholine, lysophosphatidylcholine, and sphingomyelin. Lipid metabolism parameters have not normalized in coronary patients in the course of health resort treatment.
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