OUTPATIENT FOLLOW-UP OF THE LOWER EXTREMITIES ATHEROSCLEROSIS PATIENTS FROM CARDIOLOGIST POINT OF VIEW

Aim. To study clinical characteristics of patients with lower extremities atherosclerosis form cardiologist point of view.Material and methods. Totally, 458 patients included (372 (79%) males and 84 (18,4%) females, median age 63 year-old, from 45 to 81) with obliterating atherosclerosis of lower ex...

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Main Authors: A. N Sumin, M. A. Kosova, Yu. D. Medvedevа, A. V. Shcheglova, S. A. Makarov, G. V. Artamonova, L. S. Barbarash
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2016-12-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/694
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author A. N Sumin
M. A. Kosova
Yu. D. Medvedevа
A. V. Shcheglova
S. A. Makarov
G. V. Artamonova
L. S. Barbarash
author_facet A. N Sumin
M. A. Kosova
Yu. D. Medvedevа
A. V. Shcheglova
S. A. Makarov
G. V. Artamonova
L. S. Barbarash
author_sort A. N Sumin
collection DOAJ
description Aim. To study clinical characteristics of patients with lower extremities atherosclerosis form cardiologist point of view.Material and methods. Totally, 458 patients included (372 (79%) males and 84 (18,4%) females, median age 63 year-old, from 45 to 81) with obliterating atherosclerosis of lower extremities. Patients were examined by cardiologist under the framework of registry at Kemerovo Cardiovascular center, in 2009-2013. For the study, two groups were selected according to Russian classification of chronic lower extremities vessels ischemia (CLEI) stage by Fountain-Pokrovsky: Group 1 (n=196) with CLEI 1-2a stage, Group 2 (n=260) with CLEI 2b-4 stage.Results. Among patients with obliterating lower extremities arteries diseases there was high prevalence of cardiocerebral pathology: myocardial infarction in anamnesis 34,4%, and clinical signs of angina in 48,5%, stroke anamnesis in 14,3% and extracranial stenosis of arteries in 12,3%. Also, the prescribed cardiovascular protective therapy was not optimal: statins were being taken by 64,5%, betablockers by 65,6%, ACE inhibitors by 52,4%. There was no difference in the prevalence of cardiovascular pathology and received treatment among groups with various severity of obliteration of arteries.Conclusion. For an improvement of secondary prevention, it is aim worthy to apply in patients with obliteration diseases of lower extremities the new organizational approaches at outpatient stage.
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spelling doaj.art-42db70a878c44dd2929c620bcb89b9342025-03-02T11:42:40Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202016-12-01012586310.15829/1560-4071-2016-12-9-15720OUTPATIENT FOLLOW-UP OF THE LOWER EXTREMITIES ATHEROSCLEROSIS PATIENTS FROM CARDIOLOGIST POINT OF VIEWA. N Sumin0M. A. Kosova1Yu. D. Medvedevа2A. V. Shcheglova3S. A. Makarov4G. V. Artamonova5L. S. Barbarash6Research Institute for Complex Issues of Cardiovascular DiseasesKemerovo Cardiovasular DispensaryKemerovo Cardiovasular DispensaryResearch Institute for Complex Issues of Cardiovascular DiseasesKemerovo Cardiovasular DispensaryResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesAim. To study clinical characteristics of patients with lower extremities atherosclerosis form cardiologist point of view.Material and methods. Totally, 458 patients included (372 (79%) males and 84 (18,4%) females, median age 63 year-old, from 45 to 81) with obliterating atherosclerosis of lower extremities. Patients were examined by cardiologist under the framework of registry at Kemerovo Cardiovascular center, in 2009-2013. For the study, two groups were selected according to Russian classification of chronic lower extremities vessels ischemia (CLEI) stage by Fountain-Pokrovsky: Group 1 (n=196) with CLEI 1-2a stage, Group 2 (n=260) with CLEI 2b-4 stage.Results. Among patients with obliterating lower extremities arteries diseases there was high prevalence of cardiocerebral pathology: myocardial infarction in anamnesis 34,4%, and clinical signs of angina in 48,5%, stroke anamnesis in 14,3% and extracranial stenosis of arteries in 12,3%. Also, the prescribed cardiovascular protective therapy was not optimal: statins were being taken by 64,5%, betablockers by 65,6%, ACE inhibitors by 52,4%. There was no difference in the prevalence of cardiovascular pathology and received treatment among groups with various severity of obliteration of arteries.Conclusion. For an improvement of secondary prevention, it is aim worthy to apply in patients with obliteration diseases of lower extremities the new organizational approaches at outpatient stage.https://russjcardiol.elpub.ru/jour/article/view/694peripheral arterial diseaseatherosclerosisoutpatient monitoring
spellingShingle A. N Sumin
M. A. Kosova
Yu. D. Medvedevа
A. V. Shcheglova
S. A. Makarov
G. V. Artamonova
L. S. Barbarash
OUTPATIENT FOLLOW-UP OF THE LOWER EXTREMITIES ATHEROSCLEROSIS PATIENTS FROM CARDIOLOGIST POINT OF VIEW
Российский кардиологический журнал
peripheral arterial disease
atherosclerosis
outpatient monitoring
title OUTPATIENT FOLLOW-UP OF THE LOWER EXTREMITIES ATHEROSCLEROSIS PATIENTS FROM CARDIOLOGIST POINT OF VIEW
title_full OUTPATIENT FOLLOW-UP OF THE LOWER EXTREMITIES ATHEROSCLEROSIS PATIENTS FROM CARDIOLOGIST POINT OF VIEW
title_fullStr OUTPATIENT FOLLOW-UP OF THE LOWER EXTREMITIES ATHEROSCLEROSIS PATIENTS FROM CARDIOLOGIST POINT OF VIEW
title_full_unstemmed OUTPATIENT FOLLOW-UP OF THE LOWER EXTREMITIES ATHEROSCLEROSIS PATIENTS FROM CARDIOLOGIST POINT OF VIEW
title_short OUTPATIENT FOLLOW-UP OF THE LOWER EXTREMITIES ATHEROSCLEROSIS PATIENTS FROM CARDIOLOGIST POINT OF VIEW
title_sort outpatient follow up of the lower extremities atherosclerosis patients from cardiologist point of view
topic peripheral arterial disease
atherosclerosis
outpatient monitoring
url https://russjcardiol.elpub.ru/jour/article/view/694
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