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IMPACT OF COMBORBIDE LOAD ON CLINICAL COURSE OF INFERIOR WALL MYOCARDIAL INFARCTION WITH RIGHT VENTRICULAR INVOLVEMENT

https://doi.org/10.24884/2072-6716-2019-20-4-63-70

Abstract

The article presents data on the frequency and structure of comorbid pathology in patients with inferior wall myocardial infarction with right ventricular involvement. Its relationship with the clinical course of myocardial infarction in the acute period was studied. It was shown that patients with inferior wall myocardial infarction with right ventricular involvement have a high comorbid load. It was revealed that a more severe course of the acute period of myocardial infarction in these patients was associated with chronic cerebrovascular ischemia, fatty liver, chronic heart failure I–IIa stages, type 2 diabetes mellitus and obesity.  

About the Authors

K. Yu. Glavatskikh
North-Western State Medical University named after I. I. Mechnikov
Russian Federation

 Kristina Yu. Glavatskikh 

St. Рetersburg


I. Yu. Lukyanova
North-Western State Medical University named after I. I. Mechnikov; St. Рetersburg State University
Russian Federation

Irina Yu. Lukyanova 

St. Рetersburg


V. I. Shalnev
North-Western State Medical University named after I. I. Mechnikov
Russian Federation

Vladimir I. Shalnev 

St. Рetersburg


I. Yu. Pchelin
St. Рetersburg State University
Russian Federation

Ivan Yu. Pchelin 

St. Рetersburg


References

1. Oganov R. G., Denisov I. N., Simanenkov V. I. et al. Komorbidnaia patologiia v klinicheskoi praktike Klinicheskie rekomendatsii. Kardiovaskuliarnaia terapiia i profilaktika, 2017, Vol. 16, No 6, pp. 5–56 (in Russ.).

2. Ford J. C., Ford J. A. Multimorbidity: will it stand the test of time? // Age and Ageing. 2018. Vol. 47, No 1. P. 6–8. doi: 10.1093/ageing/afx159.

3. Verbovoi A. F., Tsanava I. A., Verbovaia N. I. Meditsina XXI veka: v fokuse komorbidnost. Universitetskaia meditsina Urala, 2017, Vol. 3, No 2, pp. 27–31 (in Russ.).

4. Stiazhkina S. N., Makshakova N. P. Komorbidnost’ kak problema sovremennoj mediciny. ACADEMY, 2017, Vol. 1, No 6, pp. 81–83 (in Russ.).

5. Bojcov S. A., Samorodskaya I. V. Sravnenie pokazatelej smertnosti ot infarkta miokarda v Rossijskoj Federacii v 2006 i 2015 gg. Profilakticheskaya medicina, 2017, No 3, pp. 11–16 (in Russ.).

6. Marinina E. S. Nauchnoe obosnovanie osnovnyh putej profilaktiki serdechno-sosudistyh zabolevanij. UNIVERSUM: medicina i farmakologiya. 2018. No 2 (47). URL: http://7universum.com/pdf/med/2(47)/Marinina.pdf (Data obrashcheniya: 09.11.2019) (in Russ.).

7. Chazymova Z. M., Beishenkulov M. T., Kaliev K. R. et al. Techenie sochetannogo infarkta miokarda nizhnej stenki levogo zheludochka i pravogo zheludochka s tranzitornoj arterial’noj gipotoniej. Evraziiskii kardiologicheskii zhurnal, 2017, No 4, pp. 74–85 (in Russ.).

8. Chhapra D. A., Mahajan S. K., Thorat S. T. A study of the clinical profile of right ventricular infarction in context to inferior wall myocardial infarction in a tertiary care centre. Journal of Cardiovascular Disease Research. 2013. Vol. 4, No 3. P. 170–176. doi: 10.1016/j.jcdr.2013.04.003.

9. Foschi M., Di Mauro M., Tancredi F. et al. The Dark Side of the Moon: The Right Ventricle // Journal of Cardiovascular Development and Disease. 2017. Vol. 4, No 4. P. 18. doi: 10.3390/jcdd4040018.

10. Evstratova C. G., Gazarian G. A., Zakharov I. V. Effektivnost’ reperfuzionnoj terapii pri sindrome preobladayushchej disfunkcii pravogo zheludochka, soprovozhdayushchem nizhnij infarkt miokarda. Kardiologiia, 2013, No 4, pp. 4–11 (in Russ.)].

11. Carter T., Ellis K. Right ventricular infarction // Critical Care Nurse. 2005. Vol. 25, No 2. P. 52–62.

12. Tseluiko V. I., Lozovaia T. A., Dominas V. M. Vliyanie stabil’noj stenokardii v anamneze na prognoz u pacientov s infarktom miokarda pravogo zheludochka na fone infarkta miokarda s zubcom q zadnej stenki levogo zheludochka. Ukrainskii kardiologicheskii zhurnal, 2017, No 3, pp. 12–19 (in Russ.).

13. Kovalchuk E. Iu., Povzun A. S. Infarkt miokarda i komorbidnost’. Razvitie sovremennoi nauki: teoreticheskie i prikladnye aspekty, 2017, No 13, pp. 116–123 (in Russ.).

14. Kachkovskii M. A., Ragozina E. Iu., Deisling L. V. Rasprostranennost’ komorbidnoj patologii u bol’nyh ostrym infarktom miokarda i ee vliyanie na intensivnost’ sistemnoj vospalitel’noj reakcii. Sovremennye problemy nauki i obrazovaniia, 2014, No 4, p. 328 (in Russ.).


Review

For citations:


Glavatskikh K.Yu., Lukyanova I.Yu., Shalnev V.I., Pchelin I.Yu. IMPACT OF COMBORBIDE LOAD ON CLINICAL COURSE OF INFERIOR WALL MYOCARDIAL INFARCTION WITH RIGHT VENTRICULAR INVOLVEMENT. EMERGENCY MEDICAL CARE. 2019;20(4):63-70. (In Russ.) https://doi.org/10.24884/2072-6716-2019-20-4-63-70

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