Clinical management to improve of medical care for patients with cardiovascular diseases

Objective: To improve clinical management of medical care to the patients with cardiovascular diseases (CVD). Design: A Retrospective Observational Study. Setting: Scientific Clinical Center of Russian Railways Company, Peoples’ Friendship University of Russia (RUDN) University, Moscow, Russia. Method: The study was conducted from 1 October 2015 – to 30 September 2019. Object of study – Five hundred sixteen patients with coronary artery disease and atherosclerosis of arteries of various localization were included in the study. The medical care algorithm consisted of endovascular and hybrid surgical treatment of common atherosclerosis of the arteries and long-term follow-up dynamic multidisciplinary monitoring of patients. Results: Improve clinical management has resulted in more effective results: The restoration of blood flow in coronary, subclavian, iliac, femoral or tibial arteries, performed during 14 days, was successful in all patients; the incidence of postoperative complications was 0.1%. There were no deaths. During the 1st year of follow-up, 37 (6 7%) patients performed repeated endovascular revascularization due to the development of restenosis of the stented segment of the following: Coronary arteries 4 (0.8%), subclavian artery 2 (0.4%) and superficial femoral artery 31 (6%). Cardiovascular end points within 3 years of follow-up have not been achieved. Survival after 36 months was 100%. Conclusion: Improving the clinical management of medical care for patients with CVD, of permanent medical care by cardiovascular surgeons of the vascular surgery department within the framework of one medical organization ensures high continuity of medical care, increases the survival of patients, and ensures high quality of public health. © 2021, Bahrain Medical Bulletin. All rights reserved.

Authors
Goloshchapov-Aksenov R.S. 1, 2 , Kicha D.I. 3 , Al Baqara A.A.
Publisher
Bahrain Medical Bulletin
Number of issue
1
Language
English
Pages
367-372
Status
Published
Volume
43
Year
2021
Organizations
  • 1 Department of Cardiovascular Surgery, Scientific Research Clinical Center of Russian Railways Company, Volokolamskoe Highway 84, Moscow, Russian Federation
  • 2 Department of Cardiology Endovascular and Hybrid Treatment, Medical Institute of Peoples’ Friendship University of Russia (RUDN University), Russian Federation, Miklukho – Maklaya St, 8, Moscow, 117198, Russian Federation
  • 3 Department Health Organization, Drug Supply, Medical Technologies and Hygiene, FCME, Public Health Health Organization and Hygiene Medical Institute of the Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation
  • 4 Center Dan Medical Center, Building 207, Road 31, Block 447, Bahrain
Date of creation
20.04.2021
Date of change
20.04.2021
Short link
https://repository.rudn.ru/en/records/article/record/72074/
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