ТНЕ ANALYSIS OF THE COMORBIDITY PREVALENCE IN MILITARY PERSONNEL WITH CORONARY ARTERY DISEASE AFTER ACUTE MYOCARDIAL INFARCTION
Objective: to determine the prevalence of comorbidity in military personnel with coronary artery disease after acute myocardial infarction.Research materials. An analysis of medical records of the 83 military personnel who were hospitalized to the National Military Medical Clinical Center "Main Military Clinical Hospital" in 2016-2020 with acute myocardial infarction was carried out using the method of random sampling. All patients were male, aged from 22 to 60 years (mean age 48,5±4,35 years). To study the age characteristics of the comorbidity prevalence, all patients were divided into two groups: the 1st group with individuals of 50 years old and younger (41 patients, average age 42,9±6,15 years) and the 2nd group who is 50+ years old (42 patients, average age 54,0±2,54 years).Methods. of investigation are bibliographic, statistical, systematic approach and analysis. Statistical processing was carried out using the Microsoft Excel 2007 program and the standard statistical package STATISTICA 6.0.Results. We found a high prevalence of comorbidity in military personnel with coronary artery disease after acute myocardial infarction. Arterial hypertension has been diagnosed in 60,2±5,4% of military personnel (58,5±7,7% of patients in the 1st group and 64,3±7,4% in the 2nd group, p>0.05). Another comorbid cardiovascular disease has been identified: carotid artery stenosis in 60,2±5,4% of patients (56,1±7,8% and 54,8±7,7% in 1st and 2nd groups, at p>0.05); dyscirculatory encephalopathy of the I-II stages in 37,3±5,3% (4,4±6,7% and 50,0±7,7% in 1st and 2nd groups, respectively, at p<0,05); peripheral artery disease in 4,8±2,3% of military personnel (in 0 and 9,5±4,5%, respectively, at p<0,05). The most common comorbid diseases of the digestive system in patients were: non-alcoholic fatty liver disease in 16,9±4,1% (22,0±6.5% in 1st group and 11,9±4,9% in 2th group, at p>0.05), chronic gastroduodenitis in 21,7±4,5% (26,8±6,9% and 16,7±5,8%, respectively, at p>0,05), peptic ulcer disease in 20,5±4,4% (7,1±5,8% and 23,8±6,6%, respectively, at p>0.05), chronic pancreatitis in 19,3±4,3% (19,5±6,2% and 19,0±6,1%, respectively, at p>0.05), chronic cholecystitis – 18,1±4,2% (14,6±5,5% and 21,4±6,3%, respectively, at p>0.05). Obesity was determined in 36,1±5,3% of patients (48,8±7,8% of patients in the 1st group and 23,8±6,6% in the 2nd group, at p<0,05); type II diabetes – in 13,3±3,7% (7,3±4,1% and 19,0±6,1%, respectively, at p>0,05), thyroid diseases – 13,3±3,7% (12,2±5,1% and 11,9±4,9%, respectively, at p>0,05). Chronic kidney disease was determined in 6,0±2,6% of patients: 4,8±3,3% and 7,2±4,0%, respectively, at p>0,05. Osteochondrosis of the spine was detected in 30,1±5,0% of military personnel (24,9±6,8% and 35,7±7,4%, respectively, at p>0,05).Conclusions. Our study demonstrated a significant prevalence of comorbidity in military personnel with coronary artery disease after acute myocardial infarction: the most prevalent comorbidities were arterial hypertension, carotid artery stenosis, obesity, osteochondrosis of the spine, gastrointestinal disease, type II diabetes, which must be taken into account when developing individual treatment programs to increase the effectiveness of treatment and prevent complications.No statistically significant difference has been determined regarding the frequency of detection of most comorbid diseases in the age group younger than and older than 50 years; only cerebrovascular diseases with discirculatory encephalopathy and peripheral artery disease were more often (statistical significant) in military personnel older than 50 years.
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