INFLUENCE OF THE MAIN RISK FACTORS ON THE COURSE OF MYOCARDIAL INFARCTION IN THE PATIENTS WITH OVERWEIGHT
DOI:
https://doi.org/10.11603/2415-8798.2017.1.7250Keywords:
myocardial infarction, risk factors, overweight, obesity, complication.Abstract
The main risk factors for myocardial infarction, which contribute to the occurrence and worsen the course of the disease, are hypertension, obesity, smoking, lack of exercise, lipid storage disease and diabetes mellitus type 2, especially when they are combined.
The aim of the study – main peculiarities of spreading of main risk factors of cardiovascular diseases, their impact on the incidence of complications and myocardial infarction in overweight patients, residents of Ternopil region.
Materials and Methods. 76 patients with myocardial infarction in the age of 39 to 85 were examined and with the help of envelope method were divided into three studied groups: 1st group – 33 patients with myocardial infarction and with overweight, 2nd group – 13 patients with myocardial infarction and with obesity of the I stage, 3rd group – 10 patients with myocardial infarction and with obesity of the II–III stage. Control group consisted of 20 patients with normal weight.
Results and Discussions. It was found that the most common risk factors among patients were arterial hypertension (in 97 % of patients with overweight and in 100 % of patients with obesity) and diabetes mellitus type 2 (in 24 % of patients with overweight 60 % of patients with obesity). At the same time in patients with myocardial infarction increase of the most atherogenic class cholesterol low-density lipoprotein and lowering of antiatherogenic class cholesterol high-density lipoprotein were observed with more often in patients with overweight than in patients with normal body weight. Hypertriglyceridemia was significantly more often observed in patients with obesity of II-III stages.
Conclusions. Analysis of catamnesis showed that the most often complications in patients with myocardial infarction having overweight are cardiac asthma, pulmonary edema, acute aneurysm of the left ventricular and pericarditis.
References
Allender S., Scarborough P., & Peto V. (2008). European cardiovascular disease statistics. Retrieved from http:// www.bhf.org.uk.
Handziuk, V.A. (2014). Analiz zakhvoriuvanosti na ishemichnu khvorobu sertsia v Ukraini [Analysis of the incidence of coronary heart disease in Ukraine], Ukrainskyi kardiolohichnyi zhurnal – Ukrainian Cardiological Journal, (3), 45-52. [in Ukrainian].
Kovalenko, V.M., Nesukai, O.H., Dolzhenko M.M., & Horbas, I.M. (2015). Preventyvna kardiolohiia: implementatsiia mizhnarodnykh rekomendatsii v Ukraini
[Preventive Cardiology: implementation of international guidelines in Ukraine]. Kyiv: Morion [in Ukrainian].
Kovalenko, V.M., & Kornatskyi, V.M. (Eds.). (2014). Khvoroby systemy krovoobihu yak medyko-sotsialna i suspilno-politychna problema [Cardiovascular diseases as medical and social and socio-political problem] Kyiv: Derzhavna ustanova "Natsionalnyi naukovyi tsentr "Instytut kardiolohii imeni akad. M.D. Strazheska" [in Ukrainian].
Sichkaruk, I.M., Sydor N.D., Kyiak Iu.H., Dukhnevych, L.P., Bazylevych, A.Ia., Yahenskyi, A.V. (2010). Poshyrenist osnovnykh faktoriv ryzyku u khvorykh pislia infarktu miokarda [The prevalence of major risk factors in patients after myocardial infarction]. Zaporozhskyi medytsynskyi zhurnal – Zaporizhian Medical Journal, 4, 37-40. [in Ukrainian].
Shved M.I., Beniv M.Ia., Kovbasa N.M., Levytska L.V. (2016). Stratyfikatsiia ryzyku sertsevo-sudynnykh podii u khvorykh na infarkt miokarda zalezhno vid indeksu masy tila [Stratification of risk of cardiovascular events in patients with myocardial infarction, depending on body mass index]. Zbirnyk materialiv Vseukrainskoi naukovo-praktychnoi konferentsii «Zdobutky i perspektyvy vnutrishnoi medytsyny: likarska taktyka pry nevidkladnykh stanakh», 85-86. [in Ukrainian].
Kovalenko, V.N., Dolzhenko M.N., & Nesukai E.G. (2016). Sravnitelnaia kharakteristika profilaktiki serdechno-sosudistykh zabolevanii v Ukraine i Evrope po dannym EUROASPIRE IV: gospitalnaia liniia [Comparative characteristics of the prevention of cardiovascular diseases in Ukraine and Europe accoroling to EUROASPIRE IV data: hospital line]. Arterialnaia gipertenziia – Arterial Hypertension, 1 (45), 41-80. [in Ukrainian].
Higgins, M., Kannel, W.B., Garrison, R.J. Pinsky, J., & Stokes J. (1987). Hazards of obesity: the Framingham experience. Acta Med. Scand, 723, 23-26.
Donahue, R.P., Abbot, R.D., Bloom, E., Reed D.M., & Yano K. (1987). Central obesity and coronary heart disease in men. Lancet, 1, 821-824.
Horbas, I.M. (2009). Faktory ryzyku sertsevo-sudynnykh zakhvoriuvan: ozhyrinnia [Risk factors for cardiovascular disease: obesity]. Zdorovia Ukrainy–Health of Ukraine, 66-67 [in Ukrainian].
Pischon, T., Boeing, H., Hoffmann, K., Bergmann, M., Schulze, M. B., & Overvad, K. (2008). General and abdominal adiposity and risk of death in Europe. New England Journal of Medicine, 359, 2105-2120.
Folsom, A.R., Kushi, L.H., Anderson, K.E., Mink, P.J., Olson, J.E., Hong, C.P. [et al.] (2000). Associations of general and abdominal obesity with multiple health outcomes in older women: the Iowa Women's Health Study. Archives of Internal Medicine, 160, 2117-2128.
Berg, A.H., & Scherer, P. E. (2005). Adipose tissue, inflammation, and cardiovascular disease. Circulation Research, 96, 939-949.
Perk, J., De Backer, G., Gohlke, H., Graham, I., Reiner, Z., Verschuren, M., et al. (2012). European Guidelines on cardiovascular disease prevention in clinical practice. Eur. Heart J. 33, 1635-1701.
Piepoli, M.F., Hoes, A.W., Agewall, S., Albus, C., Brotons, C., Catapano A. L., et al. (2016). European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts): Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur. Heart J., 37(39), 2315-2381.
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