ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 17 of 41
УЖМБС 2017, 2(3): 94–99
Clinical Medicine

Medical-Social Expertise and Rehabilitation Indicators in Patients with Chronic after Roascularization

Naumenko L.Yu.1, Borisova I. C.1, Berezovsky V. M. 1, Kontsur V. M. 2, Bahmach V. M. 2

Current research is a part of "Development of expert clinical approaches to assessing disability and disabled patients with rheumatic impressions joints, internal organs and the definition of rehabilitation potential in various stages of diseases» study, № state registration 0105U007832, IN.05.06 code. Objectives. The article is based on the analysis of disability and rehabilitation indicators in the Dnipropetrovsk region from 2015-2016 years. (KO "ITU Regional Clinical Center DOR" (chief doctor, PhD VM Kontsur. M. Dnipro) The paper examines the possibility of rehabilitation cardiac surgical treatment of CHD and to determine medical and social approaches to the definition of disability groups in patients with coronary heart disease after CKD. Results and discussion. According to the analysis of ITU documents (Forms 088 and a history) disabled due to coronary artery disease patients were examined. They underwent surgery on the heart in 2016 in Dnipropetrovsk region, stated that satisfactory results in the first year were: the complete disappearance of angina - in 31% of patients reduction of FC angina - in 69% of operated (of which more than half in two classes). Ability to work was restored in 32.5% of patients. Thus, the percentage of rehabilitation of disabled people with coronary heart disease after surgery in 2016 in Dnipropetrovsk region was 42.4%, indicating high potential of rehabilitation operations to restore coronary circulation. Conclusions. CHD, along with the diseases of the CCS, is the main cause of death and disability, both in Ukraine and all over the world. Myocardial revascularization in patients with coronary heart disease is a recognized and effective mean of treating progressive and resistant to medical treatment forms of coronary insufficiency and is considered an effective rehabilitation factor. Analysis of expert examination of people with disabilities in the Dnipropetrovsk region for the 2014-2016 demonstrated that myocardial revascularization in patients with coronary artery disease is an effective factor for rehabilitating people with disabilities. The percentage of rehabilitation of invalids with coronary heart disease after surgical interventions in 2016 in the Dnipropetrovsk region was 42.4%, which indicates that high rehabilitation potential of revascularization operations. The management of surgical methods of revascularization in patients with coronary heart disease leads to an improvement in the quality of life by increasing tolerance to physical activity. However, the results of surgical treatment not always lead to a complete recovery of the patients. Approximately 20% of patients undergoing revascularization do not restore their ability to work. The success of surgical restorative treatment depends on many factors: age, sex, and even material well-being. Such issues can be an acute topic for the further research.

Keywords: ischemic heart disease, operative treatment, medical and social examination

Full text: PDF (Ukr) 205K

  1. Knyshov HV. Kardiokhirurhiya v Ukraine: proshloe, nastoyashchee, budushchee. Sertse i sudini. 2003; 1: 8–14. [Russian].
  2. Naumenko LYu, ta in. Osnovi mediko-sotsialnoi ekspertizi i reabilitatsiyi khvorikh ta invalidiv. Ch. I. Dnipropetrovsk; 2013. 327 s. [Ukrainian].
  3. Ipatov AV, Holik VA, ta in. Osnovni pokazniki invalidnosti ta diyalnosti mediko-sotsialnikh komisiy Ukraini za 2015 rik: analitiko-informatsiyniy dovidnik. Za red SI Chernyaka. Dnipropetrovsk: Royal-Print; 2015. 162 s. [Ukrainian].
  4. Pro stanovishche osib z invalidnistyu v Ukraini. Natsionalna dopovid. Ministerstvo sotsialnoi politiki Ukraini DU naukovo-doslidniy institut sotsialno-trudovikh vidnosin. Kiyiv; 2013. 198 s. [Ukrainian].
  5. Sokolov YuM. Koronarna khvoroba – suchasni invazivni pidkhodi v likuvanni. Vibrani lektsiyi Ukrainskoi kardiolohichnoi shkoli: Poyednannya sertsevo-sudinnikh ta inshikh khvorob vnutrishnikh orhaniv: viznachennya prioritetiv likuvannya ta poperedzhennya uskladnen. K: Maksimov; 2005. p. 114–31. [Ukrainian].
  6. The Bypass Angioplasty Revascularization Investigation (BARI) Investigators Comparison of coronary bypass surgery with angioplasty in patient with multivessel disease. N Engl J Med. 1996 July; 335: 217–25.
  7. Coronary Artery Surgery Study (CASS): a randomized trial of coronary artery bypass surgery Quality of life in patients randomly assigned to treatment groups. Circulation. 1983; 68 (5): 951–60.
  8. European Coronary Surgery Study Group. Long–term results of prospective randomized study of coronary artery bypass surgery in stable angina pectoris. Lancet. 1982; 2: 1173–80.
  9. Lawric M, Morris G, Howell J, Ogura JW, Spencer WH III, Cashion WR, Winters WL, Beazley HL, Chapman DW, Peterson PK, Lie JT. Results of coronary bypass more than five years after operation in 434 patients: clinical treadmill exercise and angiographic correlation. Am J Cardiol. 1977; 40 (8): 665–72.
  10. Yusuf S, Zucker D, Peduzzi P, Fisher LD, Takaro T, Kennedy JW, Davis K, Killip T, Passamani E, Norris R, et al. Effect of coronary artery bypass graft surgery on survival: overview of the 10–year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet. 1994; 344: 563–70.