Multifocal atherosclerosis in practice family doctor: modern look on the problem and the results of personal observation

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С. А. Тихонова
О. Б. Волошина
А. М. Тімаков
М. В. Демиденко
А. А. Демиденко

Abstract

The aim of this review is to analyze the possibility of diagnostics of multifocal atherosclerosis (MFA) in the practice of the General practitioner taking into account available in real clinical activity diagnostic and treatment strategies based on evidence based medicine. At the moment there are no standardized guidelines for the management of patients with MFA. Considering the severe MFA complications (stroke, myocardial infarction, acute thrombosis of peripheral arteries) diagnostic of this disease in early stages in patients with risk factors is an important step in the prevention of these complications. For effective cooperation with specialists General practitioner should be widely used scales of cardiovascular risk stratification and the methodology of pre test probability of coronary heart disease. Based on the analysis of literature data and own experience the indications for additional observation and surgical intervention treatment of patients with atherosclerosis of different vessels are summarized.

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How to Cite
Тихонова, С. А., Волошина, О. Б., Тімаков, А. М., Демиденко, М. В., & Демиденко, А. А. (2016). Multifocal atherosclerosis in practice family doctor: modern look on the problem and the results of personal observation. Family Medicine, (2(64), 20–24. https://doi.org/10.30841/2307-5112.2(64).2016.101724
Section
Topical issues
Author Biographies

С. А. Тихонова, Одеський національний медичний університет

S.A. Tikhonova

О. Б. Волошина, Одеський національний медичний університет

E.B. Voloshina

А. М. Тімаков, Центр реконструктивної та відновної медицини (Університетська клініка) ОНМедУ

A.N. Timakov

М. В. Демиденко, Центр реконструктивної та відновної медицини (Університетська клініка) ОНМедУ

M.V. Demidenko

А. А. Демиденко, Центр реконструктивної та відновної медицини (Університетська клініка) ОНМедУ

A.A. Demidenko

References

How to identify subjects with poly vascular disease? / V. Charalambos, TP. Dimitrios, S. Christodoulos // Current vascular pharmacology. – 2012. – Vol. 10. – P. 728–730.

The management of combined coronary artery disease and peripheral vascular disease / A. Cassar, D. Poldermans, CS. Rihal [et al.] // European heart journal. – 2010. – No 31. – P. 1565–1572.

Lessons from the REACH registry in Europe / MV. Tabita, RJ. Stolker // Current vascular pharmacology. – 2012. – Vol. 10. – P. 725–727.

Анализ медикаментозной терапии ишемической болезни сердца в Украине: результаты исследования PULSAR / М.И. Лутай, А.Ф. Лысенко // Український кардіологічний журнал. – 2010. – No 3. – С. 36–43.

Распространенность мультифокального атеросклероза в различных возрастных группах / А.Н. Сумин, Р.А. Гайфулин, А.В. Безденежных [и др.] // Кардиология. – 2010. – T. 52, No 6. – С. 28–34.

Гендерные особенности распространенности и клинических проявлений мультифокального атеросклероза / А.Н. Сумин, Е.В. Корок, Р.А. Гайфулин [и др.] // Клиническая медицина. – 2014. – No 1. – С. 34–40.

Ethnic differences in the prevalence and treatment of cardiovascular risk factors in US outpatients with peripheral arterial disease / T.A. Meadows, D.L. Bhatt, A.T. Hirsch [et al.] // American heart journal. – 2009. – Vol. 158, No 6. – P. 1038–1045.

Основные факторы риска развития мультифокального атеросклероза (хронической ишемической болезни сердца и атеросклеротического поражения артерий нижних конечностей) / А.А. Ханюков // Питання експериментальної та клінічної медицини. – 2013. – Вип. 17, Т. 2. – С. 82–87.

Мультифокальный атеросклероз: польза статинов / М.И. Лутай // Ліки України. – 2011. – No 6. – С. 40–44.

