emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университетemcardio-285Research ArticleОригинальные научные публикацииOriginal Scientific ResearchВлияние топографо-анатомических характеристик интрамурального хода коронарной артерии на качество жизни пациентовThe influence of topographic and anatomical characteristics of the intramural course of the coronary artery on the patients’ quality of lifeДечкоС. В.DechkoS. V.БеймановА. Э.BeimanovA. E.ЧерноглазП. Ф.ChernoglazP. F.ЮрлевичД. И.YurievichD. I.УЗ «37-я городская поликлиника»BelarusУЗ «Городская клиническая больница скорой медицинской помощи г.Минска»BelarusУЗ «1-я городская клиническая больница»BelarusУЗ «9-я городская клиническая больница»Belarus20181411202521162168Copyright © Дечко С.В., Бейманов А.Э., Черноглаз П.Ф., Юрлевич Д.И., 20252025Дечко С.В., Бейманов А.Э., Черноглаз П.Ф., Юрлевич Д.И.Dechko S.V., Beimanov A.E., Chernoglaz P.F., Yurievich D.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/285

Цель исследования: изучить влияние топографо-анатомических характеристик интрамурального хода коронарной артерии на качество жизни пациентов с верифицированным диагнозом.Материалы и методы: Проведено ретроспективное исследование на трех клинических базах г. Минска: УЗ «1-я городская клиническая больница», УЗ «Городская клиническая больница скорой медицинской помощи» и УЗ «9-я городская клиническая больница». Объектом исследования послужили данные протоколов чрескожных вмешательств ангиографического кабинета.Выделена группа пациентов с описанным интрамуральным ходом коронарной артерии, которая насчи¬тывала 314 случаев за прошедшие 6 лет. Возраст пациентов - от 30 до 86 лет. Степень сжатия в систолу варьировала от незначительного стеноза (20 % и менее) до 100 %.Проведен анализ полученной информации с использованием компьютерной программы для статисти¬ческой обработки данных SPSS Statistics версии 21.0 (StatSoft, Inc., USA). Для изучения параметров качества жизни пациентов с интрамуральным ходом коронарной артерии использовался опросник SF-Зб. Интраму¬ральный ход коронарной артерии имеет широкий спектр топографо-анатомических характеристик и выявля¬ется преимущественно у мужчин в возрасте старше 30 лет. В 25 % случаев интрамуральный ход коронарной артерии не сопровождается атеросклеротическим поражением коронарных артерий. Чаще всего, во время сердечного сокращения сосуд перекрывается на 50-75 %.По результатам анализа ответов пациентов с верифицированным интрамуральным ходом коронарной артерии на опросник SF-36 можно предположить, что туннелированный сегмент может оказывать влияние на показатели качества жизни преимущественно в молодом возрасте. Отмечено влияние сужения просвета сосуда на показатели психического здоровья и жизненной активности пациентов.

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.

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The authors declare that there are no conflicts of interest present.