112 research outputs found

    Study of the conditional flexibility effect of compressed chord on the overall stability of corrugated beams

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    In this paper, the calculation of cut corrugated beams loaded with uniformly distributed load in the plane of the wall, with a wall height of 333 and 500 mm (54 sizes), chord width from 160 to 400 mm and chord thickness from 6 to 30 mm for general stability in accordance with Building Codes (BC) 294.1325800.2017 is made. A geometric criterion has been defined which defines the boundaries of the load-carrying capacity of Russian corrugated beams between the flat bending form stability and the strength of the normal section under the action of the bending moment in the plane of the wall

    Engineering methodology for calculation of corrugated beams for bending and torsion. Flat bend form stability

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    An engineering design procedure for calculating bending with torsion in corrugated beams, including finding the critical load of general stability, implemented in the commonly used MS Excel spreadsheet and verified in the LIRA-SAPR software package, has been proposed. The method makes it possible to take into account the beams section variability and corrugation parameters, to estimate the loading eccentricity effect, availability of supporting ribs and reinforcements of the compressed chord from the bending plane. Calculation results of particular design solutions for corrugated beams with definition of critical loads at transverse bending are given. Results of test calculation of a bent channel beam with calculation of stress-strain state parameters and its verification with the LIRA-SAP software package are given

    Silver-doped Calcium Phosphate bone cements with antibacterial properties

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    Calcium phosphate bone cements (CPCs) with antibacterial properties are demanded for clinical applications. In this study, we demonstrated the use of a relatively simple processing route based on preparation of silver-doped CPCs (CPCs-Ag) through the preparation of solid dispersed active powder phase. Real-time monitoring of structural transformations and kinetics of several CPCs-Ag formulations (Ag = 0 wt %, 0.6 wt % and 1.0 wt %) was performed by the Energy Dispersive X-ray Diffraction technique. The partial conversion of Ξ²-tricalcium phosphate (TCP) phase into the dicalcium phosphate dihydrate (DCPD) took place in all the investigated cement systems. In the pristine cement powders, Ag in its metallic form was found, whereas for CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt % cements, CaAg(PO₃)₃ was detected and Ag (met.) was no longer present. The CPC-Ag 0 wt % cement exhibited a compressive strength of 6.5 Β± 1.0 MPa, whereas for the doped cements (CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt %) the reduced values of the compressive strength 4.0 Β± 1.0 and 1.5 Β± 1.0 MPa, respectively, were detected. Silver-ion release from CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt % cements, measured by the Atomic Emission Spectroscopy, corresponds to the average values of 25 Β΅g/L and 43 Β΅g/L, respectively, rising a plateau after 15 days. The results of the antibacterial test proved the inhibitory effect towards pathogenic Escherichia coli for both CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt % cements, better performances being observed for the cement with a higher Ag-content

    Study of thermal effects of silicate-containing hydroxyapatites

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    The possibility of modifications of hydroxyapatite silicate ions, from the extracellular fluid prototype solution under near-physiological conditions has been studied. Formation of silicon-structured hydroxyapatite with different extent of substitution of phosphate groups in the silicate group has been established through chemical and X-ray diffraction analyses, FTIR spectroscopy and optical microscopy. The results obtained are in agreement and suggest the possibility of substitution of phosphate groups for silicate groups in the hydroxyapatite structure when introducing different sources of silica, tetraethoxysilane and sodium silicate, in the reaction mixture. Growth in the amount of silicon in Si-HA results in the increase in the thermal stability of the samples. The greatest mass loss occurs at temperatures in the range of 25-400 Β°Π‘ that is caused by the removal of the crystallization and adsorption water and volatile impurities. It is shown that the modified apatites are of imperfect structure and crystallize in a nanocrystalline state

    Transcatheter mitral valve edge-to-edge repair in patients with severe mitral regurgitation: data from the MitraClip Russia Trial

