MULTIMORBID AND POLYPHARMACY IN CLINICAL CARDIOLOGY IN TERMS OF THE CLINICAL CASE
Abstract
In this article is raised the topic of multimorbidity and polypharmacy on the example of a clinical case with the main diagnosis of Ischemic Heart Disease: Systemic atherosclerosis with predominance of coronary arteries sclerosis. Stable angina class III. Hypertensive heart disease III stage 3rd degree. Aortocoronary bypass. Sick sinus syndrome, tachy-brady form. Constant form of atrial fibrillation-flutter. AV node catheter ablation with pacemaker implantation. Infarction pneumonia of the lingual segments of the upper lobe of the right lung. CHF II-B stage with preserved systolic function of the left ventricle (EF LV 53 %). Very high additional cardiovascular risk. Concomitant conditions: Chronic obstructive pulmonary disease: Chronic obstructive bronchitis 2 degrees severity. Chronic pulmonary insufficiency III degree. Obesity III degree. Diabetes mellitus type 2, medium severity, decompensated. Chronic renal failure, III stage. The ongoing therapy is discussed and recommendations are given to minimize it in order to avoid polypharmacy.
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References
Cardiovascular multimorbidity, emerging coalescence of the integrated panvascular approach [Electronic resource] / [P. Lanzer, H. Zühlke, P. Jehle et al.] // Z Kardiol. – 2004. – Access to resource: http://doi.org/10.1007/s00392-004-0062-8.
Multimorbidity and risk among patients with established cardiovascular disease: A cohort study [Electronic resource] / [L. G. Glynn, B. Buckley, D. Reddan, J. Newell, J. Hinde, S. F. Dinneen, et al.] // Br J Gen Pract. – 2008. – Access to resource: http://doi.org/10.3399/bjgp08X319459.
Which chronic diseases and disease combinations are specific to multimorbidity in the elderly? Results of a claims data based cross-sectional study in Germany [Electronic resource] / [H. van den Bussche, D. Koller, T. Kolonko et al.] // BMC Public Health. – 2011. – Access to resource: http://doi.org/10.1186/1471-2458-11-101.
Vascular multimorbidity in patients with a documented coronary artery disease [Electronic resource] / [P. Lanzer] // Z Kardiol. – 2003. – Access to resource: http://doi.org/10.1007/s00392-003-0954-z.
Diagnosis and choice of the management strategy in patient with cardiac resynchronization therapy in case of chronic heart failure with multimorbidity / D. G. Drokin, I. V. Shanina, D. E. Volkov, A. O. Parfonova, N. V. Lysenko // The Journal of V. N. Karazin Kharkiv National University. Series: Medicine. – 2013. –No 1090, Issue 26. – P. 61–65.
Clinical case of persistent atrial flutter in patient with comorbid pathology / O. V. Gavrilyuk, Y. Y. Boeva, I. Ch. Anyasi, M. S. Maltseva, D. E. Volkov // The Journal of V. N. Karazin Kharkiv National University. Series: Medicine. – 2013. –No 1090, Issue 26. – P. 66–70.
Comorbidity study on type 2 diabetes mellitus using data minind / J. Korean, H. S. Kim, A. M. Shin [et al.] // Intern. Med. – 2012. –No 27 (2). – P. 197-202.
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