ОСОБЛИВОСТІ ФУНКЦІОНАЛЬНОЇ ХАРАКТЕРИСТИКИ ХВОРИХ НА ІНФАРКТ МІОКАРДА З СУПУТНЬОЮ ПАТОЛОГІЄЮ ПЕРИФЕРИЧНИХ АРТЕРІЙ ТА ЇХ ГОТОВНІСТЬ ДО РЕАБІЛІТАЦІЇ

Левицька Л. В.

doi:10.31435/rsglobal_ws/30122018/6266

Левицька Л. В. к. мед. н., Тернопільський державний медичний університет імені І. Я. Горбачевського

DOI: https://doi.org/10.31435/rsglobal_ws/30122018/6266

Keywords: Cardiac rehabilitation, myocardial infarction, peripheral arteries comorbidity, Charleson Comorbidity Index

Abstract

Effective rehabilitation of patients with myocardial infarction (MI) and peripheral arteries comorbidity (PAC) requires special assessment of functional status and cardiovascular reserves among patients with this disease. The purpose of the given research was to analyze the relationship of peripheral vascular comorbidity with functional characteristics of patients with myocardial infarction.
The reliability of the direct relationship between the presence of PAC in patients with myocardial infarction and the incidence of left ventricular aneurysm and mortality, direct correlation between the presence of PAC and the levels of systolic and diastolic blood pressure, as well as between the presence of the PAC and the Charlson Comorbidity Index, was established. The results of high contingency between the MI, the presence of PAC and its complications indicate the common pathogenetic mechanisms of development and progression of these conditions and the need to consider the presence of peripheral vascular pathology in the development of an individualized rehabilitation program for such patients. The Charleson Comorbidity Index can serve as a means for quantitative assessment of comorbidity degree in patients with MI and PAC.

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