COURSE OF VALVE DEFECTS OF RHEUMATIC ETIOLOGY IN PATIENTS WITH CORONARY HEART DISEASE

Аннотация

This article examines the clinical course and interaction between rheumatic valvular heart disease and coronary heart disease (CHD). The coexistence of these two conditions presents unique diagnostic and therapeutic challenges, as rheumatic valve lesions may exacerbate myocardial ischemia, and CHD may complicate the hemodynamic burden of valve dysfunction. The study highlights pathophysiological mechanisms, clinical manifestations, and management strategies, emphasizing the need for individualized care in patients presenting with both conditions. Modern diagnostic tools and surgical interventions have improved outcomes, yet prognosis largely depends ontimelyrecognition and comprehensivetreatment approaches. Keywords: Rheumatic heart disease, coronary artery disease, valvular defects, ischemic heart disease, mitral stenosis, aorticinsufficiency, comorbidity, cardiac surgery