CLINICAL AND INSTRUMENTAL FEATURES OF CORONARY HEART DISEASE IN PATIENTS WITH COMORBID CONDITIONS

Аннотация

Arterial hypertension and type 2 diabetes are common comorbidities. In patients with diabetes mellitus, arterial hypertension occurs twice as often as in patients without diabetes. Purpose of the study: to reveal the clinical and instrumental features of the course of coronary artery disease in patients with arterial hypertension in combination with type II diabetes mellitus. Materials and methods of research: Particular attention was paid to the clinical examination of patients, which included the collection of complaints, anamnesis, and physical examination. The diagnosis of postinfarction cardiosclerosis was made on the basis of anamnestic data, ECG data, Holter monitoring and echocardiography. The instrumental study included ECG, echocardiography, determination of the thickness of the intima-media complex of the carotid arteries, X-ray of the chest organs. For persons with HIBS in order to verify ischemia Holter-ECG or stress tests. Results of the study: the indicators studied by us confirmed that patients with concomitant pathology in the form of type 2 diabetes aggravate the course of the underlying disease. Indicators of ECG monitoring in the concomitant course of DM showed ST segment depression, which allows substantiating the risk of coronary atherosclerosis, revealing hidden forms of chronic coronary artery disease in atypical course of the disease in patients with type 2 diabetes mellitus.