Journal of VolgSMU
Quarterly scientific-practical journal

UDK: 616.127:616.12-005.4:616.379-008.64

MYOCARDIAL REVASCULARIZATION IN PATIENTS WITH ISCHEMIC HEART DISEASE WITH TYPE II DIABETES MELLITUS. CLINICOECONOMICAL ISSUES OF EFFECTIVENESS

M. J. Lopatin, E. P. Dronova

Волгоградский государственный медицинский университет, Волгоградский областной клинический кардиологический центр

Abstract

An advantage of heart bypass in patients with ischemic heart disease with hemodynamically significant lesion of coronary arteries from the point of view of clinical effectiveness and expenses per year of life considering the life quality is shown. When planning a treatment of ischemic heart disease in patients with diabetes mellitus one should conside r the findings of clinicoeconomical analysis. According to our study, patients who had heart bypass showed the best cl inical outcomes and a lesser cost of surgery and both expenses in the early postoperative period and the cost of medicamentous therapy and repeat surgery over 3 years of observation.

Keywords

ischemic heart disease, diabetes mellitus, heart bypass, transluminal balloon angioplasty and stenting, risk factors, direct medical expenses.

Contacts

Дронова Елена Петровна — к. м. н., заместитель главного врача по поликлиническому разделу работы Волгоградского областного клинического кардиологического центра, e-mail: dronova05@mail.ru.