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Myocardial Infraction

Patients who have suffered a myocardial infarction – a heart attack – had lower risk of re-infarction when they were given Wobenzym®. Normalization of lymphocytes, and a lowering of circulating immune complexes was observed.
A parallel study of myocardial infarction patients and two groups of rabbits reported a “significant decrease of cholesterol level” in both the clinical and the experimental studies. They concluded that “it can be recommended to use Wobenzym in complex treatment of myocardial infarction patients to reduce risk factors of reinfarction.”
                                             From FREQUENTLY ASKED QUESTIONS, with answers by Joseph J Collins, RN, ND
                                             Read the special section:
CARVIOVASCULAR AND LYMPHATIC SYSTEMS & WOBENZYM®

What the literature says about Systemic Enzyme Support and:

Myocardial Infraction

Systemic enzyme therapy in the treatment of patients with myocardial infarction.  

Sledzevskaja U. K., Šumakov V. A., Bratus V. B., Babij A., Malinovskaja U. Z., Gavrilenko T. U., Terzov A. U. Systemic enzyme therapy in the treatment of patients with myocardial infarction. Žurnal praktièeskogo vraèa 1997, No. 3, pp. 43 – 44. 11 KR [Czech translation of abstract]  

  An immune statute of myocardial infarction (MI) patients is significantly impaired. Preparation Wobenzym (Mucos Pharma, Germany) shows a hypolipidemic and immunonormalizing effect, although its applicationh in the treatment of MI patients has not been studied yet.
Two groups of patients with hyperlipidemia was administered with Wobenzym : A (30 patients - 9 coated tablets for 10 days) B (13 patients - 9 coated tablets for 30 days). Patients received also beta blockers, nitrates and aspirin.
Controlled parameters were: level of cholesterol, triglycerides, HDL, LDL and VLDL, coefficient of atherogenity, lipoprotein level, activity – concentration of diene conjugates, malonic acid dialdehyd, catalase activity. Parameters of cell and humoral imunity –count of monocytes, neutrophil granulocytes, phagocytary activity, level of imunoglobulins, circulation immune complexes, antibodies against infarcted myocardium, monoclonal antibodies – were followed, too.
In parallel with this clinical study an animal experiment was conducted on two groups of rabbits with alimentary hypercholesterolemia. First group of animals was control, second group received Wobenzym in the daily dose 3 times higher than the calculated dose per 1 kg of patients` body weight. Following parameters were controlled during 2, 4, 6 and 8 weeks : level of cholesterol in plasma, catalase activity, malonic acid dialdehyd, coefficient of atherogenity, monocyte count.
Lowering of cholesterol level by 12% and lipoproteins by 16% was observed in the patients from first group already after 10 days, whereas patients from the second group showed decrease of cholesterol level by 24% and lipoproteins by 31% within one month. Level of malonic acid dialdehyde showed no changes for 10 days, after one month was lowered.
These results support an antiatherogenic effect of Wobenzym which can be seen after 10 days and antioxidant effect which can be seen after long-term treatment.
In 2/3 of MI patients a lowered level of B and T lymphocytes and T helpers and in 1/2 of patients lowering of T suppressors and natural killers were found.Within one month the activity of cellular imunity increased (normalization of T helper and natural killer level). An elevated level of circulating imune complexes was found in 80% of patients from both groups. Wobenzym therapy led to the decrease of immune complex level by 38% in 88% of patients in second group. Additionally, in all patients a higher titer of antibodies against infarcted myocardium was observed. Antibody titer decreased from 16 to 9 units in 50 % of patients in the second group after Wobenzym therapy.
Antiatherogenic and hypolipidemic effect of Wobenzym was experimentally verified. Treated animals showed cholesterol level nearly two times lower than animals in control group. In treated animals a decreased activity of oxidative reactions and increased activity of antioxidative enzymes (seen in the level of malonic acid dialdehyde) was observed. In the group of treated animals an increased catalase activity was measured.
Obtained results support a therapeutical effect of Wobenzym in the complex pathogenetic treatment of patients with myocardial infarction.
Immunonormalizing, antiatherogenic and antioxidative effects of Wobenzym influence the risk of reinfarction.
Investigation of the effect of long-term Wobenzym treatment on MI patients is planed.
Poster Reference Number 28.  

