Malchevsky Yuri Evgenievich (Candidate of medical Sciences, senior researcher, Federal state budgetary scientific institution «Federal research center «Krasnoyarsk scientific center of the Siberian branch of the Russian Academy of Sciences» Research Institute of medical problems of the North)
Rahimov Aliheydar Alekperov (Doctor of medical Sciences, Professor, Federal state Autonomous educational institution of higher education named after I.M. Sechenov First Moscow state medical University of the Ministry of health of the Russian Federation)
Kasparov Eduard Vilyamovich (Doctor of medical Sciences, Professor, Director, Federal state budgetary scientific institution «Federal research center «Krasnoyarsk scientific center of the Siberian branch of the Russian Academy of Sciences» Research Institute of medical problems of the North)
Malchevskaya Marina Davidovna (Candidate of medical Sciences, doctor, Advisory and diagnostic center)
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The aim of the work is to study the clinical characteristics and quality of life of patients with coronary heart disease with signs of chronic heart failure using the method of hardware plasmapheresis in complex treatment.
Research methods: in the course of the study of the effectiveness of PA, we examined and treated 96 patients diagnosed with "coronary heart disease with signs of chronic heart failure III-IV FC according to the NYHA (New York Heart Association) classification". All patients were divided into two groups, the main and control. The procedure of plasmapheresis was carried out using the apparatus "Haemonetics". The quality of life of patients was assessed by US on the basis of mhflq methodology "Minnesota questionnaire of quality of life", compiled by T. Rector and J. Cohn. During the statistical processing of the results, we used a special software package for statistical data processing STATISTICA 8.0.
Results. According to our research, the addition of the plasmapheresis procedure to the treatment program of patients with angina helped to significantly change almost all the estimated parameters. At the same time, there were no differences in the initial level of quality of life parameters in patients of both groups. Six months after the start of therapy in each group, quality of life indicators were higher compared to the initial data for patients with signs of CHF. The mhflq parameter decreased more significantly in the main group of patients in relation to the group in which standard methods were used in therapy.
Conclusion: the results are evidence of the great clinical and social benefits of our approach to the treatment of patients with coronary heart disease with signs of chronic heart failure.
Keywords:patients, chronic heart failure, plasmapheresis, patients, indicators, coronary heart disease
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Citation link:
Malchevsky Y. E., Rahimov A. A., Kasparov E. V., Malchevskaya M. D. Quality of life of patients with chronic heart failure when plasmapheresis is included in the treatment program // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2019. -№11. -С. 173-178 |
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