The influence of topographic and anatomical characteristics of the intramural course of the coronary artery on the patients’ quality of life
S.V. Dechko, A.E. Beimanov, P.F. Chernoglaz, D.I. Yurievich
The aim of the study was to investigate the effect of topographic and anatomical characteristics of the intramural course of the coronary artery on the quality of life of patients with a verified diagnosis. Methods. A retrospective study was carried out at three clinical bases in Minsk: "City Clinical Hospital No 1", "City Clinical Emergency Hospital" and "City Clinical Hospital No 9". The object of the study was the data of percutaneous interventions protocols of the catheterization laboratory.
A group of patients with the described intramural course of the coronary artery, which included 314 cases in the past 6 years, was identified. The age of patients ranged from 30 to 86 years. The degree of contraction during the systole varied from minor stenosis (20% and less) to 100%.
The information was analyzed using a computer program for statistical processing SPSS Statistics version 21.0 (StatSoft, Inc., USA). To study the parameters of the patients quality of life the SF-36 questionnaire was used. The intramural course of the coronary artery has a wide range of topographic and anatomical characteristics and is found primarily in men over 30 years old. In 25% of cases the intramural course of the coronary artery is not accompanied by atherosclerotic lesion of the coronary arteries. Most frequently, the vessel is clogged by 50-75% during cardiac contraction.
The analysis of answers given by the patients with the verified intramural course of the coronary artery suggests that the tunneled segment can affect the quality of life mainly at a young age. The influence of vessel lumen narrowing on the indicators of mental health and vital activity of patients was found.
keywords: intramural course of the coronary artery, coronaroangiography, myocardial bridge, quality of life
for references: S.V. Dechko, A.E. Beimanov, P.F. Chernoglaz, D.I. Yurievich. The influence of topo¬graphic and anatomical characteristics of the intramural course of the coronary artery on the patients’ quality of life. Emergency Cardiology and Cardiovascular Risks. 2018, vol. 2, no. 1, pp. 162-168
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