Background. In conditions of permanent progress in the quality of surgical care in various areas of surgery, it is very important to allow patients themselves to evaluate provided treatment.
Aims: this paper analyzes the quality of life in individuals with acute lower limb ischemia who have undergone lower limb revascularization surgery.
Materials and methods. An assessment of the quality of life of 122 patients with acute lower limb ischemia (ALI) of II degree who were treated at the Moscow Сity Сlinical Hospital оf S.S. Yudin from 2016 to 2018 (average age 72.1 14.7 years) was performed. The quality of life was assessed using the medical Outcomes Study-Short Form (MOS SF-36) quality of life assessment methodology.
Results. When assessing the quality of life of patients, it was found that the psychological and physical components of patients health are significantly affected by the angiotropic effect of the affecting factor associated with the presence of diabetes mellitus. 1 month after surgical restoration of blood flow against the background of the initial embolism, 83.6% of the respondents who did not suffer from diabetes noted a persistent improvement in their General condition and quality of life.
Conclusion. This method of assessing the quality of life after surgical restoration of blood flow in patients with acute lower limb ischemia can be used in angiosurgical practice and clearly reflects of patient satisfaction with the treatment.
Introduction. Myocardial infarction is a severe complication after carotid endarterectomy. Searching for predictors of its development is actual problem of current cardiovascular surgery. Material and methods. The study included 1018 patients who underwent carotid endarterectomy. Postoperative myocardial infarction (MI) was diagnosed in 38 (3.7%) patients. These patients were included into study group. Control group enrolled 980 (96.3%) patients without MI. Results. Patients who had postoperative myocardial infarction were older (p = 0.005). Atrial fibrillation, chronic obstructive pulmonary disease (COPD) and severe arterial hypertension (p<0.0001) have been more frequently diagnosed in these group. At the same time they rarer received statins (p<0.0001) and beta-blockers (p=0.02). Correlation analysis revealed a relationship between myocardial infarction, COPD, atrial fibrillation, pulmonary hypertension and beta-blockers administration with development of postoperative acute myocardial infarction. Conclusion. Above-mentioned predictors of myocardial infarction should be considered before carotid arteries reconstruction to reduce incidence of this complication.
Д.м.н., проф. А.Н. КОсеНКОв 1 , к.м.н. Р.А. виНОгРАДОв 2 , О.в. ДРАКиНА 1 1 Кафедра сердечно-сосудистой хирургии и инвазивной кардиологии (зав.-проф. Р.Н. Комаров) Первого Московского государственного медицинского университета им. и.М. сеченова (ректор-член-корр. РАН П.в. глыбочко); 2 гБУЗ «Научноисследовательский институт-Краевая клиническая больница №1 им. проф. с.в. Очаповского» Минздрава Краснодарского края (гл. врач-член-корр. РАН в.А. Порханов), Россия Ключевые слова: острое нарушение мозгового кровообращения, когнитивные нарушения, атеросклероз внутренней сонной артерии, каротидная эндартерэктомия, стентирование сонных артерий, когнитивные функции, ишемические очаги в коре головного мозга.
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