Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ)

1990-472X

Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации

6646

10.18499/1990-472X-2020-0-81-21-24

Original Article

CHANGES IN THE BRACHIOCEPHALIC ARTERIES IN PATIENTS OF MATURE, ELDERLY AND SENILE AGE WITH SARCOPENIA

Erokhina

A. S.

-Golovanova

E. D.

-Miloserdov

M. A.

Smolensk State Medical University

15122020

812124

16032021

2020

Goal. To study the incidence of atherosclerotic changes in the brachiocephalic arteries (BCA) in patients of various age groups with cardiovascular disease, depending on the presence or absence of sarcopenia. Materials and methods. 57 patients (30 men, 26 women), aged from 45 to 89 years old, who were hospitalized in the Department of Emergency Cardiology of KBSMP, were examined. For the diagnosis of sarcopenia, the recommendations of EWGSOP 2010 were used.Atherosclerotic changes in BCA were studied by ultrasound dopplerography (Doppler ultrasound) on an Philips HD11XE ultrasound scanner, an L9-3 linear sensor, with an assessment of the quantitative and qualitative characteristics of atherosclerotic plaques (ASB). Results. In mature patients, sarcopenia was not diagnosed, in elderly patients it occurred in 59.1% of cases, and in the group of patients older than 75 years with CVD, sarcopenia was diagnosed in 95.7% of cases. The frequency of occurrence of post-infarction cardiosclerosis in patients with sarcopenia was significantly higher than in its absence (37.0% versus 18.2%, p <0.05). The degree of ACS stenosis in patients with sarcopenia was statistically significant: in bifurcation of the left common carotid artery (CCA), bifurcation of the right CCA and right CCA. In elderly patients with sarcopenia, prolonged ASB were more common (45.2% versus 15.0%, p <0.05). Conclusion The presence of multifocal atherosclerosis (MFA) of coronary and brachiocephalic vessels (ASB) in older patients, which affects the risk of general and cardiovascular mortality, is closely associated with the development of sarcopenia, which should be taken into account when planning treatment and rehabilitation measures in patients with MPA and the presence of geriatric syndromes

sarcopeniamultifocal atherosclerosisbrachiocephalic arteries

саркопениямультифокальный атеросклерозбрахиоцефальные артерии

1. Хорошилов И.Е. Саркопения у больных: возможности диагностики и перспективы лечения / Хорошилов И.Е. // Лечащий врач. 2017. № 8. С. 36.

Кармазановский Г.Г. Место саркопении в современной медицине.обзор литературы / Кармазановский Г.Г., Тюнибабян А.И., Хацаюк Е.А. // Высокотехнологическая медицина. 2018. Т. 5. № 1. С. 4-13.

Профилактика саркопении у пожилых // Алиева-Хархарова К.М., Хархарова С.Г., Алиева Б.И., Далгатова Б.М. // В сборнике: ПРОБЛЕМЫ ЭКОЛОГИЧЕСКОЙ МЕДИЦИНЫ. материалы VII научно-практической конференции памяти профессора С.А. Абусуева. 2017. С. 140-145.

Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y,Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: report of the EuropeanWorking Group on Sarcopenia in Older People. Age Ageing, 2010, 39: 412-23;

Report of the European Working Group on Sarcopenia in Older People. Sarcopenia: European consensus on defi nition and diagnosis. Age and Ageing 2010; 39: 412-423.

Саркопения глазами эндокринолога // Мокрышева Н.Г., Крупинова Ю.А., Володичева В.Л., Мирная С.С., Мельниченко Г.А. // Ожирение и метаболизм. 2018. Т. 15. №3. С. 21-27.

Саркопения в клинике внутренних болезней // Гуляев Н.И., Ахметшин И.М., Гордиенко А.В., Анохин Д.Ю., Сайфуллин Р.Ф. // Военно-медицинский журнал. 2018. Т. 339. №12. С. 24-30.

Онучина Ю.С. Взаимосвязь саркопении и сахарного диабета типа 2 / Онучина Ю.С., Гурьева И.В. // Эндокринология. Новости. Мнения. Обучение. 2018. Т. 7. № 4 (25). С. 32-41.

С.Ю. Калинченко, И.А. Тюзиков, Л.О. Ворслов, Ю.А. Тишова. Саркопения: эпидемиология, этиопатогенез, клиника, диагностика, лечение. Урология и нефрология. Спецвыпуск «Мужское здоровье». Эффективная фармакотерапия-2015; 27:56-65