The present article addresses the definition of cerebral amyloid angiopathy (CAA) and its symptoms based on the analysis of the medical case; the issues of diagnosis and treatment of this pathology are discussed. The Boston criteria, which became the basis for diagnosis, study of clinical manifestations and progression of CAA and approaches to its therapy, are presented. Methods and modes of neuroimaging, including magnetic resonance imaging (MRI), which verify micro cerebral haemorrhage, are described. At the same time, the role and significance of cardiac arrhythmias in the genesis of ischemic stroke are discussed, and scales for assessing the risk of its occurrence are presented. The observation of the neurological, somatic, neuroimaging, neuropsychological status of a 62-year-old patient confirms quite rare combination of probable CAA, paroxysmal atrial fibrillation and repeated hemorrhagic functional apoplexy (FA). The relevance of the case described, is a complex clinical dilemma based on mutually exclusive recommendations for the pharmacological correction of such conditions. It is emphasized that in many multicenter clinical studies on the effectiveness of antithrombotic medication (antiaggregants, anticoagulants) in the treatment and prevention of ischaemic functional apoplexy , an important exclusion criterion is a hemorrhagic stroke in past history (including the multiple changes in haemostasis indicators). Taking into account the obtained clinical and laboratory data in the dynamics, the tactics of treating the described patient were determined. The results of studies related to the treatment of comorbid pathology that should become the subject of the development of a personalized algorithm for managing patients in each specific case, are discussed.
Currently, development of the consumer market is becoming increasingly important. Loans provided by a commercial Bank contribute to solving financial problems of the population, as well as enables customers to meet their needs for the goods and services they need, without having a sufficient monetary means at the present moment. The growth of consumer activity activates the production processes, thereby increasing the market capacity, which contributes to developing the economy and, consequently, to improving human wellbeing. The issues related to the consumer credit market development affect not only the problems of the state of the banking system monetary mechanism as a whole, but also the mechanism of lending in a separate commercial bank. At the same time, the consumer lending is usually associated with high credit risks for the credit organization, which determines the topicality of the problems and the need to improve the consumer lending market in Russia.
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