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    Aim. To study the immediate and short-term outcomes of transcatheter mitral valve edge-to-edge repair with the MitraClip NT in patients with severe mitral regurgitation as part of the MitraClip Russia prospective single-center study.Material and methods. The study included 16 patients (men, 10; women, 6) with mean age of 70,1Β±2,1 years (mean Euroscore II, 6,90Β±5,56%; STS, 6,33Β±3,94%). Immediate technical success was defined as successful access, delivery, and removal of the device, and adequate placing the clip(s) to reduce the mitral regurgitation to grade 2 or below without the need for device- or procedure-related reintervention.Results. Immediate technical success was achieved in all patients. The average number of implanted clips per 1 patient was 1,7. In 1 patient (6,3%), a clip was attached to one mitral leaflet, which required an non-scheduled implantation of a second clip. In hospital mortality was 6,3%: a 92-year-old patient on the 3rd day after the operation had a sudden cardiac arrest followed by coma, hemispheric ischemic stroke and death on the 6th day. An autopsy revealed an iatrogenic atrial septal defect. Echocardiography performed on the 10th and 30th day after surgery showed a decrease in mitral regurgitation grade in 15 patients, while grade 3 residual mitral regurgitation did not reveal in any patient.Conclusion. Transcatheter mitral valve edge-to-edge repair with the MitraClip is a minimally invasive method for treating severe symptomatic mitral regurgitation (degenerative and functional). The results demonstrate high immediate efficacy and an acceptable safety profile in high surgical risk patients. Based on the analysis of death causes, the authors conclude that it is necessary to include initial pulmonary hypertension above 75 mm Hg as a relative contraindication to this procedure. The study limitations are the small sample size and short follow-up period

    ИсслСдованиС свойств ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½ΠΎΠ³ΠΎ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° для Π‘Π’Π§-ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠΉ Π½Π° основС PTFE с Ρ€Π°Π·Π»ΠΈΡ‡Π½ΠΎΠΉ ΠΊΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€Π°Ρ†ΠΈΠ΅ΠΉ ΠΈ Ρ€Π°Π·ΠΌΠ΅Ρ€ΠΎΠΌ частиц кСрамичСского наполнитСля

