Progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmias
Aim. To develop a progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmias.Material and methods. The study was carried out in 2 stages. The study sample consisted of 262 elderly and senile people (mean age, 69,5±1,1 years). There 145 elderly (mean age, 68,4±...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
«SILICEA-POLIGRAF» LLC
2020-11-01
|
| Series: | Кардиоваскулярная терапия и профилактика |
| Subjects: | |
| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/2662 |
| _version_ | 1827063795314327552 |
|---|---|
| author | A. N. Ilnitski K. I. Prashchayeu E. I. Korshun E. S. Kravchenko M. A. Pokachalova |
| author_facet | A. N. Ilnitski K. I. Prashchayeu E. I. Korshun E. S. Kravchenko M. A. Pokachalova |
| author_sort | A. N. Ilnitski |
| collection | DOAJ |
| description | Aim. To develop a progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmias.Material and methods. The study was carried out in 2 stages. The study sample consisted of 262 elderly and senile people (mean age, 69,5±1,1 years). There 145 elderly (mean age, 68,4±1,2 years) and 117 senile patients (mean age 74,4±1,3 years). We analyzed medications used for six months in geriatric patients with arrhytmias and senile asthenia (SA) and without it. The combined strategy of management of geriatric patients with arrhytmias and SA was tested.Results. SA is most common in geriatric patients who are taking drugs such as class I a, b, c antiarrhythmics, class V antiarrhythmics (cardiac glycosides), diuretics (torasemide, furosemide), and statins. This indicates the need to avoid polypharmacy and to adjust the treatment of geriatric patients with cardiac arrhythmias in accordance with Beers criteria. Presented study revealed that in patients with SA, the total antioxidant activity is reduced, which indicates the need to restore antioxidant defence to such patients. A combined strategy has been developed for the management of geriatric patients with cardiac arrhytmias and SA.Conclusion. The combined strategy of managing older patients with arrhytmias and SA helped to improve the geriatric status, prevent SA, and increase antioxidant defence. A significant improvement in the quality of life was noted, in particular, in relation to the mental and psychological well-being. |
| first_indexed | 2024-04-10T03:34:30Z |
| format | Article |
| id | doaj.art-d33bcdc16d58426ab4e34d4b9cda0586 |
| institution | Directory Open Access Journal |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| last_indexed | 2025-03-19T22:36:56Z |
| publishDate | 2020-11-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj.art-d33bcdc16d58426ab4e34d4b9cda05862024-10-17T12:21:39Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252020-11-0119510.15829/1728-8800-2020-26622173Progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmiasA. N. Ilnitski0K. I. Prashchayeu1E. I. Korshun2E. S. Kravchenko3M. A. Pokachalova4Belgorod State National Research UniversityBelgorod State National Research UniversityAcademy of Postgraduate Education under the Federal State Budgetary Unit Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological AgencyAcademy of Postgraduate Education under the Federal State Budgetary Unit Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency; Sverdlovsk Regional Clinical Psychoneurological Hospital for War VeteransPrivate Hospital RZD-MedicineAim. To develop a progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmias.Material and methods. The study was carried out in 2 stages. The study sample consisted of 262 elderly and senile people (mean age, 69,5±1,1 years). There 145 elderly (mean age, 68,4±1,2 years) and 117 senile patients (mean age 74,4±1,3 years). We analyzed medications used for six months in geriatric patients with arrhytmias and senile asthenia (SA) and without it. The combined strategy of management of geriatric patients with arrhytmias and SA was tested.Results. SA is most common in geriatric patients who are taking drugs such as class I a, b, c antiarrhythmics, class V antiarrhythmics (cardiac glycosides), diuretics (torasemide, furosemide), and statins. This indicates the need to avoid polypharmacy and to adjust the treatment of geriatric patients with cardiac arrhythmias in accordance with Beers criteria. Presented study revealed that in patients with SA, the total antioxidant activity is reduced, which indicates the need to restore antioxidant defence to such patients. A combined strategy has been developed for the management of geriatric patients with cardiac arrhytmias and SA.Conclusion. The combined strategy of managing older patients with arrhytmias and SA helped to improve the geriatric status, prevent SA, and increase antioxidant defence. A significant improvement in the quality of life was noted, in particular, in relation to the mental and psychological well-being.https://cardiovascular.elpub.ru/jour/article/view/2662cardiac arrhytmiasolder agegeriatric patientmultifaceted approachantioxidant system |
| spellingShingle | A. N. Ilnitski K. I. Prashchayeu E. I. Korshun E. S. Kravchenko M. A. Pokachalova Progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmias Кардиоваскулярная терапия и профилактика cardiac arrhytmias older age geriatric patient multifaceted approach antioxidant system |
| title | Progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmias |
| title_full | Progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmias |
| title_fullStr | Progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmias |
| title_full_unstemmed | Progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmias |
| title_short | Progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmias |
| title_sort | progressive multifaceted approach to the management of geriatric patients with cardiac arrhythmias |
| topic | cardiac arrhytmias older age geriatric patient multifaceted approach antioxidant system |
| url | https://cardiovascular.elpub.ru/jour/article/view/2662 |
| work_keys_str_mv | AT anilnitski progressivemultifacetedapproachtothemanagementofgeriatricpatientswithcardiacarrhythmias AT kiprashchayeu progressivemultifacetedapproachtothemanagementofgeriatricpatientswithcardiacarrhythmias AT eikorshun progressivemultifacetedapproachtothemanagementofgeriatricpatientswithcardiacarrhythmias AT eskravchenko progressivemultifacetedapproachtothemanagementofgeriatricpatientswithcardiacarrhythmias AT mapokachalova progressivemultifacetedapproachtothemanagementofgeriatricpatientswithcardiacarrhythmias |