Risk factors for ischaemic and intracerebral hemorrhagic stroke in 22 countries (the INTERSTROKE study): a casecontrol study / MJ O’Donnell, D. Xavier, L. Liu [et al.] // The Lancet. – 2010. – Vol. 376, No 9735. – P. 112–123.

К вопросу об атеросклерозе как о системном мультифокальном процессе / Н.А. Шостак // Клиницист. – 2008. – No 4. – C. 4–6.

Особенности атеросклеротического поражения в различных сосудистых бассейнах / В.И. Скворцова, Е.В. Константинова, М.Х. Шурдумова [и др.] // Клиницист. – 2008. – No 4. – C. 7–10.

Noninvasive diagnosis of arterial disease / ER Mohler III, E. Mitchell // UpToDate. – 2012. – Режим доступу до електронної версії: http://www.uptodate.com/contents/noninvasive diagnosis of arterial disease

ESC Guidelines on the diagnosis and treatment of peripheral artery diseases / the task force on the diagnosis and treat ment of peripheral artery diseases of the European Society of Cardiology (ESC) // European heart journal. – 2011. – No 32. – Р. 2851–2906.

ESC guidelines on the management of stable coronary artery disease / The task force on the management of stable coronary artery disease of the European Society of Cardiology // European heart journal. – 2013. – No 34. – P. 2949–3003.

Роль и возможности лодыжечно плечевого индекса систолического давления при профилактических об следованиях / А.Н. Рогоза // РМЖ. Кардиология. – 2011. – No 4. – С. 173–179.

The role of ankle brachial index for predicting peripheral arterial disease / M. Rac Albu, L. Iliuta, S.M. Guberna [et al.] // Maedica. – 2014. – Vol. 9, No 3. – P. 295–302.

ASA/ ACCF/ AHA/ AANN/ AANS/ ACR/ASNR/CNS/SAIP/SCAI/SIRSNIS/SVM/SVS Guideline on the management of patients with extracranial carotid and vertebral artery disease / TG Brott, JL Halperin, S Abbara [et al.] // Journal of the American college of cardiology. – 2011. – Vol. 57, No 8. – Р. e16–e94.

Renal artery stenosis: epidemiology and treatment / BR Weber, RS Dieter // International journal of nephrology and renovascular disease. – 2014. – Vol. 13, No 7. – Р. 169–181.

ACCF/ACR/AHA/NASCI/SCMR 2010 expert consensus document on cardiovascular magnetic resonance a report of the American College of Cardiology Foundation task force on expert consensus documents / writing committee members and ACCF task force members // Circulation. – 2010. – Vol. 121, No 22. – Р. 2462–2508.

Noninvasive coronary imaging with cardiac computed tomography and cardiovascular magnetic resonance / TC Gerber, WJ Manning // UpToDate. – 2015. – Режим доступу до електронної версії: http://www.uptodate.com/contents/noninvasive coronary imaging with cardiac computed tomography and cariovascular magnetic resonance

Role of non contrast balanced steady state free precession magnetic resonance angiography compared to contrast enhanced magnetic resonance angiography in diagnosing renal artery stenosis: a meta analysis / W. Tao, Y. Shen, L. Guo [et al.] // Chinese Medical Journal. – 2014. – Vol. 127, No 19. – Р. 3483–3490.

Heart disease and stroke statistics 2012 update: a report from the American Heart Association; American Heart Association Statistics Committee and Stroke Statistics Subcommittee / V. Roger, A. Go, D. Lloyd Jones [et al.] // Circulation. – 2012. – Vol. 125, No 1. – P. e2–e220.

Global status report on noncommunicable diseases / WHO // 2014. – Р. 95–105.

Распространенность и клиническая значимость мультифокального атеросклероза у пациентов с инфарктом миокарда и подъемом сегмента ST / Л.С. Барбараш, В.В. Кашталап, М.В. Зыков // Кардиология и сердечно сосудистая хирургия. – 2010. – No 5. – С. 31–36.

