Clinical Physiology of Circulation

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


Results of correction of mitral insufficiency with assessment of psychophysiological reserve and quality of life (19 years after surgery)

Authors: Nikitina T.G., Bazarsadaeva T.S., Pelekh D.M., Glushko L.A., Bockeria L.A.

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

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2022-19-2-168-176

UDC: 616.126.422-089.168

Link: Clinical Physiology of Blood Circulaiton. 2022; 2 (19): 168-176

Quote as: Nikitina T.G., Bazarsadaeva T.S., Pelekh D.M., Glushko L.A., Bockeria L.A. Results of correction of mitral insufficiency with assessment of psychophysiological reserve and quality of life (19 years after surgery). Clinical Physiology of Circulation. 2022; 19 (2): 168–76 (in Russ.). DOI: 10.24022/1814-6910-2022-19-2-168-176

Received / Accepted:  18.02.2022 / 04.05.2022

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Abstract

Patient Kh., 78 years old, female, in 2002 in the Department of Cardiology of Acquired Heart Diseases of the Bakoulev Center surgical correction of mitral valve insufficiency was performed (on the day of the operation in 2002, the patient was 59 years old). Before surgery, the patient was in the IV functional class according to the New York Heart Association. For 19 years, the patient has been observed in the Scientific Advisory Department of the Bakoulev Center, therapy is being corrected according to the results of the clinical condition, echocardiography, Holter electrocardiogram monitoring (HM ECG), coronary angiography and laboratory data. In 2014, percutaneous coronary intervention was performed – stenting of the circumflex branch of left coronary artery, in 2021 – implantation of a pacemaker due to sinus node dysfunction was performed. For 18 years, according to the ECG data and HM ECG, the patient maintained sinus rhythm, satisfactory quality of life (SF-36) in terms of physical and psychological components of health, the patient is vulnerable (Edmonton scale of physiological reserve), highly comorbid (Charlson comorbidity index).

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****
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About Authors

  • Tat’yana G. Nikitina, Dr. Med. Sci., Professor, Leading Researcher; ORCID
  • Tat’yana S. Bazarsadaeva, Cand. Med. Sci., Cardiologist
  • Dmitriy M. Pelekh, Cand. Med. Sci., Researcher, Cardiologist; ORCID
  • Lyudmila A. Glushko, Cand. Med. Sci., Head of Group of Pulmonary Samples and Gas Exchange Monitoring, Cardiologist; ORCID
  • Leo A. Bockeria, Dr. Med. Sci., Professor, Academician of RAS, President; ORCID

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