Systemic enzyme treatment as a method of secondary prevention in patients after myocardial infarction in the rehabilitation period.  

Sledzevskaya I.K., Loboda M.V., Kolesnik E.A., Babiy L.N., Fisenko L.I. Systemic enzyme treatment as a method of secondary prevention in patients after myocardial infarction in the rehabilitation period. II Mediterranean Congress of Physical Medicine and Rehabilitation, 20-23 May, 1998, Valencia, Spain. Abstracts- pp. 137. 489 KA (19-08-3) Ukrainian Institute of Cardiology,"Ukrprofzdravniza", Kiyev, Ukraine  

Abstract: Despite its proved hypolipidemic and immunocorrective effects, Wobenzym ("Mucos Pharma" Germany) has not been used in patients with myocardial infarction (MI) in period of rehabilitations.
The aim of this study was the estimation of influence treatment with Wobenzym on lipids parameters, antioxidant activity and immunological indices in patients after myocardial infarction.
30 myocardial infarction patients in 3rd-4th week of the disease were treated with Wobenzym. The patients also received beta-adrenoblockers, nitrates, aspirin and inhibitors ACE.
Parallel experimental studies with two rabbit groups with a hypercholesterolemia model were carried out. Cholesterol content in plasma, blood pro- and antioxidant parameters and state of blood monocytes were estimated.
Evident hypolipidemic effects (significant decrease of cholesterol level) and immunocorrecting effects (significant decrease of titer of antibodies to the infarcted myocardium and circulating immune complexes) of Wobenzym were demonstrated in clinical and experimental study.
Based on obtained results it can be recommended to use Wobenzym in complex treatment of myocardial infarction patients to reduce risk factors of reinfarction.
Poster Reference Number 27.  

New approaches to modern cardiology based on systemic enzyme therapy.  

Kovalenko V.N., Sledzevskaya I.K., Ryabokon E.N., Gavrilenko T.I., Terzov A.I. N.D. New approaches to modern cardiology based on systemic enzyme therapy. Int. J. Immunotherapy 2001, Vol. XVII, No. 2/3/4, pp. 101-111 - ISSN 0255-9625 218 K/375 (17-10-3)- (19-05-3) Strazhesko Institute of Cardiology, Academy of Medical Sciences, Ukraine.  

Summary: Enzyme therapy is a modern medical method based on the complex action of targeted mixtures of hydrolytic enzymes on the main pathological processes by nonspecific and specific immune mechanisms. The efficiency of enzyme therapy is supported by studies performed by a group of Ukrainian doctors on the treatment of postmyocardial infarction patients that led to normalization of cholesterol levels. In these studies, the treatment consisted of Wobenzym®.
Under the influence of this drug, some of the immune parameters in patients with postmyocardial infarction returned to normal. Nevertheless, many factors of immune inflammation in postmyocardial infarction patients have not yet been researched and the principles of assignment of enzyme therapy during rehabilitation have not been developed. Immune inflammation in postmyocardial infarction patients was investigated and the research concentrated on the influence of enzymes on immune factors during rehabilitation.
Seventy-three patients with postmyocardial infarction were divided into two groups: group 1 consisted of 52 patients treated with Wobenzym® for 6 months and group 2 consisted of 21 patients given basic therapy (aspirin, b-blockers and nitrates) only. Material for research was venous blood, which was taken in the morning prior to the beginning of Wobenzym® therapy and again after 1, 3 and 6 months of treatment. Biochemical research included tracing of cholesterol, triglycerides and atherogenic potential.
Immunology research included study of the factors of immunity, cytokine levels and immunoinflammatory reaction. Postmyocardial infarction patients showed changes in lipid, immunological and circulatory dynamics. This study concentrated on analyzing the influence of enzyme therapy on changes in lipid, immunological and circulatory dynamics and determination of the efficiency of its extended application. A set of major parameters that are important in myocardial infarction are described.
It was found that inclusion of Wobenzym® in the complex treatment of postmyocardial infarction patients is beneficial, as this drug has immuno- and lipid correction effects. Systemic enzyme therapy helps to improve the patient's biochemical and immune abnormalities.
Poster Reference Number 29.