Kassirsky, Henry Iosifovich

Heinrich Iosifovich Kassirsky was born on December 13, 1929 in Tashkent, in a family of doctors. Father - Joseph Abramovich Kassirsky , future academician of RAMS, one of the founders of Russian hematology, creator of a scientific school. Mother - Esfir Grigoryevna Kassirskaya-Rozina, microbiologist.

• 1934 - Moves to Moscow with his family.
• 1948-1954 - Studies at the Faculty of Medicine 1 of the Moscow Medical Institute. I.M.Sechenova .
• 1954-1957 - After graduation, he worked as a district general practitioner on the Moscow-Ryazan Railway, then in the Joint Polyclinic of the Ministry of Railways.
• 1957-1959 - Passed clinical residency at the Department of Therapy of the Central Institute for Advanced Medical Studies at the Central Clinical Hospital named after N. A. Semashko Ministry of Railways, headed by Professor I. A. Kassirsky . At this time, he began work on his Ph.D. thesis, which was led by Professor I. A. Kassirsky and Professor A. Volkov, Central Research Laboratory for Hygiene and Epidemiology of Railway Transport.
• 1959 - After graduating from residency, he remained to work in the Central Clinical Hospital named after N. A. Semashko, where he organized the office of functional diagnostics and became its head.
• 1960 - Transferred to work at the Institute of Thoracic Surgery of the Academy of Medical Sciences of the USSR (in 1961, reorganized and renamed the Institute of Cardiovascular Surgery ), to the position of junior research assistant . The transition was due to a growing interest in the diagnosis of heart defects and their subsequent surgical treatment. The Department of Functional Diagnostics at the Institute was headed by Professor G. G. Gelstein, under his leadership G. I. Kassirsky continued to study the sound symptoms of heart defects and its changes after surgical correction of defects.
• 1961 - Defended a Ph.D. thesis on the diagnosis of heart disease using phonocardiography. The work first presented the frequency response of cardiac sounds and sounds, especially its perception during auscultation and changes after mitral commissurotomy. At the same time, the study of the sound symptoms of congenital heart defects begins.
• 1969 - He defended his doctoral dissertation on the topic "Phonocardiography of congenital heart defects." In this work, for the first time in the country, he compared the features of the sound symptomatology of heart defects in children with anatomical and physiological parameters before and after their surgical correction.

The results of a study of the sound symptoms of heart defects were summarized in three monographs:

• “Sound symptoms of acquired heart diseases” (1964) in collaboration with I. A. Kassirsky. The book presented auscultatory signs of all acquired at that time acquired heart defects , revealed the mechanism of the occurrence of heart sounds and sounds in connection with the anatomical and hemodynamic features of a particular defect.
• "Phonocardiography in congenital and acquired heart diseases" (1972).
• “Atlas of Clinical Cardiography” (1983) - the first in the USSR, co-authored with V.V. Solovyov.

In addition, the phonocardiograms of heart defects obtained by G.I. Kassirsky were reproduced on vinyl disks with the comments of I. A. Kassirsky and were included in the second edition of BME .

G.I. Kassirsky gave a course of lectures on phonocardiography for doctors in a special curriculum on the Central Television of the USSR .

• 1970 - As part of the scientific advisory department of the ISSA of the USSR Academy of Medical Sciences, G.I. Kassirsky created a group for the rehabilitation of cardiosurgical patients. In subsequent years, G.I. Kassirsky and his students conducted a large number of studies in the field of rehabilitation of patients after heart surgery, as a result of which the team defended a number of candidate dissertations. In these works, the degree of physical adaptation of patients after cardiosurgical interventions, the mechanisms of adaptation of the cardiorespiratory system to physical activity were studied, the clinical and physiological features of the rehabilitation of these patients were substantiated. Programs for bicycle ergometric trainings and physiotherapy exercises were developed, and the effectiveness of rehabilitation classes using these techniques was studied. Initially, primarily studied patients after correction of acquired defects. The results were summarized in monographs:
  • "Medical rehabilitation in cardiac surgery" (1976) in collaboration with M. A. Gladkova.
  • “Rehabilitation of patients after surgical correction of acquired heart defects” (1998) in collaboration with E. A. Degtyareva, T. V. Grosheva, T. G. Goryacheva.
• 1990 - Employees of the department under the direction of G.I. Kassirsky in conjunction with the Department of Clinical Psychology, Moscow State University M.V. Lomonosov for the first time began to study the issues of psychological adaptation of cardiosurgical patients. The application of the approach, which included a comparison of the clinical and functional status and quality of life of patients, allows us to optimize their rehabilitation program.
• 1996 - Decision of the Director Bakulev RAMS academician RAMS L. A. Bokeria create at the Institute of Cardiac Surgery. V.I. Burakovsky department of rehabilitation of patients with congenital heart diseases, which was headed by G.I. Kassirsky from the first day, gave a new impetus to the development of the problem of rehabilitation of cardiosurgical patients. This contributed to the development of research methods, the development of criteria for a clinical and functional assessment of the effectiveness of rehabilitation. The use of bicycle ergometry with non-invasive determination of hemodynamic parameters by the method of impedance cardiography made it possible to study the peculiarities of adaptation of the cardiovascular system in children after correction of heart defects to physical activity. The studies included patients with aortic coarctation , “pale” congenital malformations complicated by pulmonary hypertension , valvular heart defects , Fallot tetrads , pulmonary atresia , hemodynamic correction of complex congenital malformations , that is, all the main groups of patients with congenital pathology were covered. The accumulated material made it possible to classify the types of reactions of the cardiovascular system to dosed physical activity in cardio-surgical patients. The principles of physical rehabilitation of children with congenital heart defects were substantiated. An original technique was applied to determine the quality of life of the operated children.