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    Introduction. The technology of printed circuit boards (PCBs) is widely used in modern electronic instrumentation. PCBs for the microwave frequency range are made based on foil composite materials, in particular, polytetrafluoroethylene (PTFE). At the moment, there is no domestic production of such a class of materials. Information concerning foreign manufacturing technologies in this field and the influence of the filler on the characteristics of the composite material remains confidential. Therefore, research into the properties of composite materials for microwave applications with properties similar to foreign analogues seems relevant.Aim. Experimental determination of the dependence of the electrical and mechanical properties of a composite material based on polytetrafluoroethylene depending on the concentration and size of the titanium dioxide fraction.Materials and methods. Experimental determination of the dependence of the electrical and mechanical properties of a composite material based on PTFE depending on the concentration and size of the titanium dioxide fraction.Results. The results of an experimental study of the mechanical properties and microwave parameters of experimental samples of composite material based on PTFE are presented, namely: composite material with 10 % content of ceramic titanium dioxide powders (fraction size 10, 49 and 126 Β΅m); composite material with 5, 10 and 15 % content of ceramic titanium dioxide powder (fraction size 49 Β΅m for polytetrafluoroethylene and 126 Β΅m for titanium dioxide).Conclusion. The results obtained demonstrate prospects for using compositions based on PTFE and titanium dioxide powder as a basis for microwave materials. A correlation was established between the percentage of the introduced ceramic filler and the microwave parameters of the material. The studies demonstrated a slight difference in the microwave properties of the manufactured composite material samples with a different ratio between the particle sizes of titanium dioxide and PTFE. However, a significant decrease in their mechanical properties was observed.Π’Π²Π΅Π΄Π΅Π½ΠΈΠ΅. ВСхнология ΠΏΠ΅Ρ‡Π°Ρ‚Π½Ρ‹Ρ… ΠΏΠ»Π°Ρ‚ являСтся Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ распространСнной Π² соврСмСнном элСктронном приборостроСнии. ΠŸΠ»Π°Ρ‚Ρ‹ для Π‘Π’Π§-Π΄ΠΈΠ°ΠΏΠ°Π·ΠΎΠ½Π° частот ΠΈΠ·Π³ΠΎΡ‚Π°Π²Π»ΠΈΠ²Π°ΡŽΡ‚ΡΡ Π½Π° основС Ρ„ΠΎΠ»ΡŒΠ³ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½Ρ‹Ρ… ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»ΠΎΠ², Π² частности Π½Π° основС политСтрафторэтилСна. Π’ Π΄Π°Π½Π½Ρ‹ΠΉ ΠΌΠΎΠΌΠ΅Π½Ρ‚ отСчСствСнноС производство ΠΏΠΎΠ΄ΠΎΠ±Π½ΠΎΠ³ΠΎ класса ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»ΠΎΠ² отсутствуСт. Π˜Π½Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΡ, ΠΊΠ°ΡΠ°ΡŽΡ‰Π°ΡΡΡ Π·Π°Ρ€ΡƒΠ±Π΅ΠΆΠ½ΠΎΠΉ Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ изготовлСния ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½ΠΎΠ³ΠΎ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° ΠΈ влияния наполнитСля Π½Π° Π΅Π³ΠΎ характСристики, являСтся Π·Π°ΠΊΡ€Ρ‹Ρ‚ΠΎΠΉ. ΠŸΠΎΡΡ‚ΠΎΠΌΡƒ Π°ΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΠΉ Π·Π°Π΄Π°Ρ‡Π΅ΠΉ являСтся поиск ΠΈ исслСдованиС свойств ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½Ρ‹Ρ… ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»ΠΎΠ² для Π‘Π’Π§-примСнСния со свойствами, Π°Π½Π°Π»ΠΎΠ³ΠΈΡ‡Π½Ρ‹ΠΌΠΈ Π·Π°Ρ€ΡƒΠ±Π΅ΠΆΠ½Ρ‹ΠΌ Π°Π½Π°Π»ΠΎΠ³Π°ΠΌ.