346 research outputs found
Assessment of the role of lipoprotein a level in the development of cardiovascular diseases
A comparative study of 2 groups of patients with cardiovascular diseases with high and normal levels of lipoprotein (a) was conducted to determine the relationship between high levels of Lp (a) and the nature of the development of cardiovascular events. According to the results of the study, conclusions were drawn about the significance of the level of Lp (a), as well as lipidlowering therapy in patients with cardiovascular disease. The features of the patient population with the expected increase in Lp (a) and the predominance of damage to the arteries of the brachiocephalus in individuals with elevated Lp (a) were revealed. Hypolipidemic statin therapy with satisfactory correction of the lipid spectrum does not always allow monitoring of the increase in Lp (a)ΠΠ»Ρ Π°Π½Π°Π»ΠΈΠ·Π° ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΊΠΎΡΡΠ΅ΠΊΡΠΈΠΈ ΡΡΠΎΠ²Π½Ρ ΠΠ(Π°) ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΡΡΠ°Π²Π½ΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ 2 Π³ΡΡΠΏΠΏ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎ-ΡΠΎΡΡΠ΄ΠΈΡΡΡΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ Ρ Π²ΡΡΠΎΠΊΠΈΠΌ ΠΈ Π½ΠΎΡΠΌΠ°Π»ΡΠ½ΡΠΌ ΡΡΠΎΠ²Π½ΡΠΌΠΈ Π»ΠΈΠΏΠΎΠΏΡΠΎΡΠ΅ΠΈΠ½Π°(Π°) Ρ ΡΠ΅Π»ΡΡ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΡΠ²ΡΠ·ΠΈ ΠΌΠ΅ΠΆΠ΄Ρ Π²ΡΡΠΎΠΊΠΈΠΌ ΡΡΠΎΠ²Π½Π΅ΠΌ ΠΠΏ(Π°) ΠΈ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΎΠΌ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎ-ΡΠΎΡΡΠ΄ΠΈΡΡΡΡ
ΡΠΎΠ±ΡΡΠΈΠΉ. ΠΠΎ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ°ΠΌ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π±ΡΠ»ΠΈ ΡΠ΄Π΅Π»Π°Π½Ρ Π²ΡΠ²ΠΎΠ΄Ρ ΠΎ Π·Π½Π°ΡΠΈΠΌΠΎΡΡΠΈ ΡΡΠΎΠ²Π½Ρ ΠΠΏ(Π°), Π° ΡΠ°ΠΊΠΆΠ΅ Π³ΠΈΠΏΠΎΠ»ΠΈΠΏΠΈΠ΄Π΅ΠΌΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎ-ΡΠΎΡΡΠ΄ΠΈΡΡΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠ΅ΠΉ. ΠΡΡΠ²Π»Π΅Π½Ρ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΠΏΠΎΠΏΡΠ»ΡΡΠΈΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΎΠΆΠΈΠ΄Π°Π΅ΠΌΡΠΌ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠ΅ΠΌ ΠΠΏ(Π°) ΠΈ ΠΏΡΠ΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΠ΅ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡ Π°ΡΡΠ΅ΡΠΈΠΉ Π±ΡΠ°Ρ
ΠΈΠΎΡΠ΅ΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΡΠ»Π° Ρ Π»ΠΈΡ Ρ ΠΏΠΎΠ²ΡΡΠ΅Π½Π½ΡΠΌ ΠΠΏ(Π°). ΠΠΈΠΏΠΎΠ»ΠΈΠΏΠΈΠ΄Π΅ΠΌΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠ΅ΡΠ°ΠΏΠΈΡ ΡΡΠ°ΡΠΈΠ½Π°ΠΌΠΈ Ρ ΡΠ΄ΠΎΠ²Π»Π΅ΡΠ²ΠΎΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ ΠΊΠΎΡΡΠ΅ΠΊΡΠΈΠ΅ΠΉ Π»ΠΈΠΏΠΈΠ΄Π½ΠΎΠ³ΠΎ ΡΠΏΠ΅ΠΊΡΡΠ° Π½Π΅ Π²ΡΠ΅Π³Π΄Π° ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ ΠΎΡΡΡΠ΅ΡΡΠ²ΠΈΡΡ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ Π·Π° ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠ΅ΠΌ ΠΠΏ(Π°
