The role of the scientific advisory departmentin improving the results of surgical treatmentof coronary heart disease at different times after surgery

Authors: N.G. Bendeliani, V.Yu. Kovalenko, I.V. Volkovskaya

Company: Bakoulev National Scientific and Practical Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation; Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

UDC: 616.12-005.4-089:614.2]-036.838
DOI: https://doi.org/10.24022/1810-0694-2017-18-1-19-29

Received / Accepted: 08.02.2017

Keywords: coronary heart disease surgical treatment secondary prophylaxis in out-patient conditions training

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Abstract

Introduction. The organizational and medical principles of treatment and secondary prevention of coronary heart disease (CHD) in patients after cardiac interventions are considered.
Material and methods. The study included 514 patients operated on for various forms of CHD for the period from 1984 to December 1, 2015.
Results. The analysis of possible approaches in improving of the remote results of surgical treatment of CHD is carried out: on the basis of development of the protocol of pre-hospital survey; questionnaire of quality of guiding of patients; questionnaires quality of life and a depression, multiple-factor programs of treatment, and also, the reporting under volume and quality of the provided medical care.
Conclusion. The remote forecast of surgical treatment (stenting of coronary arteries, coronary shunting) has to depend on a complex of the following measures: constant reception of the medicinal therapy based on modern clinical references on secondary prophylaxis of complications of cardiovascular diseases; actions for a reduction of the risk factors begun in early terms after expeditious treatment and quality of a medical care.

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About the authors

Bendeliani Nana Georgievna, MD, PhD, DSc, Deputy Chief of Department; e-mail: n.bendo@mail.ru;
Kovalenko Oleg Aleksandrovich, MD, PhD, DSc, Leading Research Associate;
Volkovskaya Irina Vasil'yevna, MD, PhD, DSc, Chief of Department

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Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery

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