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Vol 1, No 4 (2017): Arterial Hypertension
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6-9 268
Abstract
This article reviews the complex therapy of patients with arterial hypertension and concomitant pathology. Metabolic treatment as a part of complex therapy is discussed.
10-17 251
Abstract
The article presents and systematized data on the comorbidity during encephalopathy syndrome, on the material of 679 patients are given information about the structure of personality disorders in these patients. The data on psychopharmacological approach to the treatment of this syndrome, recommendations for optimization of complex therapy syndrome during rational pharmacotherapy.
18-24 322
Abstract
Cognitive disorders are of great social importance and are interdisciplinary problem, as occur in many diseases: cardiovascular diseases, diabetes, obesity, etc. An important role in the development of cognitive disorders plays hypertension. Treating cognitive disorders should include a healthy lifestyle, avoiding harmful habits and also therapy of the underlying disease. Among drugs with metabolic, neuroprotective effect clinical studies confirmed the high efficiency of Actovegin.
25-30 328
Abstract
According to the recommendations of the European society of cardiology and the European respiratory society on the diagnosis and treatment of pulmonary hypertension (2015) spiroveloergometry parameters (peak oxygen consumption and ventilation equivalent of carbon dioxide) are important components of the scale of risk stratification of mortality in patients with pulmonary arterial hypertension. The obtained results as a complement to clinical and hemodynamic parameters played an important role in the further tactics of patient management, timely escalation of specific therapy of pulmonary arterial hypertension, which is the key to a stable course of the disease.
31-35 491
Abstract
Arterial hypertension is one of the most common cardiovascular diseases. One of the risk factors for the development of hypertension is excessive salt consumption. The excess of salt leads to increased blood pressure at not all patients. Patients with arterial hypertension responding to excess consumption of sodium chloride with increased blood pressure are defined as salt-sensitive ones. This work is devoted to the study of circadian variability of blood pressure, indicators of content of body fluids in patients with arterial hypertension with different cholecustitis, also gender differences in cholecustitis were studied.
36-42 385
Abstract
The study aim is to assess the dislipidemia prevalence in patients with coronary artery disease (CAD) older than 75 years as well as to evaluate possible associations between serum lipids and various cardiovascular and other diseases in the very elderly patients. Methods. This project is a cross sectional study enrolled 555 hospitalized patients with CAD older than 75 years. The overwhelming majority of study patients (74.5 %) constituted females. The mean age of patients was 86.8 (±5.0) years varying from 75 to 98 years. Results. Increased total cholesterol level was observed only in 13.3 % of cases; hypertriglyceridemia was revealed in 10.4 % of patients and increase of LDL-C in 26.3 %o, but dislipidemia was mild in the majority of cases. As the age increased, total cholesterol and LDL-C serum levels significantly decreased. Significant negative correlation between TC level and patient s age was revealed (r = -0.13; p = 0.001). Mean TC level in patients aged 75-80 years was 5.43 mmol/L; in patients 80-90 years was 5.0 mmol/L and in subjects 90 years of age and older was 4.7 mmol/L (p = 0.001 for differences between 1-st and 3-d groups). Similar results were registere in respect of LDL-C. Mean LDL-C level in patients younger than 80 years was 3.7 mmol/L; in patients 90 years of age and older was 2.7 mmol/L (p = 0.004). Females had higher concentrations of all lipids than males: mean TC level was 5.1 mmol/l vs 4.5 mmol/l in men (p < 0.0001), LDL-Cwas 3.1 mmol/l vs 2.5 mmol/l (p = 0.0002), HDL-C was 1.26 mmol/l vs 1.17 mmol/l (p = 0.01). Lower lipids concentrations (mainly TC level) were significantly associated with clinically significant heart failure (p < 0.0001) and atrial fibrillation (p < 0.0001). Higher TC and triglycerides levels were correlated with higher blood pressure values (both systolic and diastolic) (p = 0.001). Significant positive correlations between triglycerides and glucose concentration (p < 0.0001) as well as between TG and uric acid level (p = 0.001) were revealed. Higher triglycerides and lower HDL-C levels were registered in patients with higher creatinine level (p = 0.001 and p = 0.0003, respectively). Only 11.4 % of study patients were treated with low doses of statins. Conclusion. The study results demonstrated considerable features of lipid profile in the very elderly patients with CAD. Significant, although ambiguous, associations between dislipidemia and a number of diseases were determined.

ТЕЗИСЫ VIII МЕЖВУЗОВСКОЙ КОНФЕРЕНЦИИ МОЛОДЫХ ВРАЧЕЙ- ИССЛЕДОВАТЕЛЕЙ «ПРОФИЛАКТИКА И ЛЕЧЕНИЕ СЕРДЕЧНО-СОСУДИСТЫХ ЗАБОЛЕВАНИЙ»



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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)