FUNCTIONAL CHARACTERISTICS OF PATIENTS WITH MYOCARDIAL INFARCTION WITH CONCOMITANT DISEASES OF PERIPHERAL ARTERIES AND PECULIARITIES OF APPROACHES TO THEIR REHABILITATION TREATMENT
DOI:
https://doi.org/10.11603/1811-2471.2019.v0.i1.10042Keywords:
myocardial infarction, peripheral arteries comorbidity, cardiac rehabilitation, Charlson Comorbidity IndexAbstract
The high prevalence of cardiological diseases and their frequent combination with different comorbid conditions lead to an increase in the number of patients whose therapeutic approaches go beyond the generally accepted standards.
The aim of this study was to analyze the relationship of the comorbid pathology of peripheral arteries with functional characteristics of patients with myocardial infarction.
Material and Methods. We examined 371 patients with acute myocardial infarction with comorbid pathology, including peripheral arterial disease (PAD), who underwent acute phase of rehabilitation. The age of patients was (66.16± 10.41) years. Among the surveyed, there were 249 (67.12 %) men and 122 women (32.88 %). The parameters of intracardiac hemodynamics were determined by evaluating the echocardiographic indices measured on the Philips HD11XE device, electrocardiographic cardiac activity values were studied using the ECG of the UTAS device, and the biochemical parameters of blood were determined by commonly used methods using standard test systems (Pliva-Lachema, Czech Republic).
Results and Discussion. In studying the relationship between the concomitant pathology of peripheral arteries in patients with myocardial infarction and numerical functional parameters, there was a direct correlation between the presence of vascular pathology and the duration of anamnesis of arterial hypertension, the magnitude of systolic and diastolic blood pressure, the thickness of the left ventricular walls and the size of the right ventricle, and also between available vascular pathology and comorbidity index. It was proved that PAD is an independent predictor of a worse functional state in patients with MI due to deepening of structural and functional changes in the heart.
Conclusions. Association of myocardial infarction with comorbid peripheral arterial disease is an independent predictor of a worse functional state of the body. Charlson Comorbidity Index can serve as a tool for quantifying the degree of comorbidity in patients with MI with PAD in determining the functional status and planning for rehabilitation.
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