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  • Ескіз
    Документ
    Functional characteristics of the cardiovascular system of patients with ischemic heart disease with obesity
    (Wydawnictwo ALUNA, 2023) Zlatkina, Vira V.; Nemtsova, Valeriya D.; Fedak, Bogdan S.; Ponomaryov, Volodymyr I.; Zhelezniakova, Natalia M.; Mishchenko, Oleksandr M.; Horban, Dariia V.
    The aim: To determine the features of the functional characteristics of the cardiovascular system of patients with ischemic heart disease with obesity. 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: 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; р<0.001); end-systolic volume (47.98±29.92 and 31.47±8.42 mm3; р=0.001); end-diastolic size (4.74±0.81 and 4.12 ± 0.27 cm; р<0.001); end-systolic size (3.34±0.76 and 3.17±0.59 cm; р=0.014). 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.
  • Ескіз
    Документ
    Determination of somatic, neurological and psycho-emotional manifestations of the acute and postcovid period in patients with a mild course of COVID-19 in wartime
    (Wydawnictwo ALUNA, 2023) Fedak, Bogdan S.; Ponomaryov, Volodymyr I.; Ponomaryova, Valeria V.; Kravchenko, Iryna M.; Morozova, Olga G.; Yaroshevskiy, Oleksandr A.; Mishchenko, Oleksandr M.
    The aim: To analyze the typical symptom complex at the stage of COVID-19 acute phase in the systemic relationship with somatic, psychosomatic, and neurological manifestations. Materials and methods: The collection of primary material was performed by clinical-anamnestic method, laboratory, and sociological examination of patients treated out patiently. Summarizing of the results was performed according to the analysis of 100 completed cases of COVID-19 in patients aged 35-45 years (50 men and 50 women) who had no concomitant chronic pathology, and patients did not receive any vaccine dose before the disease (acute COVID-19) and during the next follow-up period (6 months). Results: The data of the analysis allowed us to make a grounded conclusion about the syndromic heterogeneity of COVID 19 in a standardized patients group with a mild course. Conclusions: the highest number of symptoms in the postcovid period by frequency, polymorphism, and life quality impact was found in the group of patients with subjectively tolerate acute COVID-19 most easily. Patients whose acute episode meets the mild criteria have pronounced neurological and psychoemotional manifestations during the postcovid period.