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Ultima descărcare din IBN: 2021-11-25 12:24 |
SM ISO690:2012 STATI, Valeria, ROTARU, Adrian, GRIB, Liviu. Abordarea pacienților cu insuficiență mitrală ischemică (IMI). In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 13. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Background. Mitral regurgitation is the second most common heart valve disease, of which 25% suffer from IMI, thus being a current problem. Objective of the study. Study of therapeutic and surgical methods of patients with ischemic mitral insufficiency and determination of priority management Material and Methods. We conducted a study during the years 2018-2020, on a group of 56 patients (17 women and 39 men), the average age - 57 years (34-75 years), of which 30.4% had MI, and 23 , 2%-VS aneurysm was detected. In 50 patients, v. Mitral annuloplasty (with 3 sutures) + coronary bypass was performed, and 6 needed valve prosthesis and coronary bypass (CABG). Results. The immediately postoperative period characterized by the following morbid features: postoperative hemorrhage 1 patient (1.8%), transient stroke 2 patients (3.6%), paroxysmal rhythm disorders 4 patients (7.1%). Assessment of functional capacity and assessment of symptoms in patients with IMI revealed that the first and essential charges are: palpitations (100%), retrosternal pain (94.6%), dyspnea (91.1%), fatigue (87.5%) , peripheral edema (44.6%). Predominantly, in patients with ischemic mitral regurgitation, the following comorbidities are recorded: coronary artery atherosclerosis (76.8%), diabetes mellitus (66.1%), hypertension (26.8%) and chronic renal failure (23.2%). Conclusion. IMI requires a therapeutic approach according to the national protocol, but the surgical approach remains the "gold standard". Elective are the reconstructive surgical techniques (papillary m. approximation, mitral annuloplasty "3 sutures") which combined with CABG generate valvular restoration. |
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Cuvinte-cheie ischemic mitral insufficiency, mitral regurgitation, valvular prosthe, insuficiență mitrală ischemică, regurgitare mitrală, protezare valvulară |
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