AWARENESS OF RARE DISEASES IN CHILDREN WITH NEURODEVELOPMENTAL DISORDERS: REVIEW OF PRESENT GUIDELINES AND OPPORTUNITIES FOR IMPROVEMENT
Problems of comorbidity in patient with diabetes mellitus and cardiovascular diseases
The aim of the study - to study the features of the mutual influence of type 2 diabetes mellitus and its severity on the development of cardiovascular pathology.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β ΠΈΠ·ΡΡΠ΅Π½ΠΈΠ΅ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΈΜ Π²Π·Π°ΠΈΠΌΠ½ΠΎΠ³ΠΎ Π²Π»ΠΈΡΠ½ΠΈΡ ΡΠ°Ρ
Π°ΡΠ½ΠΎΠ³ΠΎ Π΄ΠΈΠ°Π±Π΅ΡΠ° 2 ΡΠΈΠΏΠ° ΠΈ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎ-ΡΠΎΡΡΠ΄ΠΈΡΡΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΈΜ (Π‘Π‘Π
Quality of medical care: the look of the teacher
the article deals with the issues of quality of medical care from the point of view of participants in the process: patients, doctors and students of the medical university. When analyzing the results of the survey, the main causes of the defects in the provision of medical care and the main factors in the quality of the medical services were identified, in the opinion of these groupsΠ² ΡΡΠ°ΡΡΠ΅ ΡΠ°ΡΡΠΌΠ°ΡΡΠΈΠ²Π°ΡΡΡΡ Π²ΠΎΠΏΡΠΎΡΡ ΠΊΠ°ΡΠ΅ΡΡΠ²Π° ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡ
ΡΡΠ»ΡΠ³ Ρ ΡΠΎΡΠΊΠΈ Π·ΡΠ΅Π½ΠΈΡ ΡΡΠ°ΡΡΠ½ΠΈΠΊΠΎΠ² ΠΏΡΠΎΡΠ΅ΡΡΠ°: ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², Π²ΡΠ°ΡΠ΅ΠΉ, ΡΡΡΠ΄Π΅Π½ΡΠΎΠ² ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠ³ΠΎ ΡΠ½ΠΈΠ²Π΅ΡΡΠΈΡΠ΅ΡΠ°. Π Ρ
ΠΎΠ΄Π΅ Π°Π½Π°Π»ΠΈΠ·Π° ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² Π°Π½ΠΊΠ΅ΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π²ΡΡΠ²Π»Π΅Π½Ρ Π²Π΅Π΄ΡΡΠΈΠ΅ ΠΏΡΠΈΡΠΈΠ½Ρ Π΄Π΅ΡΠ΅ΠΊΡΠΎΠ² ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ ΠΈ Π²Π΅Π΄ΡΡΠΈΠ΅ ΡΠ°ΠΊΡΠΎΡΡ ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠ³ΠΎ ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡ
ΡΡΠ»ΡΠ³ ΠΏΠΎ ΠΌΠ½Π΅Π½ΠΈΡ Π΄Π°Π½Π½ΡΡ
Π³ΡΡΠΏ
Vasculitis on the background of COVID-19 infection. Review of the literature. Clinical case
The article presents a literature review of the impact of a new coronavirus infection on the appearance of thrombotic microangiopathy, as well as cases of multisystem inflammatory syndrome. A clinical case of a patient with hemorrhagic vasculitis of post-viral etiology COVID 19, cutaneous form, is presented.Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ½ΡΠΉ ΠΎΠ±Π·ΠΎΡ Π²Π»ΠΈΡΠ½ΠΈΡ Π½ΠΎΠ²ΠΎΠΉ ΠΊΠΎΡΠΎΠ½Π°Π²ΠΈΡΡΡΠ½ΠΎΠΉ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ Π½Π° ΠΏΠΎΡΠ²Π»Π΅Π½ΠΈΠ΅ ΡΡΠΎΠΌΠ±ΠΎΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠΊΡΠΎΠ°Π½Π³ΠΈΠΎΠΏΠ°ΡΠΈΠΈ, Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠ»ΡΡΠ°ΠΈ ΠΌΡΠ»ΡΡΠΈΡΠΈΡΡΠ΅ΠΌΠ½ΠΎΠ³ΠΎ Π²ΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ°. ΠΡΠΈΠ²Π΅Π΄Π΅Π½ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° Ρ Π³Π΅ΠΌΠΎΡΡΠ°Π³ΠΈΡΠ΅ΡΠΊΠΈΠΌ Π²Π°ΡΠΊΡΠ»ΠΈΡΠΎΠΌ ΠΏΠΎΡΡΠ²ΠΈΡΡΡΠ½ΠΎΠΉ ΡΡΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ COVID 19, ΠΊΠΎΠΆΠ½ΠΎΠΉ ΡΠΎΡΠΌ
Subacute myocarditis associated with COVID-19
The article discusses a clinical case of subacute myocarditis associated with COVID-19, diagnosis and treatmentΠ ΡΡΠ°ΡΡΠ΅ ΡΠ°ΡΡΠΌΠΎΡΡΠ΅Π½ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ ΠΏΠΎΠ΄ΠΎΡΡΡΠΎΠ³ΠΎ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄ΠΈΡΠ°, Π°ΡΡΠΎΡΠΈΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ Ρ COVID-19, Π΅Π³ΠΎ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ° ΠΈ Π»Π΅ΡΠ΅Π½ΠΈ
Clinical and laboratory parallels in the diagnostics of chronic heart failure
The article provides an overview of the literature data, mainly over the past 15 years (2005-2020) ΠΎn chronic heart failure, features of pathogenesis, clinical picture and diagnosis of diseasesΠ ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ ΠΎΠ±Π·ΠΎΡ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ½ΡΡ
Π΄Π°Π½Π½ΡΡ
ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ Π·Π° ΠΏΠΎΡΠ»Π΅Π΄Π½ΠΈΠ΅ 15 Π»Π΅Ρ (2005-2020) ΠΎ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ, ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΡΡ
ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅Π·Π°, ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΠ°ΡΡΠΈΠ½Ρ ΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈ
Kidney pathology and nephroprotection among patients with COVID-19
Π number of medical articles, documents and described clinical cases were studied to analyze the dependence of kidney function on COVID-19 disease. A number of conclusions were drawn about the significance of kidney involvement in the clinical picture of COVID-19 and the role of AKF in the adverse outcome. Risk factors from the kidneys for coronavirus infection and renal complications of COVID-19 were also established. In addition, the effect of drugs prescribed to patients with coronavirus infection on kidney function was analyzed. As a result, conclusions were drawn about events that could prevent kidney damage and improve the prognosis of life and recovery in patients with COVID-19.ΠΠ»Ρ Π°Π½Π°Π»ΠΈΠ·Π° Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΏΠΎΡΠ΅ΠΊ ΠΎΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ COVID-19 Π±ΡΠ» ΠΈΠ·ΡΡΠ΅Π½ ΡΡΠ΄ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡ
ΡΡΠ°ΡΠ΅ΠΉ, Π΄ΠΎΠΊΡΠΌΠ΅Π½ΡΠΎΠ² ΠΈ ΠΎΠΏΠΈΡΠ°Π½Π½ΡΡ
ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠ»ΡΡΠ°Π΅Π². ΠΡΠ» ΡΠ΄Π΅Π»Π°Π½ ΡΡΠ΄ Π²ΡΠ²ΠΎΠ΄ΠΎΠ² ΠΎ Π·Π½Π°ΡΠΈΠΌΠΎΡΡΠΈ Π²ΠΎΠ²Π»Π΅ΡΠ΅Π½Π½ΠΎΡΡΠΈ ΠΏΠΎΡΠ΅ΠΊ Π² ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΡΡ ΠΊΠ°ΡΡΠΈΠ½Ρ COVID-19 ΠΈ ΡΠΎΠ»ΠΈ ΠΠΠ Π² Π½Π΅Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ½ΠΎΠΌ ΠΈΡΡ
ΠΎΠ΄Π΅. Π’Π°ΠΊΠΆΠ΅ Π±ΡΠ»ΠΈ ΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½Ρ ΡΠ°ΠΊΡΠΎΡΡ ΡΠΈΡΠΊΠ° ΡΠΎ ΡΡΠΎΡΠΎΠ½Ρ ΠΏΠΎΡΠ΅ΠΊ Π΄Π»Ρ ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΊΠΎΡΠΎΠ½ΠΎΠ²ΠΈΡΡΡΠΎΠΌ ΠΈ ΠΏΠΎΡΠ΅ΡΠ½ΡΠ΅ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΡ COVID-19. ΠΠΎΠΌΠΈΠΌΠΎ ΡΡΠΎΠ³ΠΎ, Π±ΡΠ»ΠΎ ΠΏΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½ΠΎ Π²Π»ΠΈΡΠ½ΠΈΠ΅ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠΎΠ², Π½Π°Π·Π½Π°ΡΠ°Π΅ΠΌΡΡ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ Ρ ΠΊΠΎΡΠΎΠ½Π°Π²ΠΈΡΡΡΠΊΠΎΠΉ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠ΅ΠΉ, Π½Π° ΡΡΠ½ΠΊΡΠΈΡ ΠΏΠΎΡΠ΅ΠΊ. ΠΡΠ»Π΅Π΄ΡΡΠ²ΠΈΠ΅ ΡΡΠΎΠ³ΠΎ Π±ΡΠ»ΠΈ ΡΠ΄Π΅Π»Π°Π½Ρ Π²ΡΠ²ΠΎΠ΄Ρ ΠΎ ΠΌΠ΅ΡΠΎΠΏΡΠΈΡΡΠΈΡΡ
, ΡΠΏΠΎΡΠΎΠ±Π½ΡΡ
ΠΏΡΠ΅Π΄ΠΎΡΠ²ΡΠ°ΡΠΈΡΡ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΠ΅ ΠΏΠΎΡΠ΅ΠΊ ΠΈ ΡΠ»ΡΡΡΠΈΡΡ ΠΏΡΠΎΠ³Π½ΠΎΠ· ΠΆΠΈΠ·Π½ΠΈ ΠΈ Π²ΡΠ·Π΄ΠΎΡΠΎΠ²Π»Π΅Π½ΠΈΡ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ COVID-1
Role of genetic studies in the development of arterial hypertension
The article examines the features of genotypes among the studied patients with arterial hypertension using their "Genetic health cards". Recommendations are given on the use of genetic research in the selection of individualized therapyΠ ΡΡΠ°ΡΡΠ΅ ΡΠ°ΡΡΠΌΠΎΡΡΠ΅Π½Ρ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ Π³Π΅Π½ΠΎΡΠΈΠΏΠΎΠ² ΡΡΠ΅Π΄ΠΈ ΠΈΡΡΠ»Π΅Π΄ΡΠ΅ΠΌΡΡ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π³ΠΈΠΏΠ΅ΡΡΠ΅Π½Π·ΠΈΠ΅ΠΉ Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΠΈΡ
Β«ΠΠ΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΊΠ°ΡΡ Π·Π΄ΠΎΡΠΎΠ²ΡΡΒ». ΠΠ°Π½Ρ ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΠΈ ΠΏΠΎ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π² ΠΏΠΎΠ΄Π±ΠΎΡΠ΅ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈ
Clinical significance of the risk assessment of the cardioemobolic stroke in the patients of the senior age group outside depending on the attract fibrillation
An assessment of the risk of cardioembolic stroke in a sample of patients over 65 years old among patients with a cardiological hospital of the city clinical hospital number 14 in Yekaterinburg was carried out. The group included 60 patients (41 women, 19 men) aged from 65 to 94 years. The average age is 74 years. Patients were assessed on a CHA2DS2 βVASc scale regardless of the current presence of atrial