CURRENT APPROACHES AND NEW RESEARCH IN
MODERN SCIENCES
International scientific-online conference
65
IMPROVING THE QUALITY OF MEDICAL CARE FOR ELDERLY AND
SENILE PATIENTS WITH SUBJECTIVELY UNMANIFESTED
ISCHEMIC HEART DISEASE.
Bakhramova A.A.
Assistant of the Department of Internal Medicine and Family Medicine of the
Bukhara State Medical Institute.
https://doi.org/10.5281/zenodo.14500937
Abstract:
The problem of subjectively unmanifested coronary heart
disease is becoming increasingly urgent in view of improved diagnostics, early
detection of coronary heart disease, and wider introduction of invasive
diagnostic methods. In this regard, especially in patients of older age groups, a
special approach to the issues of diagnostics and treatment of this pathology is
necessary to improve the quality of medical care provided to them.
The purpose of the study
: to develop an optimal algorithm for
examination and treatment of patients of older age groups with subjectively
unmanifested form of coronary heart disease in a multidisciplinary hospital to
improve the quality of medical care for this group of patients.
Objective
: to create an algorithm for medical examination and treatment
of patients of older age groups with subjectively unmanifested form of ischemic
heart disease.
Materials and methods
: recruitment of patients with subjectively
unmanifested form of ischemic heart disease (IHD) into two main groups —
elderly and senile — and two control groups of patients with clinically
manifested IHD — elderly and senile. It is planned to recruit about 100 people
for each group. Each group is divided into two subgroups by gender. Patients of
all groups undergo the following: assessment of complaints and anamnesis
according to the scheme; assessment of pre-test probability of ischemic heart
disease;
risk assessment according to the SCORE scale; physical examination; general
clinical blood and urine tests, as well as a study of biochemical laboratory
parameters; ECG; ECHOCG; assessment of tolerance to physical activity using a
test with a six-minute walk; SMEKG; stress echocardiography or bicycle
ergometry; coronary angiography; lipid spectrum assessment; thyroid status
assessment; glycemic profile assessment; plasma brain natriuretic peptide
activity study; high-sensitivity troponin I concentration assessment in blood
serum; assessment of the presence and severity of anxiety and depression in the
patient; quality of life assessment; pain and vibration sensitivity assessment.
CURRENT APPROACHES AND NEW RESEARCH IN
MODERN SCIENCES
International scientific-online conference
66
Results
: currently, 25 people have been recruited into the groups: 15 in
the main groups (8 and 7, respectively) and 10 (5 and 5) in the control groups.
CLINICAL GERONTOLOGY.
Conclusion
: analysis of literary data shows the need
for a comprehensive approach to the problem of subjectively unmanifested
coronary heart disease in older patients. It is necessary to take into account the
gender characteristics of subjectively unmanifested coronary heart disease in
elderly and senile patients. There is a need for dynamic psychotherapeutic
support of elderly and senile patients with subjectively unmanifested form of
coronary heart disease. A personalized approach to treatment should be used in
ACADEMIC INTERNATIONAL CONFERENCE ON MULTI-DISCIPLINARY STUDIES
AND EDUCATION Hosted from Pittsburgh, USA 87 multidisciplinary hospital
settings for elderly and senile patients with subjectively unmanifested form of
coronary heart disease.
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Thomas M. Maddox, Maggie A. Stanislawski, Gary K. Grunwald.
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Juhani Knuuti, William Wijns, Antti Saraste. European Heart Journal. 2020.
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G S Werner, M Ferrari, S Betge. Collateral function in chronic total
coronary occlusions is related to regional myocardial function and duration of
occlusion Circulation. 2001.- Issue. 104.
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Angela Fowler-Brown, Mark Pletcher. Screening for Asymptomatic
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