OUTPATIENT FOLLOW-UP OF THE LOWER EXTREMITIES ATHEROSCLEROSIS PATIENTS FROM CARDIOLOGIST POINT OF VIEW

Abstract

Aim. To study clinical characteristics of patients with lower extremities atherosclerosis form cardiologist point of view.Material and methods. Totally, 458 patients included (372 (79%) males and 84 (18,4%) females, median age 63 year-old, from 45 to 81) with obliterating atherosclerosis of lower extremities. Patients were examined by cardiologist under the framework of registry at Kemerovo Cardiovascular center, in 2009-2013. For the study, two groups were selected according to Russian classification of chronic lower extremities vessels ischemia (CLEI) stage by Fountain-Pokrovsky: Group 1 (n=196) with CLEI 1-2a stage, Group 2 (n=260) with CLEI 2b-4 stage.Results. Among patients with obliterating lower extremities arteries diseases there was high prevalence of cardiocerebral pathology: myocardial infarction in anamnesis 34,4%, and clinical signs of angina in 48,5%, stroke anamnesis in 14,3% and extracranial stenosis of arteries in 12,3%. Also, the prescribed cardiovascular protective therapy was not optimal: statins were being taken by 64,5%, betablockers by 65,6%, ACE inhibitors by 52,4%. There was no difference in the prevalence of cardiovascular pathology and received treatment among groups with various severity of obliteration of arteries.Conclusion. For an improvement of secondary prevention, it is aim worthy to apply in patients with obliteration diseases of lower extremities the new organizational approaches at outpatient stage.

Keywords

• peripheral arterial disease
• atherosclerosis
• outpatient monitoring