ЦСль Ρ€Π°Π±ΠΎΡ‚Ρ‹. Π­ΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠ΅ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ зависимости элСктричСских ΠΈ мСханичСских свойств ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½ΠΎΠ³ΠΎ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° Π½Π° основС политСтрафторэтилСна ΠΎΡ‚ ΠΊΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€Π°Ρ†ΠΈΠΈ ΠΈ Ρ€Π°Π·ΠΌΠ΅Ρ€Π° Ρ„Ρ€Π°ΠΊΡ†ΠΈΠΈ диоксида Ρ‚ΠΈΡ‚Π°Π½Π°.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠœΠ΅Ρ…Π°Π½ΠΈΡ‡Π΅ΡΠΊΠΈΠ΅ свойства ΠΎΠ±Ρ€Π°Π·Ρ†ΠΎΠ² ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½ΠΎΠ³ΠΎ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° ΠΈΠ·ΠΌΠ΅Ρ€ΡΠ»ΠΈΡΡŒ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ гидростатичСского взвСшивания. ИсслСдовались ΠΏΡ€ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ ΠΈ ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ ΡƒΠ΄Π»ΠΈΠ½Π΅Π½ΠΈΠ΅ ΠΏΡ€ΠΈ Ρ€Π°Π·Ρ€Ρ‹Π²Π΅ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ Ρ€Π°Π·Ρ€Ρ‹Π²Π½ΠΎΠΉ ΠΌΠ°ΡˆΠΈΠ½Ρ‹ РМИ-250. Π‘Π’Π§-ΠΏΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€Ρ‹ ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΡΠ»ΠΈΡΡŒ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ ΠΌΠ΅Ρ‚ΠΎΠ΄Π° Николсона–Росса–ВСйра.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½Ρ‹ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ исслСдования мСханичСских свойств ΠΈ Π‘Π’Π§ΠΏΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€ΠΎΠ² ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½Ρ‹Ρ… ΠΎΠ±Ρ€Π°Π·Ρ†ΠΎΠ² ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½ΠΎΠ³ΠΎ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° Π½Π° основС политСтрафторэтилСна: с 10 %-ΠΌ содСрТаниСм кСрамичСских ΠΏΠΎΡ€ΠΎΡˆΠΊΠΎΠ² диоксида Ρ‚ΠΈΡ‚Π°Π½Π° (Ρ€Π°Π·ΠΌΠ΅Ρ€ Ρ„Ρ€Π°ΠΊΡ†ΠΈΠΈ 10, 49 ΠΈ 126 ΠΌΠΊΠΌ); с 5, 10 ΠΈ 15 %-ΠΌ содСрТаниСм кСрамичСского ΠΏΠΎΡ€ΠΎΡˆΠΊΠ° диоксида Ρ‚ΠΈΡ‚Π°Π½Π° (Ρ€Π°Π·ΠΌΠ΅Ρ€ Ρ„Ρ€Π°ΠΊΡ†ΠΈΠΉ Ρƒ политСтрафторэтилСна – 49 ΠΌΠΊΠΌ ΠΈ Ρƒ диоксида Ρ‚ΠΈΡ‚Π°Π½Π° – 126 ΠΌΠΊΠΌ).Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Π΄Π΅ΠΌΠΎΠ½ΡΡ‚Ρ€ΠΈΡ€ΡƒΡŽΡ‚ ΠΏΠ΅Ρ€ΡΠΏΠ΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ примСнСния ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ†ΠΈΠΉ Π½Π° основС PTFE ΠΈ ΠΏΠΎΡ€ΠΎΡˆΠΊΠ° диоксида Ρ‚ΠΈΡ‚Π°Π½Π° Π² качСствС основы для Π‘Π’Π§-ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»ΠΎΠ². УстановлСна коррСляция ΠΌΠ΅ΠΆΠ΄Ρƒ ΠΏΡ€ΠΎΡ†Π΅Π½Ρ‚Π½Ρ‹ΠΌ содСрТаниСм Π²Π²ΠΎΠ΄ΠΈΠΌΠΎΠ³ΠΎ кСрамичСского наполнитСля ΠΈ Π‘Π’Π§-ΠΏΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€Π°ΠΌΠΈ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π°. ИсслСдования продСмонстрировали Π½Π΅Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ ΠΎΡ‚Π»ΠΈΡ‡ΠΈΠ΅ Π² Π‘Π’Π§-свойствах ΠΈΠ·Π³ΠΎΡ‚ΠΎΠ²Π»Π΅Π½Π½Ρ‹Ρ… ΠΎΠ±Ρ€Π°Π·Ρ†ΠΎΠ² ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½ΠΎΠ³ΠΎ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° ΠΏΡ€ΠΈ Ρ€Π°Π·Π»ΠΈΡ‡Π½ΠΎΠΌ ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠΈ ΠΌΠ΅ΠΆΠ΄Ρƒ Ρ€Π°Π·ΠΌΠ΅Ρ€Π°ΠΌΠΈ частиц диоксида Ρ‚ΠΈΡ‚Π°Π½Π° ΠΈ PTFE. Однако ΠΏΡ€ΠΈ этом Π½Π°Π±Π»ΡŽΠ΄Π°Π΅Ρ‚ΡΡ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ сниТСниС ΠΈΡ… мСханичСских свойств

