Rehabilitation of patients who underwent coronary bypass surgery from the point of view of restoring labor potential

Kuzmichkina, M. A.; Serebryakova, V. N.

doi:10.30629/0023-2149-2020-98-4-266-274

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…операций КШ ежегодно [4]. С увеличением продолжительности жизни пациентов с ИБС возрастает потребность в данном типе вмешательств [5,6]. Вместе с тем встает закономерный вопрос о долгосрочной эффективности хирургической реваскуляризации миокарда и факторах, влияющих на отдаленный прогноз.…”

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Predictors of Long-Term Outcomes after Surgical Myocardial Revascularization

Kaveshnikov

Kuzmichkina

Serebryakova

2023

Racionalʹnaâ farmakoterapiâ v kardiologii

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High mortality from cardiovascular diseases (CVD) requires improved approaches to the treatment of this socially significant pathology. Wide implementation of surgical myocardial revascularization makes it possible to improve significantly both life quality and expectancy in patients with coronary heart disease. The aim of this work was to analyze the literature on the impact of preoperative, operative and postoperative factors on the long-term prognosis after coronary artery bypass grafting (CABG). The review refers to both recent and earlier informative works. The target groups for this article are therapists, cardiologists, rehabilitologists, who work with patients in the short and long term after CABG. Data of Russian and foreign literature show that the long-term prognosis after CABG is largely determined by preoperative factors, in particular – age, set of cardiovascular risk factors (RF) and comorbidity, specifically – severity of coronary and systemic atherosclerosis, incident cardiovascular complications, structural and functional state of the heart. In the aggregate these factors reflect the cumulative effect and further potential of actual cardiovascular RFs, affect longterm risk of adverse events, and determine the therapeutic targets of secondary prevention. Priority of arterial conduits and completeness of revascularization are the main operative factors that determine the course of the long-term period after CABG. Among the postoperative factors, the efficiency of secondary CVD prevention is of paramount importance, in particular – achievement of target RF levels, compensation of cardiac and extracardiac pathology, adherence to the long-term medical therapy, known to improve outcomes based on specific comorbidity. Efficiency of secondary CVD prevention largely depends on patient's health attitudes, the key influence on which beyond attending physician can be provided by participation in rehabilitation programs, teaching patients the meaning and essentials of lifestyle modification and cardiovascular RFs’ control.

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Predictors of Long-Term Outcomes after Surgical Myocardial Revascularization

Kaveshnikov

Kuzmichkina

Serebryakova

2023

Racionalʹnaâ farmakoterapiâ v kardiologii

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Surgical myocardial revascularization: to the issue of predictors of long-term prognosis (literature review)

Kuzmichkina,

Serebryakova

2023

Zdravoohran. Ross. Fed.

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Despite the active development of measures for the prevention and treatment of cardiovascular diseases (CVD), today the mortality rate remains high. In this regard, in recent decades, there has been a pronounced progress in the field of methods of treating patients with coronary heart disease (CHD). Undoubtedly, an important role is assigned to the improvement of methods of surgical myocardial revascularization. To reduce mortality rates it is necessary to work in various directions, including the improvement of surgical techniques, active work on the early detection of CVD. It is worth to aim at delivery a system of information support for the population on the issues of maintaining and promoting health, a healthy lifestyle, and effective drug treatment for CVD. It is actual to study factors that can influence on the course of the disease after surgery. The search for materials was carried out by analyzing open sources of English and Russian reports in the electronic databases PubMed, MEDLINE, Scopus, eLibrary, CyberLeninka, Web of Science, RSCI. A review of the literature on works aimed at identifying the most significant predictors of poor long-term prognosis after coronary artery bypass grafting (CABG) is presented. The main predictors of an unfavourable long-term prognosis after surgical myocardial revascularization include age at the time of surgery over 60–65 years, diabetes mellitus (DM), chronic kidney disease (CKD), multivessel coronary atherosclerosis, multifocal atherosclerosis (MFA), reduced fraction ejection (EF) of the left ventricle (LV) (< 50%), index coronary bypass surgery for acute coronary syndrome (ACS), a history of acute cerebrovascular accident (ACV), and myocardial infarction (MI), LV plasty.

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Rehabilitation of patients who underwent coronary bypass surgery from the point of view of restoring labor potential

Cited by 2 publications

References 34 publications

Predictors of Long-Term Outcomes after Surgical Myocardial Revascularization

Predictors of Long-Term Outcomes after Surgical Myocardial Revascularization

Surgical myocardial revascularization: to the issue of predictors of long-term prognosis (literature review)

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