Молодежный инновационный вестник

2415-7805

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

8178

Unclassified

DEPENDENCE OF THE SEVERITY OF CORONARY ATHEROSCLEROSIS ON COPD PHENOTYPE

Axelrod

Mariya Mikhailovna

<div id="tw-target-text-container" class="tw-ta-container F0azHf tw-nfl" tabindex="0"> <pre id="tw-target-text" class="tw-data-text tw-text-large tw-ta" dir="ltr" data-placeholder="Перевод">Postgraduate Student of the Department of Polyclinic Therapy</pre> </div>axelrodmasha@mail.ruhttps://orcid.org/0000-0001-5068-1316

Voronezh State Medical University named after V.I. N.N. Burdenko

20042023

12S29496

30012023

13032023

2023

Relevance. Despite the fact that coronary heart disease, as a separate disease, is quite well studied, there are many less developed problems associated with the combination of coronary artery disease and other nosologies. According to many authors, it has been established that patients with COPD are much more likely to die from cardiovascular pathology than from COPD itself. It was determined that people with COPD have the most severe atherosclerotic lesions of the coronary arteries in comparison with the group without COPD. There are various classifications of COPD, but none of them reflects the relationship between the severity of coronary atherosclerosis and the COPD phenotype. In this regard, the evaluation of coronary lesions in patients with various COPD phenotypes is of increased interest. Purpose. Determination of the COPD phenotype most susceptible to severe coronary atherosclerosis. Materials and methods. The study involved 74 people with a diagnosis of chronic obstructive pulmonary disease, which was confirmed and verified by clinical and functional methods and standardized criteria. All patients were confirmed to have coronary atherosclerosis by coronary angiography. The severity of coronary atherosclerosis was assessed by the Gensini index. Results. The COPD phenotype most susceptible to coronary atherosclerosis was identified according to coronary angiography data. Conclusion. According to the study, the risk of developing coronary atherosclerosis in this COPD phenotype is the highest, which can be used as a prognostic indicator at the outpatient stage.

chronic obstructive pulmonary diseasecoronary atherosclerosisGensini indexCOPD phenotypescoronary heart disease

хроническая обструктивная болезнь легкихкоронарный атеросклерозиндекс Gensiniфенотипы ХОБЛишемическая болезнь сердца

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