The results of these studies are presented in a number of articles, reports, dissertations, and the monograph “Rehabilitation of patients after surgical correction of congenital heart defects” (2007) in collaboration with L. M. Zotova.

• 2000 - By a decree of the President of the Russian Federation, G. I. Kassirsky was awarded the title “ Honored Worker of Science of the Russian Federation ”.

Thus, starting in the mid-1950s to engage in sound diagnosis of heart defects, G.I. Kassirsky gradually and methodically moved on to the problem of staged rehabilitation of cardiac surgical patients of all ages, becoming a recognized luminary and one of the leaders in this most important area of ​​surgical treatment of patients with heart defects. .

G.I. Kassirsky was a member of the board and Chairman of the rehabilitation section in cardiac surgery of the Russian Society of Cardio-Somatic Rehabilitation and Secondary Prevention. He was awarded commemorative medals by academicians A.N. Bakulev and V.I. Burakovsky .

G. I. Kassirsky is the author of 7 books, two of which are priority ones - “Atlas of Clinical Phonocardiography” and “Medical Rehabilitation in Cardiac Surgery”. In total, more than 200 publications were published. Under the direction of G.I. Kassirsky, 24 candidate and 1 doctoral dissertations were defended. For the first time in our country, he gave a series of lectures on phonocardiography on the curriculum of Central Television. He participated in a number of international cardiology congresses in Amsterdam, Vienna, Nice, Berlin, Washington, and the Congress on Rehabilitation in Stockholm. He studied experience in the field of rehabilitation in Poland and Hungary.

G.I. Kassirsky was one of the oldest employees of the A.N. Bakulev SCSSH RAMS. At the institute, he went from a junior researcher to a professor, the head of the department for the rehabilitation of patients with congenital heart defects.

• Kassirsky I. A., Kassirsky G. I. Auscultatory symptomatology of acquired heart defects: Textbook. allowance / USSR Ministry of Health. Center. Institute of Doctors Improvement. - M. , 1961 .-- 232 p.
• Kassirsky I.A., Kassirsky G.I. Sound symptoms of acquired heart defects. - 2nd ed. - M .: Medicine , 1964 .-- 320 p. - 16,000 copies.
• Kassirsky G.I. Phonocardiography for congenital and acquired heart diseases. - Tashkent: Medicine, 1972.
• Solovyov V.V. , Kassirsky G.I. Atlas of clinical phonocardiography. - M .: Medicine , 1983. - 296 p. - 20,000 copies.
• Kassirsky G.I., Gladkova M.A. Medical rehabilitation in cardiac surgery. - M .: Medicine, 1986.
• Kassirsky G.I., Dyagteryova V.A., Grosheva T.V., Goryacheva T.G. Rehabilitation of patients after surgical correction of acquired heart defects. - M., 1998.
• Kassirsky G.I., Zotova L.M. Rehabilitation of patients after surgical treatment of congenital heart defects. - M .: NTSSSH them. A.N. Bakuleva RAMS, 2007.
• Kassirsky G.I. Academician I.A. Kassirsky: Life. Creation. Healing - M .: Russian Way, 2011. - 228, [24] p. - ISBN 978-5-85887-341-9 .
• Kassirsky I.A., Kassirsky G.I. Essays and short stories. - M .: Russian way, 2012.

• Russian Jewish Encyclopedia
• Russian Society of Cardiosomatic Rehabilitation
• Kassirsky Heinrich Iosifovich. Map of Russian Science
• Academician Boqueria on rehabilitation
• Kurortnye Vedomosti No. 2 2004
• Bokeria L.A., Glibs S.P., Nevedrova M.N. Father and son Kassirsky are the pride of Russian cardiology (to the 85th birthday of Honored Scientist, Professor G.I. Kassirsky) // Russian Journal of Cardiology. - 2014. - No. 6 .