A CASE REPORT OF MYOCARDIAL INFARCT PROCESSED ON POLYMORBID BACKGROUND
DOI:
https://doi.org/10.34689/xgskrf78Keywords:
myocardial infarction , polymorbidity , polypragmasyAbstract
Introduction. Polymorbidity in the form of uncontrolled arterial hypertension, heart failure, severe out-of-hospital
polisegmental pneumonia complicated by pleurisy and respiratory failure significantly affects the tactics of myocardial
infarction management in polypragmatic conditions and worsen prognosis. Additional difficulties in myocardial infarction
management are: Dressler syndrome, recurrent course of infarction and ventricular fibrillation, repeated interventions
(coronarography and stenting), contrast induced nephropathy on the background of chronic heart failure with low ejection
fraction and pulmonary hypertension. Material and methods. Analysis of the medical record data of patient B, 58 years old.
Results and discussion: This case highlights the challenges faced by physicians in the management of patients with
myocardial infarction on polymorbid background, requiring simultaneous intensive treatment of myocardial infarction and
combined diseases, which increases the risk of circulatory instability in conditions of forced polypragmasy. Conclusion: This
case demonstrates the need for active identification of patients with CHD at the outpatient stage and interdisciplinary
approach including general practitioners, internists, cardiologists, cardiac surgeons, pulmonologists, intensive care
specialists and nephrologists.
References
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Пашимов М.О., Жангелова Ш.Б., Капсултанова Д.А., Даньярова Л.Б., Сахов О.С., Нурмухаммад Ф.Н.,
Рахметулаева Э.Б., Кыдыкенова А.Т. Полиморбидті фонда өтетін миокард инфарктінің клиникалық жағдайы //
Ғылым және Денсаулық. 2025. Т.27 (5), Б. 274–279. doi: 10.34689/SH.2025.27.5.032
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Copyright (c) 2025 Марат Пашимов, Шолпан Жангелова, Дина Капсултанова, Лаура Даньярова, Оразбек Сахов, Фриба Нурмухаммад, Эльвира Рахметулаева, Акбота Кыдыкенова (Автор)
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