fibrillation. The analysis of the obtained data was performed using the statistical package SPSS 20.0. According to the results of the survey, it was found out that 96% of patients had more than 2 points on the CHA2DS2 βVASc scale; in 40% of patients they had MI in anamnesis. It was revealed that only 5% had a history of atrial fibrillation. The result obtained has a high clinical significance, since it indicates the need to assess the risks of cardioembolic stroke in the older age group regardless of the presence of atrial fibrillation at the present time for timely medical prophylaxis.ΠΡΠΎΠ²Π΅Π΄Π΅Π½Π° ΠΎΡΠ΅Π½ΠΊΠ° ΡΠΈΡΠΊΠ° ΠΊΠ°ΡΠ΄ΠΈΠΎΡΠΌΠ±ΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΠ½ΡΡΠ»ΡΡΠ° Π² Π²ΡΠ±ΠΎΡΠΊΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΡΠ°ΡΡΠ΅ 65 Π»Π΅Ρ ΡΡΠ΅Π΄ΠΈ Π±ΠΎΠ»ΡΠ½ΡΡ
ΠΊΠ°ΡΠ΄ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ° ΠΠΠβ14 Π³.ΠΠΊΠ°ΡΠ΅ΡΠΈΠ½Π±ΡΡΠ³Π°. Π Π³ΡΡΠΏΠΏΡ Π²ΠΎΡΠ»ΠΈ 60 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² (41 ΠΆΠ΅Π½ΡΠΈΠ½, 19 ΠΌΡΠΆΡΠΈΠ½) Π² Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ ΠΎΡ 65 Π΄ΠΎ 94 Π»Π΅Ρ (ΡΡΠ΅Π΄Π½ΠΈΠΉ Π²ΠΎΠ·ΡΠ°ΡΡ 74Β±8,29 Π³ΠΎΠ΄Π°). ΠΡΠΎΠ²Π΅Π΄Π΅Π½Π° ΠΎΡΠ΅Π½ΠΊΠ° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΏΠΎ ΡΠΊΠ°Π»Π΅ CHA2DS2 βVASc Π½Π΅Π·Π°Π²ΠΈΡΠΈΠΌΠΎ ΠΎΡ Π½Π°Π»ΠΈΡΠΈΡ Π² ΡΠ΅ΠΊΡΡΠΈΠΉ ΠΌΠΎΠΌΠ΅Π½Ρ ΡΠΈΠ±ΡΠΈΠ»Π»ΡΡΠΈΠΈ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΠΉ. ΠΠ½Π°Π»ΠΈΠ· ΠΏΠΎΠ»ΡΡΠ΅Π½Π½ΡΡ
Π΄Π°Π½Π½ΡΡ
ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΠ°ΠΊΠ΅ΡΠ° SPSS 20.0.ΠΠΎ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ°ΠΌ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠ³ΠΎ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π²ΡΡΡΠ½Π΅Π½ΠΎ, ΡΡΠΎ 96% ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΈΠΌΠ΅Π»ΠΈ Π±ΠΎΠ»Π΅Π΅ 2 Π±Π°Π»Π»ΠΎΠ² ΠΏΠΎ ΡΠΊΠ°Π»Π΅ CHA2DS2 βVASc, ΠΠ Π² Π°Π½Π°ΠΌΠ½Π΅Π·Π΅ Π²ΡΡΠ²Π»Π΅Π½ Ρ53,3% ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². ΠΡΡΠ²Π»Π΅Π½ΠΎ, ΡΡΠΎ Ρ Π»ΠΈΡΡ 5% Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠΎΠ²Π°Π»Π°ΡΡ ΡΠΈΠ±ΡΠΈΠ»Π»ΡΡΠΈΡ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΠΉ. ΠΠΎΠ»ΡΡΠ΅Π½Π½ΡΠΉ ΡΠ΅Π·ΡΠ»ΡΡΠ°Ρ ΠΈΠΌΠ΅Π΅Ρ Π²ΡΡΠΎΠΊΠΎΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅, ΠΏΠΎΡΠΊΠΎΠ»ΡΠΊΡ ΡΠΊΠ°Π·ΡΠ²Π°Π΅Ρ Π½Π° Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΠΈΡΠΊΠΎΠ² ΠΊΠ°ΡΠ΄ΠΈΠΎΡΠΌΠ±ΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΠ½ΡΡΠ»ΡΡΠ° Π² ΡΡΠ°ΡΡΠ΅ΠΉ Π²ΠΎΠ·ΡΠ°ΡΡΠ½ΠΎΠΉ Π³ΡΡΠΏΠΏΠ΅ Π½Π΅Π·Π°Π²ΠΈΡΠΈΠΌΠΎ ΠΎΡ Π½Π°Π»ΠΈΡΠΈΡ ΡΠΈΠ±ΡΠΈΠ»Π»ΡΡΠΈΠΉ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΠΉ Π² ΡΠ΅ΠΊΡΡΠ΅Π΅ Π²ΡΠ΅ΠΌΡ Π΄Π»Ρ ΡΠ²ΠΎΠ΅Π²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½ΡΠΎΠ·Π½ΠΎΠΉ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠΈ
- β¦