Prevalence of digestive diseases in patients with acute coronary syndrome
https://doi.org/10.31146/1682-8658-ecg-178-6-88-94
Abstract
Purpose of the study. To study the prevalence of digestive diseases in patients with acute coronary syndrome.
Materials and methods. A retrospective study included 1079 patients with acute coronary syndrome who were treated in the cardiology department No. 2 of the Chelyabinsk Regional Clinical Hospital in 2015. After further examination, the diagnosis of acute coronary syndrome was withdrawn in 40 patients (3.7%). In the future, this group was not studied due to the small number of patients. Of the group of patients with acute coronary syndrome (n = 1039 people), patients were distributed taking into account gender and age, of which 679 (65.4%) were men, 360 (34.6%) were women. The average age of all patients was (61.9 ± 11.9) years, men (58.9 ± 11.9) years, women (67.6 ± 12.0) years. Statistical analysis was performed using Microsoft Offi ce applications and SPSS Statistics programs (version 21.0).
Results. Among all concomitant diseases in patients with acute coronary syndrome, digestive diseases take the third place. Among the risk factors in patients with acute coronary syndrome and digestive diseases, hypertension and hypercholesterolemia were most often recorded. Multivascular damage to the coronary arteries was more often observed in patients with myocardial infarction in the presence of digestive diseases. At the time of discharge from the hospital in patients with acute coronary syndrome in the presence of diseases of the gastroduodenal zone, monotherapy (clopidogrel / ticagrelor) was recommended three times more often in comparison with the group without digestive diseases. Inhibitors of the proton pump (omeprazole) in the presence of pathology of the digestive system are recommended in almost 100% of cases, regardless of the clinical form of acute coronary syndrome.
About the Authors
O. A. Naumova
Federal State Budgetary Educational Institution of Higher Education “South-Urals State Medical University” of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Department of Hospital Therapy, Clinical Resident,
454092, Chelyabinsk, Vorovskogo, 64
L. A. Efros
Federal State Budgetary Educational Institution of Higher Education “South-Urals State Medical University” of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Department of Hospital Therapy, Professor, Doctor of Medical Sciences, Associate Professor,
454092, Chelyabinsk, Vorovskogo, 64
O. F. Kalev
Federal State Budgetary Educational Institution of Higher Education “South-Urals State Medical University” of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Department of Hospital Therapy, Professor, Doctor of Medical Sciences, Associate Professor, Honored Scientist of the Russian Federation,
454092, Chelyabinsk, Vorovskogo, 64
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Review
For citations:
Naumova O.A., Efros L.A., Kalev O.F. Prevalence of digestive diseases in patients with acute coronary syndrome. Experimental and Clinical Gastroenterology. 2020;(6):88-94. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-178-6-88-94
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