RESUMO
OBJECTIVE: The aim: To determine the features of the functional characteristics of the cardiovascular system of patients with ischemic heart disease with obesity. PATIENTS AND METHODS: Materials and methods: Examined 130 persons (mostly military personnel and persons who were in the zone of active hostilities): 65 patients (the main group, 62,67±8,93 years) with coronary heart disease and obesity and 45 people of the control group (virtually healthy people, randomized by age and sex, 58,76±14,6 years). RESULTS: Results: Coronary heart disease and obesity compared to healthy individuals probably the exceed all values of the functional state of the cardiovascular system: systolic blood pressure (152.72±14.61 and 119.03±7.94 mmHg; p<0.001); diastolic blood pressure (90.74±7.36 and 80.36±6.74 mmHg; p<0.001); end-diastolic volume (103.17±40.84 and 52.48±8.58 mm3; Ñ<0.001); end-systolic volume (47.98±29.92 and 31.47±8.42 mm3; Ñ=0.001); end-diastolic size (4.74±0.81 and 4.12 ± 0.27 cm; Ñ<0.001); end-systolic size (3.34±0.76 and 3.17±0.59 cm; Ñ=0.014). CONCLUSION: Conclusions: The identified functional disorders of the heart in the comorbid course of coronary heart disease and obesity can be used for early diagnosis of cardiovascular complications in such patients and for the development of adequate therapeutic schemes.
Assuntos
Sistema Cardiovascular , Doença das Coronárias , Isquemia Miocárdica , Humanos , Isquemia Miocárdica/complicações , Obesidade/complicações , Doença das Coronárias/complicaçõesRESUMO
OBJECTIVE: The aim was to determine the role of obesity in the development of fatal complications and deaths in victims with abdominal trauma. PATIENTS AND METHODS: Materials and methods: The study was conducted on the basis of the Department of Polytrauma at the Municipal Health Care Institution of Kharkiv City Council "O.I. Meshchaninov City Clinical Hospital of Ambulance and Emergency Care". The authors have analyzed the case histories of 240 patients with abdominal trauma depending on the presence of obesity, which was determined by BMI (body mass index) and/or waist circumference (WC). RESULTS: Results: Complications were found in 93 (38.8%) victims, 34 (14.2%) victims died. It was found that the overall incidence of complications, respiratory and hemocoagulation complications, the incidence of multiple organ failure (MOF) and mortality signif i cantly increased in obese victims. Determination of obesity by the value of the BMI during hospitalization was possible in 41.7% of victims. The identif i cation of WC turned out to be no less informative, but more accessible. CONCLUSION: Conclusions: Obesity increases the incidence of complications and mortality in victims of abdominal trauma, and is a marker of a negative prognosis. Traditional assessment of BMI during hospitalization in most victims with abdominal trauma is not possible due to the severity of the condition and/or the presence of combined injuries. A good alternative to determining obesity in victims with abdominal trauma is a WC (more than 88 cm in women and more than 102 cm in men).
