A CASE REPORT OF MYOCARDIAL INFARCT PROCESSED ON POLYMORBID BACKGROUND

Автор (лар): Пашимов М.О., Жангелова Ш.Б, Капсултанова Д.А, Даньярова Л, Сахов О.С, Нурмухаммад Ф.Н, Рахметулаева Э.Б, Кыдыкенова А.Т.

DOI: 10.34689/SH.2025.27.5.032

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Introduction. Polymorbidity in the form of uncontrolled arterial hypertension, heart failure, severe out-of-hospital polisegmental pneumonia complicated by pleurisy and respiratory failure significantly affects the tactics of myocardial infarction management in polypragmatic conditions and worsen prognosis. Additional difficulties in myocardial infarction management are: Dressler syndrome, recurrent course of infarction and ventricular fibrillation, repeated interventions (coronarography and stenting), contrast induced nephropathy on the background of chronic heart failure with low ejection fraction and pulmonary hypertension. Material and methods. Analysis of the medical record data of patient B, 58 years old. Results and discussion: This case highlights the challenges faced by physicians in the management of patients with myocardial infarction on polymorbid background, requiring simultaneous intensive treatment of myocardial infarction and combined diseases, which increases the risk of circulatory instability in conditions of forced polypragmasy. Conclusion: This case demonstrates the need for active identification of patients with CHD at the outpatient stage and interdisciplinary approach including general practitioners, internists, cardiologists, cardiac surgeons, pulmonologists, intensive care specialists and nephrologists.

Көрген адамдардың саны: 5

Түйенді сөздер: myocardial infarction, polymorbidity, polypragmasy

Мақалалар санаты: Клиникалық жағдай

Библиографиялық сілтемелер

Pashimov M.O., Zhangelova Sh.B., Kapsultanova D.A., Danyarova L.B., Sakhov O.S., Nurmukhammad F.N., Rakhmetulaeva E.B., Kydykenova A.T. A clinical case of myocardial infarct processed on polymorbid background // Nauka i Zdravookhranenie [Science & Healthcare]. 2025. Vol.27 (5), pp. 274-279. doi 10.34689/SH.2025.27.5.032