MULTIMORBID AND POLYPHARMACY IN CLINICAL CARDIOLOGY IN TERMS OF THE CLINICAL CASE

  • A. O. Radchenko V.N. Karazin Kharkiv National University, Kharkiv, Ukraine
  • N. V. Makienko V.N. Karazin Kharkiv National University, Kharkiv, Ukraine
  • N. A. Vodyanitska Kharkiv Railway Clinical Hospital No 1 of the branch «Center of Healthcare» of public JSC «Ukrainian Railway», Kharkiv, Ukraine
Keywords: multimorbidity, cardiovascular diseases, drug therapy

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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Author Biographies

A. O. Radchenko, V.N. Karazin Kharkiv National University, Kharkiv, Ukraine

Svobody sq., 6, Kharkiv, 61022, Ukraine

 
N. V. Makienko, V.N. Karazin Kharkiv National University, Kharkiv, Ukraine

Svobody sq., 6, Kharkiv, 61022, Ukraine

 
N. A. Vodyanitska, Kharkiv Railway Clinical Hospital No 1 of the branch «Center of Healthcare» of public JSC «Ukrainian Railway», Kharkiv, Ukraine

61103, g. Kharkov, per. Balakireva, 5

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Published
2017-09-11
How to Cite
Radchenko, A. O., Makienko, N. V., & Vodyanitska, N. A. (2017). MULTIMORBID AND POLYPHARMACY IN CLINICAL CARDIOLOGY IN TERMS OF THE CLINICAL CASE. The Journal of V. N. Karazin Kharkiv National University, Series "Medicine", (33), 91-94. Retrieved from https://periodicals.karazin.ua/medicine/article/view/9149
Section
Clinical case