Vіsnik Naukovih Doslіdžen' (Apr 2017)

INFLUENCE OF THE MAIN RISK FACTORS ON THE COURSE OF MYOCARDIAL INFARCTION IN THE PATIENTS WITH OVERWEIGHT

  • M. I. Shved,
  • M. Ya. Beniv,
  • L. V. Levytska,
  • L. V. Tsuglevych

DOI
https://doi.org/10.11603/2415-8798.2017.1.7250
Journal volume & issue
Vol. 0, no. 1

Abstract

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The main risk factors for myocardial infarction, which contribute to the occurrence and worsen the course of the disease, are hypertension, obesity, smoking, lack of exercise, lipid storage disease and diabetes mellitus type 2, especially when they are combined. The aim of the study – main peculiarities of spreading of main risk factors of cardiovascular diseases, their impact on the incidence of complications and myocardial infarction in overweight patients, residents of Ternopil region. Materials and Methods. 76 patients with myocardial infarction in the age of 39 to 85 were examined and with the help of envelope method were divided into three studied groups: 1st group – 33 patients with myocardial infarction and with overweight, 2nd group – 13 patients with myocardial infarction and with obesity of the I stage, 3rd group – 10 patients with myocardial infarction and with obesity of the II–III stage. Control group consisted of 20 patients with normal weight. Results and Discussions. It was found that the most common risk factors among patients were arterial hypertension (in 97 % of patients with overweight and in 100 % of patients with obesity) and diabetes mellitus type 2 (in 24 % of patients with overweight 60 % of patients with obesity). At the same time in patients with myocardial infarction increase of the most atherogenic class cholesterol low-density lipoprotein and lowering of antiatherogenic class cholesterol high-density lipoprotein were observed with more often in patients with overweight than in patients with normal body weight. Hypertriglyceridemia was significantly more often observed in patients with obesity of II-III stages. Conclusions. Analysis of catamnesis showed that the most often complications in patients with myocardial infarction having overweight are cardiac asthma, pulmonary edema, acute aneurysm of the left ventricular and pericarditis.

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