title: [Study of risk factors in complicated forms of ischemic heart disease in evaluating the prognosis and course of the disease (conservative and surgical treatment].
abstract: Risk factors, survival rate, and quality of life of non-operated and operated patients with complicated IHD (over 50% diameter narrowing of the LCA trunk, occlusion of 3-4 coronary arteries, left ventricular aneurysm and rhythm disturbances) have been studied. The disease course and prognosis are influenced by a number of risk factors. For the non-operated patients, these are the magnitude of narrowing and the number of occluded coronary arteries, the occlusion level, involvement of great coronary arteries, the dimensions of the cicatrical zone, reduced myocardial contractility, left ventricular end diastolic pressure of more than 20 mm Hg, patient's age, and rhythm disturbances revealed on standard resting ECG. The postoperative survival rate and quality of life are significantly improved as compared to the conservatively treated group. The major risk factor is incomplete postoperative myocardial revascularisation, and combined high-grade extrasystole with supraventricular arrhythmias.
authors.forename: N S
authors.initials: NS
authors.lastname: Buslenko
authors.forename: T V
authors.initials: TV
authors.lastname: Vasiledze
authors.forename: E B
authors.initials: EB
authors.lastname: Filileva
authors.forename: M A
authors.initials: MA
authors.lastname: Avdeeva
mesh_terms: D000328:Adult; D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000401:mortality*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000401:mortality* / Q000628:therapy; D005260:Female; D006322:Heart Aneurysm / Q000209:etiology / Q000401:mortality*; D006801:Humans; D008297:Male; D008875:Middle Aged; D005996:Nitroglycerin / Q000627:therapeutic use; D011379:Prognosis; D012307:Risk Factors
chemical_list: D005996:Nitroglycerin
vernacular_title: Faktory riska pri oslozhenennykh formakh ishemicheskoĭ bolezni serdtsa v otsenke prognoza i techeniia zabolevaniia (terapevticheskoe i khirurgicheskoe lechenie).