Peripheral Arterial Disease in the Setting of Coronary Heart Disease. the Current State of the Problem (literature Review)
Year: 2024
Type: article
Abstract: Introduction. According to the literature, atherosclerotic lesions of the peripheral arteries of the lower extremities affect from 28.7% (in countries with low economic development) to 13.1% (in highly developed countries) of the population. Atherosclerosis of the arteries of the lower extremities is considered an independent predictor of increased risk of cardiovascular complications, which determines the quality of life and longevity. Aim. To conduct an analysis of modern scientific information content for the presence of convincing data on the problem of the growing prevalence of peripheral artery disease, as well as the characteristics of the course of this pathology in patients with coronary heart disease. Materials and methods. The work used the published results of modern scientific studies devoted to the problem of the spread of peripheral artery diseases against the background of ischemic heart disease among different sex-age strata of the population. To conduct the scientific research, we used the method of the system approach and system analysis and the bibliosemantic method. Results. Summarizing the results of the analytical study, it is worth noting the active participation of scientists from many countries of the world in studying the problem of the spread of peripheral artery diseases, its impact on the health of the population, as well as the involvement of the efforts of the medical and scientific communities in the implementation of WHO programs for the countries of the European region to conduct research on the prevalence of the main risk factors for non-infectious diseases, which are common to the entire cohort of cardiovascular pathology and epidural surveillance, however, among them, the trends in the prevalence of peripheral artery diseases especially among patients with coronary heart disease are not considered enough. The results of scientific research convincingly prove that the spread of peripheral artery diseases contributes to the reduction of life expectancy, deterioration of the quality of life and a high risk of disability in such patients. Conclusions. The analysis of scientific literature data proves that, despite the successes and achievements of modern methods of conservative, surgical and endovascular treatment of peripheral artery diseases in patients with coronary heart disease, it remains a questionable condition that has not been fully studied. Improvement of existing methods and introduction of new ones is necessary considering the urgency of the problem of atherosclerosis and calcification of arteries of the lower extremity. This will allow to achieve better results of revascularization, preservation of the limb, restoration of function and healing of trophic changes.
Source: Clinical and Preventive Medicine
Authors: Sviatoslav Y. Denysov, Yuriy M. Hupalo
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4406780216