Updated: 2025-12-17
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0225U000657, (0122U000234) , R & D reports
Improvement of patient-oriented approaches to the management of patients with cardiovascular and cerebrovascular diseases with comorbid conditions, in particular in those suffered from COVID-19
Удосконалення використання пацієнт-орієнтованих підходів до ведення хворих з артеріальною гіпертензією, ішемічною хворобою серця та цереброваскулярними захворюваннями з коморбідними станами, зокрема в осіб, що перенесли COVID-19
Kravchenko Anatolii M., Доктор медичних наук
15-01-2025
State Institution of Science «Center of innovative heal
Improvement of management of patients with hypertension, coronary heart disease and cerebrovascular disorders, combined with some comorbidities and consequences of the COVID-19 pandemic, through the use of patient-oriented approaches to their prevention and treatment
Scientific project report: 531 pages, 64 tables, 58 figures, 4 supplements, 884 references. Key words: arterial hypertension, coronary heart disease, coronavirus disease (COVID-19), post-COVID syndrome, patient-centered care, comorbidity, dyscirculatory encephalopathy, post-traumatic stress disorder. The object of the study: arterial hypertension (AH), coronary heart disease (CHD), particularly with comorbid pathology, dyscirculatory encephalopathy, COVID-19, post-COVID syndrome, post-traumatic stress disorder. The aim of the study: to improve the management of patients with AH, CHD and cerebrovascular disorders, combined with the certain comorbidities and consequences of wartime and COVID-19 pandemic, by the implementation of patient-centered approaches to their prevention and treatment. The methods: bibliosemantic, systems analysis, clinical, laboratory, instrumental, survey, statistical. The data from 1172 patients, 101 controls and 988 acute myocardial infarction cases were analyzed. For the first time, we carried out an analysis of the attitude of CHD patients with comorbid conditions to the implementation of patient-centered care to clinical practice. We substantiated the necessity of patient-centered care clinical implementation, aiming at the increase of patients` responsibility for their health and patients` involvement in treatment process. We analyzed the certain theoretical and practical aspects of the management of patients with AH, CHD and cerebrovascular diseases, particularly taking into account blood pressure variability, heart rate variability (HRV), thyroid function, as well as in the presence of erythrocytosis, oncohematological diseases and concomitant COVID-19. The possibilities of pharmacological correction of post-COVID syndrome were pathogenetically substantiated. We revealed a close relationship between the HRV and psycho-emotional state parameters of combatants.
Apykhtin Kostiantyn O.
Benkovska Lesia K.
Hidzynska Iryna M.
Kovalenko Olha Ye.
Kostiukevych Oksana M.
Litvin Olena V.
Mikhaliev Kyrylo O.
Matsyshyn Victor S.
Moroz Halyna Z.
Netiazhenko Vasyl Z.
Ovodiuk Nataliia M.
Pasko Viktoriia S.
Pryplavko Nataliia M.
Stelmakh Olha A.
Chernii Tetiana V.
Chukhrai Oksana V.
2025-01-15
Updated: 2025-12-17
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