    Influence of Structural Disorder on the Magnetic Order in FeRhCr Alloys

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    Magnetic phase transitions in alloys are highly influenced by the sample preparation techniques. In the present research, electronic and magnetic properties of Fe48Cr3Rh49 alloys with varying cooling rates were studied, both experimentally and theoretically. The degree of crystalline ordering was found to depend on the cooling rate employed after annealing the alloy. Modeling of alloy structures with different degrees of crystalline ordering was carried out via strategic selection of substitution positions and distances between chromium atoms. Theoretical calculations revealed significant changes in magnetic and electronic properties of the alloy with different substitutions. A comprehensive analysis of the calculated and experimental data established correlations between structural characteristics and parameters governing the magnetic phase transition. In this study, we also developed a method for evaluating the magnetic properties of the alloys obtained under different heat treatments. The proposed approach integrates atom substitution and heat treatment parameters, offering precise control over alloy manufacturing to effectively tune their essential magnetic properties

    Characteristics of mukoviscisidosis in the southern regions of Russia

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    Introduction. Cystic fibrosis (CF) is aΒ  hereditary disease with genetic heterogeneity and clinical polymorphism. Expanding theΒ range ofΒ knowledge about theΒ characteristics ofΒ the course ofΒ the disease inΒ different regions is important to achieve theΒ goal ofΒ improving theΒ quality and life expectancy.Purpose. Comparative analysis ofΒ the features ofΒ the course ofΒ CF inΒ the subjects ofΒ the Southern Federal District, Stavropol Territory.Methods. Data from theΒ National Register ofΒ Patients ofΒ the RF MV 2016Β were used. Results: there are clinical and genetic features between theΒ regions ofΒ the Southern Federal District and theΒ Stavropol Territory ofΒ the North Caucasus Federal District and inΒ general with theΒ Russian Federation. Analysis ofΒ the data showed differences inΒ indicators: theΒ proportion ofΒ patients agedΒ β‰₯Β 18Β is theΒ lowest inΒ the Republic ofΒ Crimea (14.9%), inΒ the Rostov region theΒ lowest average age ofΒ patients (9.0Β Β±Β 6.3), and theΒ lowest age ofΒ diagnosis 2.2Β Β±Β 3.1Β years. Late terms ofΒ diagnosis were revealed inΒ the Stavropol Territory (4.0Β Β±Β 8.0Β years), but here there is one ofΒ the highest average age ofΒ CF patients (14.1Β Β±Β 11.5), theΒ proportion ofΒ adult patients (23.3%) and theΒ lowest allelic frequency ofΒ F508del, which is determined by theΒ high number ofΒ patients with aΒ β€œsoft” genotype. There is aΒ high proportion ofΒ patients with an undetermined genotype. AΒ low proportion ofΒ two identified genetic variants ofΒ the CFTR gene is registered inΒ patients ofΒ the Republic ofΒ Crimea. AΒ low frequency ofΒ Burkholderia cepacia complex and Achromobacter spp was revealed, and aΒ high infection with non-tuberculous mycobacteria was revealed inΒ the Rostov region. FEV1Β in children and adults was lower inΒ Rostov Region and Stavropol Territory. In all regions, there is a discrepancy between the seeding of flora and azithromycin therapy and the severity of the genotype with the use of pancreatic enzymes.Conclusions. Analysis ofΒ the data ofΒ the registry, which allows substantiating theΒ need to study theΒ regional characteristics ofΒ the course ofΒ CF inΒ order to differentiate theΒ planning ofΒ measures to improve theΒ quality ofΒ medical care forΒ patients with CF

