Clinical Physiology of Circulation

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Issue's catalogue ➤ КФК. 2022; 19 (2): 97-192 ➤ Физиологический статус больных пожилого возраста в среднеотдаленные сроки после коррекции клапанных пороков сердца

Physiological status of elderly patients in the middle-long period after correction of valvular heart diseases

Authors: Pelekh D.M., Nikitina T.G., Gulyan K.S., Fadeev A.A., Golukhova E.Z.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2022-19-2-127-136

UDC: 616.126-053.9-089-06

Link: Clinical Physiology of Blood Circulaiton. 2022; 2 (19): 127-137

Quote as: Pelekh D.M., Nikitina T.G., Gulyan K.S., Fadeev A.A., Golukhova E.Z. Physiological status of elderly patients in the middle-long period after correction of valvular heart diseases. Clinical Physiology of Circulation. 2022; 19 (2): 127–36 (in Russ.). DOI: 10.24022/1814-6910-2022-19-2-127-136

Keywords:  physiological reserve valvular heart disease elderly patients quality of life

Received / Accepted:  08.11.2021 / 15.04.2022

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Abstract

Objective. To analyze the physiological reserve (PR) in elderly patients (≥ 60 years old) in the mid-long term (6–12 months after operation) after correction of valvular heart disease (VHD) in conditions of artificial circulation.

Material and methods. 85 patients ≥ 60 years old (mean age 63.1 ± 5.0 years) 6–12 months after correction of the VHD, the PR was assessed. Combined operations (correction VHD + CABG) were performed in 25.8% of patients.

Results. We noted a significant improvement in FS according to NYHA: 83.5% of patients are in FS II according to NYHA (in FS III – 16.5% of patients). According to EFI: 77.6% of patients are safe, the rest of the patients (22.4%) are from vulnerable to moderately painful. There was a significant improvement in the quality of life (QOL) of elderly patients in terms of physical components of health.

Conclusion. Analysis of the PR of patients in the mid-long term after correction of the VHD showed that the majority of elderly patients are in FS II according to NYHA. According to EFI, most patients are intact. The QOL of patients in terms of physical components of health is at a fairly high level (FF – 56.4 ± 2.5, RFF – 55.7 ± 3.9).

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About Authors

  • Dmitriy M. Pelekh, Cand. Med. Sci., Researcher, Cardiologist; ORCID
  • Tat’yana G. Nikitina, Dr. Med. Sci., Professor, Head of Department of Cardiosurgery of Acquired Heart Diseases; ORCID
  • Knar S. Gulyan, Cand. Med. Sci., Cardiologist; ORCID
  • Aleksandr A. Fadeev, Cand. Tech. Sci., Head of Laboratory for the Application of Polymers in Cardiovascular Surgery; ORCID
  • Elena Z. Golukhova, Dr. Med. Sci., Professor, Academician of the Russian Academy of Sciences, Director; ORCID

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