Metabolic features of elderly patients with multivessel coronary lesions

Abstract

Peculiarities of the course of coronary heart disease in elderly patients with multivessel lesions of the coronary bed and uncorrected metabolic disorders, in particular lipid profile, are analyzed in the article. The study included 74 patients older than 65 years of both sexes with lesions of the left main coronary artery (LMCA) in combination with a lesion of two or more coronary arteries according to coronary arteriography. The authors found that the negative dynamics of carbohydrate metabolism is a predictor of the deterioration of the course of coronary heart disease (CHD) in elderly patients. An adherence to therapy and glycemic control significantly increase the chances of a favorable course of the disease in elderly patients with multivessel coronary lesions.An elevated level of triglycerides, very low-density lipoproteins cholesterol, and an overall atherogenic coefficient, are a predictor of re-hospitalization associated with coronary insufficiency in elderly patients with multivessel coronary lesions.