Мультиморбідність Як Клінічна Проблема

Abstract

Multimorbidity is defined as two or more chronic conditions in the same individual. It is associated with significant impacts on quality of life, poor functional status, enhancement of the challenges of medical care and cost implications, unnecessary hospitalizations, increases the terms of hospital stay, and affects the evaluation of the interventions effectiveness. The article reviews the prevalence of multimorbidity, combinations of conditions in people with multimorbidity, especially, in patients with cardiovascular diseases. This review also identifies the emerging evidence to support policy for the management of people with multimorbidity and common comorbidities as presented in WHO manual, Guiding principles for the care of older adults with multimorbidity of the American Geriatrics Society and NICE clinical guidelines (NG56). The paper outlined key problems posed by current healthcare organization and experienced by patients with multimorbidity – the need for the development of accurate and reliable methods of comorbidity assessment and evidence-based outcome measurement criteria and tools.

Characteristics of Circadian Blood Pressure Profile in Patients With Acute Coronary Syndrome and Their Association With Thyroid Function

“…Despite the well-established key risk factors for coronary heart disease (CHD), including smoking, arterial hypertension (AHT), obesity, dyslipidemia, physical inactivity, etc., the study of the role of other factors [2] and concomitant diseases [3] that can contribute to coronary artery disease (CAD) and the development and progression of heart failure (HF) of ischemic origin continues to be relevant. This includes, in particular, thyroid dysfunction [8,9,10,11], which ranks first among all…”