PREDICTION THE RISK OF CARDIOVASCULAR EVENTS IN PATIENTS WITH STABLE ANGINA PECTORIS AND GASTROESOPHAGEAL REFLUX DISEASE DURING ESOPHAGOGASTRODUODENOPHIBROSCOPY
DOI:
https://doi.org/10.11603/1811-2471.2018.v0.i2.8641Keywords:
stable angina pectoris, gastroesophageal reflux disease, Ch. D. Spielberger and Yu. L. Hanina questionnaire, cardiac symptoms, medication preparation.Abstract
The aim of the study – to determine the incidence of cardiac symptoms and the need for the medical preparation of patients with stable angina pectoris (SAP) for comorbidity with GERD when conducting esophagogastroduodenofibroscopy (EGDFS)
Material and Methods. We examined 44 patients with SAP, I–II FC with comorbid GERD who already had experience in conducting endoscopic examination. The age of the patients varied from 48 to 79 years. Patients did not receive any medication preparation for EGDFS. The actual endoscopic examination was carried out in the morning, on an empty stomach, one hour after awakening under ECG control. All patients in the evening of the day preceding the day of endoscopic diagnosis were asked to pass a test of Ch.D. Spielberger and Yu. L. Hanina.
Results. It was found that the average value in the study group for both reactive and personal anxiety was in the range of 31–45 points, which corresponds to moderate anxiety. The incidence of cardiac symptoms in the study group was 77.2 % (35 patients) during EHDPS. Based on the results of the repeated analysis of the results of testing of patients who had this or that cardiac symptomatology, the limiting score of the two subscales of the Spielberger–Hanin questionnaire was established, which is 75 points, when it reaches or exceeds which there is a high risk of developing certain cardiac symptoms in patients with SAP and GERD in the conduct of EHDRS, and these patients need medical treatment for endoscopic diagnostic. Dependence between the ratio of subscales in the sum is not established.
Conclusion. The incidence of cardiac symptoms in EHDPS patients with CHF and GERD is 77.2 %. It is recommended to diagnose anxiety with the help of the Spielberger-Khanin questionnaire in the evening of the day preceding the day of the study in order to establish the risk of cardiovascular events in the course of EGDFS. If, in sum, the results of the two subscales of the Spielberg-Khanin questionnaire were 75 points, then the risk of cardiac symptoms during EGDFS was high and these patients need medical preparations for EGMDS.
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