Cardiovascular Risk in Patients with Acute Calculus Cholecystitis
Abstract
The ischemic depression of the ST segment was observed in six patients of the main study group on the 2nd day after the operation and in ten patients from the comparison group. The number of patients with ischemic changes on the ECG was four in the main group on the 4th day after surgery, and fifteen in the group without cardioprotective therapy (p <0.05). In the remote postoperative period, 14% (n = 20) of patients were hospitalized for acute coronary syndrome (ACS). In 10% (n = 2) of cases, a subendocardial myocardial infarction was diagnosed.
About the Authors
D. S. Gerasimionak
Belarusian State Medical University
Belarus
Belarus
E. A. Grigorenko
Belarusian State Medical University
Belarus
Belarus
L. V. Kartun
Belarusian State Medical University
Belarus
Belarus
N. P. Mitkovskaya
Belarusian State Medical University
Belarus
Belarus
References
1. Amim T., Maseri A. Silent Ischemia: Current concepts and Management. Springer Science & Bussines Media, 2013, 213 p.
2. Conti C. R., Bavry A. A., John J. W. Petersen Silent ischemia: clinical relevance. JAm Coll Cardiol. 2012, vol. 31, no. 59(5), pp. 435-441. doi: 10.1016/j.jacc.2011.07.050.
3. Peter F. C., Kim M. F. Silent Myocardial Ischemia. Circulation, 2003, vol. 108, no. 10, pp. 1263-1277.
4. Schukin Yu.V., Chochlunov S. M., Surkova E. A., Duplyakov D. V., Vachev A. N., Germanov A. V., Zemlyanova M. E., Kruglov V. N., Kuz'min V.P., Lyas M. N., Pavlova G. A., Pavlova T. V., Polyakov V. P. Ryabov A. E., Skuratova M. A. Chochamidze P. Sh., Shvarz Yu. G. Prognozirovanie iprofilaktika kardial'nych oslozhneniy vneserdechnych chirurgicheskich vmeshatel'stv: naz. rekomedazii, razrab. Komitetom ekspertov Vseros. nauch. o-va kardiologov [Prediction and prophylaxis of cardiac complications of non¬cardiac surgical interventions: nat. rekomedatsii, developed. Committee of experts Vseros. sci. of cardiologists], Moscow, 2011.28 p. (in Russian).
5. Fleisher L. A., Fleischmann K. E., Auerbach A. D., Barnason S. A., Beckman J. A., Bozkurt B., Davila-Roman V.G., Gerhard-Herman M.D., Holly T. A., Kane G. C., Marine J. E., Nelson M. T., Spencer C. C., Thompson A., Ting H. H., Uretsky B. F., Wijeysundera D. N. 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery: Executive Summary. Circulation, 2014, vol. 130, pp. 2215-2245.
6. Perk J., De Backer G. Gohlke H., Graham I., Reiner Z., Verschuren W. M., Albus C., Benlian P., Boysen G., Cifkova R., Deaton C., Ebrahim S., Fisher M., Germano G., Hobbs R., Hoes A., Karadeniz S., Mezzani A., Prescott E., Ryden L., Scherer M., Syvanne M., Op Reimer W. J., Vrints C., Wood D., Zamorano J. L., Zannad F. European guidelines on cardiovascular disease prevention in clinical practice (version 2012): the fifth joint task force of the European society of cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). Int JBehavMed. 2012, vol. 19, no. 4, pp. 403-488. doi: 10.1007/ s12529-012-9242-5.
7. Vetshev, P. S., Sulimov, V. A., Nogtev, P. N. Cholecystocardial syndrome: modern look. Vrach, 2005, no. 7, pp. 35-38. (in Russian).
8. Akimzeva E. A., Kotovschikova E. F. Markery endotelial'noy disfunkzii kak prediktory razvitiya retrombozov koronarnych stentov [Markers of endothelial dysfunction as predictors of the development of rethromboses of coronary stents]. Fundamental'nye issledovaniya [Fundamental Research]. 2012, no. 8, pp. 271-273. (in Russian).
9. Mit'kovskaya N.P., Tret'yak S.I., Gerasimenok D. S., Kartun L. V., Mansurov V. A., Grigorenko E. A. Markery miokardial'nogo i oksidativnogo stressa, endotelial'noy disfunkzii, aterotromboza i reologicheskie pokazateli krovi u pazientov posle srochnoy cholizistektomii [Markers of myocardial and oxidative stress, endothelial dysfunction, atherothrombosis and rheological parameters of blood in patients after urgent holicystecto my]. Vestsi Natsyyanal'nai akademii navuk Belarus. Seriya meditssnskikh navuk [Proceedings of the National Academy of Sciences of Belarus. Medical series], 2017, no. 3, pp. 7-14. (in Russian).
10. Bencze, J., Kiss R. G., Toth-Zsamboki E., Vargova K., Kerecsen G., Korda A., Molnar F., Preda I. Inverse correlation between coronary blood flow velocity and sICAM-1 level observed in ischemic heart disease patients, Atherosclerosis, 2006, vol. 188, no. 1, pp. 142-149.
11. Aivazyan S. A., Mhitaryan V. S., Applied statistics. Fundamentals of Econometrics: A Textbook for Universities, Moscow: YUniti-Dana, 2001, vol. 1, 656
Review
For citations:
Gerasimionak D.S., Grigorenko E.A., Kartun L.V., Mitkovskaya N.P. Cardiovascular Risk in Patients with Acute Calculus Cholecystitis. Emergency Cardiology and Cardiovascular Risks journal. 2017;1(1):65-71. (In Russ.)
Views:
9
Email this article 