CLUSTER MODEL OF CARDIOVASCULAR, CARDIO-RESPIRATORY AND ABDOMINAL COMORBIDITY IN HIGH-RISK ELDERLY PATIENTS WITH MULTIFOCAL ATHEROSCLEROSIS

Abstract: objective. The study of clinical and cluster features of cardiovascular, cardio-respiratory and abdominal comorbidity in high-risk elderly patients (61-75 years) with the presence of multifocal atherosclerosis in the regional vascular center of Ufa.

Materials and methods. The standard protocol study included: anamnesis collection, examination, palpation, percussion and auscultation, laboratory and special methods of CCC research. When examining the patient, the general condition, manifestations of HF (reduced exercise tolerance (six-minute walk test scores), edematous syndrome, and the like) and brain failure were evaluated. During the examination of patients, special methods of studying the cardiovascular system were used: electrocardiography, Holter monitoring, echocardiography, computed tomography (brain perfusion), selective coronary ventriculography, ultrasound dopplerography, including ultrasound of the brachiocephalic arteries, transcranial dopplerography.

Conclusions. The existence of comorbid pathology significantly affects the clinical features and diagnosis of MFA, which is a prognostic factor for the development of an adverse outcome in both stable and unstable patients with two or more comorbidities with the presence of CHD, as well as with CVD and peripheral atherosclerosis.

Keywords: comorbidity, ischemic heart disease, cerebrovascular disease, arterial hypertension, peripheral artery disease, cluster analysis

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