REACH Registry Investigators. Comparative determinants of 4 year cardiovascular event rates in stable outpatients at risk of or with atherothrombosis / D.L. Bhatt, K.A. Eagle, E.M. Ohman [et al.] // J. A. M. A. – 2010. – Vol. 304, No 12. – P. 1350–1357.

Polyvascular atherosclerotic disease: recognizing the risks and managing the syndrome / S. Yakubov // Current Medical Research and Opinion. – 2009. – Vol. 25, No 11. – P. 2631–2641.

ACCF/ AHA/ ACP/ AATS/ PCNA/ SCAI/STS Guideline for the diagnosis and management of patients with stable ischemic heart disease / SD. Fihn, JM. Gardin, J. Abrams [et al.] // Circulation. – 2012. – No 126. – P. e354–e471.

AHA/ACCF Secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update / SC. Smith, EJ. Benjamin, RO. Bonow [et al.] // Circulation. – 2011. – Vol. 124. – P. 2458 2473.

Efficacy and safety of more intensive lowering of LDL cholesterol: a meta analysis of data from 170000 participants in 26 randomised trials / Cholesterol Treatment Trialists’ (CTT) Collaboration // Lancet. – 2010. – Vol. 376. – P. 1670–1681.

Medical management of patients with peripheral arterial disease / P. Poredoљ, M. Jezovnik, E. Kalodiki // International Angiology. – 2015. – Vol. 34, No 1. – Р. 75–93.

Beta blockers for peripheral arterial disease / SC Paravastu, DA Mendonca, A. Da Silva // Cochrane Database Systematic Reviews. – 2013. – No 9.

Management of renal artery stenosis: What does the experimental evidence tell us? / M. Al Suraih, JP Grande // World journal of cardiology. – 2014. – Vol. 6, No 8. – Р. 855–860.

Do the effects of secondary prevention of cardiovascular events in pad patients differ from other atherosclerotic disease? / P. Poredos, MK Jezovnik // International journal of molecular sciences. – 2015. – Vol. 16, No 7. – Р. 14477–14489.

Аntithrombotic therapy in peripheral artery disease. Аntithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence based clinical practice guidelines / P. Alonso Coello, S. Bellmunt, C. McGorrian [et al.] // Chest. – 2012. – Vol. 141, No 2. – Р. e669–e690.

Epidemiology and optimal management in patients with renal artery stenosis / G. Piecha, A. Wiecek, A. Januszewicz // Journal of nephrology. – 2012. – Vol. 25, No 6. – Р. 872–878.

Atherosclerotic renal artery stenosis: update on management strategies / P. Meier // Current Opinion in Cardiology. – 2011. – Vol. 26, No 6. – Р. 463–471.

Guidelines on myocardial revascularization. the task force on myocardial revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio thoracic surgery (EACTS) / W. Wijns, P. Kolh, N. Danchin [et al.] // European heart journal. – 2010. – Vol. 31. – P. 2501–2555.

Renal Artery Angioplasty / Vibhuti N Singh // Medscape. – 2014. – Режим доступу до електронної версії: http://emedicine.medscape.com/article/1817671 overview#a2

Critical limb ischemia / MJ Blecha // Surgical Clinics of North America. – 2013. – Vol. 93, No 4. – Р. 789–812.

Upper extremity bypass for chronic ischemia – a national surgical quality improvement program study database study / K. Hughes, M. Cubangbang, K. Blackman [et al.] // Vascular and Endovascular Surgery. – 2013. – Vol. 47, No 3. – Р. 192–194.

Angioplasty of ulnar or radial arteries to treat critical hand ischemia: use of 3 and 4 French systems / O. Kawarada, Y. Yokoi, A. Higashimori // Catheterization and cardiovascular interventions. – 2010. – Vol. 76, No 3. – P. 345–350.

ACCF/AHA focused update of the guideline for the management of patients with peripheral artery disease (updating the 2005 guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society for Vascular Medicine, and Society for Vascular Surgery / TW Rooke, AT Hirsch, S. Misra [et al.] // Catheterization and Cardiovascular Interventions. – 2012. – Vol. 79, No 4. – Р. 501–531.