    Риск развития ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ, Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΡ… гСмотрансфузии, послС транскатСтСрной ΠΈΠΌΠΏΠ»Π°Π½Ρ‚Π°Ρ†ΠΈΠΈ Π°ΠΎΡ€Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΊΠ»Π°ΠΏΠ°Π½Π° Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ ΠΈΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΠΎΠΉ болСзнью сСрдца

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    Introduction. Perioperative bleeding is a potentially life-threatening complication of surgical intervention. The incidence of perioperative bleeding during transcatheter aortic valve implantation (TAVI) reaches 6%. An increased risk of perioperative bleeding is noted in patients requiring constant antiplatelet therapy, which includes patients with concomitant coronary artery disease (CAD).Aim. The study of risk factors of bleeding, which require blood transfusion in candidates for TAVI with concomitant CAD.Materials and methods. A retrospective study. The patients with concomitant CAD who underwent TAVI from 2016 to 2021 with hemodynamically significant coronary artery stenosis (n = 270) were included in this study. The incidence of early postoperative bleeding requiring blood transfusions was analyzed. Risk factors of bleeding development were evaluated.Results. The average age of the patients was 77.7 Β± 7.2 years, the number of male and female patients was comparable (45.9 and 54.1%).The majority of patients were diagnosed with chronic heart failure (90.4%), more than half of the patients suffered from pulmonary hypertension (51.9%). The incidence of bleeding that required blood transfusion was 9.3%. The risk factors of the bleeding were dual antiplatelet therapy, baseline anemia (hemoglobin less than 120 g/l), history of stroke, chronic renal failure and critical aortic stenosis. The risk factors were included in the predictive model.Conclusion. Bleeding requiring blood transfusion in patients with severe aortic stenosis and CAD after TAVR occurs in 9.3%. It can be partially predicted using the predictive model. The using of the predictive model may be useful in determining the predominant risk of thrombotic or bleeding events after surgery.Π’Π²Π΅Π΄Π΅Π½ΠΈΠ΅. ΠŸΠ΅Ρ€ΠΈΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠ΅ ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ являСтся ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎ ΠΆΠΈΠ·Π½Π΅ΡƒΠ³Ρ€ΠΎΠΆΠ°ΡŽΡ‰ΠΈΠΌ ослоТнСниСм хирургичСского Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°.Π’ΡΡ‚Ρ€Π΅Ρ‡Π°Π΅ΠΌΠΎΡΡ‚ΡŒ ΠΏΠ΅Ρ€ΠΈΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹Ρ… ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ ΠΏΡ€ΠΈ транскатСтСрной ΠΈΠΌΠΏΠ»Π°Π½Ρ‚Π°Ρ†ΠΈΠΈ Π°ΠΎΡ€Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΊΠ»Π°ΠΏΠ°Π½Π° (ВИАК) достигаСт 6%. ΠŸΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½Ρ‹ΠΉ риск развития ΠΏΠ΅Ρ€ΠΈΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹Ρ… ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ отмСчаСтся Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΡ… постоянной Π°Π½Ρ‚ΠΈΠ°Π³Ρ€Π΅Π³Π°Π½Ρ‚Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ, ΠΊ ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΉ относятся ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹ с ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ ΠΈΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΠΎΠΉ болСзнью сСрдца (Π˜Π‘Π‘).ЦСль. Π˜Π·ΡƒΡ‡ΠΈΡ‚ΡŒ Ρ„Π°ΠΊΡ‚ΠΎΡ€Ρ‹ риска развития ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ, Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΡ… гСмотрансфузии, Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², госпитализированных для провСдСния ВИАК, ΠΏΡ€ΠΈ ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ Π˜Π‘Π‘.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ рСтроспСктивноС исслСдованиС. РассмотрСны ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹, ΠΏΠ΅Ρ€Π΅Π½Π΅ΡΡˆΠΈΠ΅ ВИАК Π² ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ с 2016 ΠΏΠΎ 2021 Π³., ΠΏΡ€ΠΈ ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ Π˜Π‘Π‘ с гСмодинамичСски Π·Π½Π°Ρ‡ΠΈΠΌΡ‹ΠΌ ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½Ρ‹Ρ… Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΉ (n = 270). Π˜Π·ΡƒΡ‡Π΅Π½Π° частота развития Ρ€Π°Π½Π½ΠΈΡ… послСопСрационных ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ, Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΡ… провСдСния гСмотрансфузий. Π’Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Π° ΠΎΡ†Π΅Π½ΠΊΠ° Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² риска развития ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π‘Ρ€Π΅Π΄Π½ΠΈΠΉ возраст исслСдуСмых составил 77,7 Β± 7,2 Π³ΠΎΠ΄Π°, количСство ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² муТского ΠΈ ТСнского ΠΏΠΎΠ»Π° Π±Ρ‹Π»ΠΎ сопоставимо – 45,9 ΠΈ 54,1%. Π£ Π±ΠΎΠ»ΡŒΡˆΠΈΠ½ΡΡ‚Π²Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Π±Ρ‹Π»Π° диагностирована хроничСская сСрдСчная Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ (90,4%), Ρƒ ΠΏΠΎΠ»ΠΎΠ²ΠΈΠ½Ρ‹ – лСгочная гипСртСнзия (51,9%). Частота развития ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ, ΠΏΠΎΡ‚Ρ€Π΅Π±ΠΎΠ²Π°Π²ΡˆΠΈΡ… провСдСния гСмотрансфузии, составила 9,3%. ΠŸΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ риска развития ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ, Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΡ… гСмотрансфузии, ассоциировано с Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ΠΌ ΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΡ… Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² риска: двойная антиагрСгантная тСрапия, исходная анСмия (Π³Π΅ΠΌΠΎΠ³Π»ΠΎΠ±ΠΈΠ½ ΠΌΠ΅Π½Π΅Π΅ 120 Π³/Π»), ΠΈΠ½ΡΡƒΠ»ΡŒΡ‚ Π² Π°Π½Π°ΠΌΠ½Π΅Π·Π΅, хроничСская почСчная Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ ΠΈ критичСский Π°ΠΎΡ€Ρ‚Π°Π»ΡŒΠ½Ρ‹ΠΉ стСноз. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Ρ„Π°ΠΊΡ‚ΠΎΡ€Ρ‹ риска Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Ρ‹ Π² ΠΏΡ€ΠΎΠ³Π½ΠΎΡΡ‚ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ модСль.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π£ 9,3% ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с тяТСлым Π°ΠΎΡ€Ρ‚Π°Π»ΡŒΠ½Ρ‹ΠΌ стСнозом ΠΈ ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ Π˜Π‘Π‘ ΠΏΡ€ΠΈ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠΈ ВИАК Ρ€Π°Π·Π²ΠΈΠ²Π°ΡŽΡ‚ΡΡ кровотСчСния, Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΠ΅ гСмотрансфузии. Π Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ кровотСчСния ΠΌΠΎΠΆΠ½ΠΎ частично ΡΠΏΡ€ΠΎΠ³Π½ΠΎΠ·ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ ΠΏΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½Π½ΠΎΠΉ Π² исслСдовании ΠΌΠΎΠ΄Π΅Π»ΠΈ. Π•Π΅ использованиС Π² клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅ ΠΌΠΎΠΆΠ΅Ρ‚ Π±Ρ‹Ρ‚ΡŒ ΠΏΠΎΠ»Π΅Π·Π½Ρ‹ΠΌ для опрСдСлСния ΠΏΡ€Π΅Π²Π°Π»ΠΈΡ€ΡƒΡŽΡ‰Π΅Π³ΠΎ риска тромботичСских ΠΈΠ»ΠΈ гСморрагичСских событий Π² послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅
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