EVALUATION OF PLASTICS LEFT VENTRICULAR (DOR PROCEDURE) IN YOUNGPEOPLE
https://doi.org/10.17802/2306-1278-2017-2-19-22
Abstract
The purpose: to study the effectiveness of patch of the left ventricle according to the method of Dor in young people (up to 45 years).
Materials and methods: The study was conducted on the basis of the Cardiosurgery Unit No. 2 of the RRCH for 10 years. 38 patients with left ventricular aneurysm and reduced left ventricular function were included in the prospective study. A functional class of heart failure and quality of life before surgery was determined, after surgery before discharge of patients from the hospital and 12-24 months later (on average 20 months later) after discharge from the hospital by questionnaire method. The quality of life was assessed using the Medical Outcomes Study 36 Item Short Form Health Survey (SF-36). The questionnaire consists of 36 questions, the results are presented in the form of scores from 0 to 100 and are distributed over 8 scales, the higher the ball, the better the patient's quality of life. The functional state of the patients was assessed based on the dynamics of the NYHA functional class of heart failure.
Results: This study showed that, after the Dor method, left ventricular function increased from 39.3 ± 1.40% to 45 ± 2.2%. According to the SF-36 questionnaire, the overall scores of physical functioning improved significantly 12-24 months after the operation (+ 29% p <0.05). Mental health scores also increased (+ 20%, p <0.05) at the end of follow-up.
Conclusions: Patch of the aneurysm of the left ventricle by the method of Dor together with mammary-coronary or aorto-coronary bypass allows to significantly improve the quality of life of patients under 45 years old, restore the ability to work, improve the psychological state of patients.
About the Authors
A. V. Sumin
State Budgetary Institution of the Rostov Region “Rostov Regional Clinical Hospital”
Russian Federation
Rostov-on-Don, Russia
Russian Federation
Rostov-on-Don, Russia
I. A. Udovenko
Federal State Budgetary Educational Institution of Higher Education «Rostov State Medical University» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Rostov-on-Don, Russia
Russian Federation
Rostov-on-Don, Russia
A. V. Poddubniy
State Budgetary Institution of the Rostov Region “Rostov Regional Clinical Hospital”
Russian Federation
Rostov-on-Don, Russia
Russian Federation
Rostov-on-Don, Russia
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Review
For citations:
Sumin A.V., Udovenko I.A., Poddubniy A.V. EVALUATION OF PLASTICS LEFT VENTRICULAR (DOR PROCEDURE) IN YOUNGPEOPLE. Complex Issues of Cardiovascular Diseases. 2017;(2):19-22. (In Russ.) https://doi.org/10.17802/2306-1278-2017-2-19-22
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