Analysis of preventive therapy in patients after recanalization of the femoral artery


DOI: https://dx.doi.org/10.18565/therapy.2023.8.20-27

Stolyarova V.V., Shokina S.V., Skopina Y.A., Kunyaeva T.A., Suraeva E.V., Shabanov I.G., Zorkin M.V.

N.P. Ogarev National Research Mordovia State University, Saransk
Abstract. In modern clinical practice, the analysis of preventive therapy after recanalization of the femoral artery in patients with lower extremity arterial diseases (LEAD) caused by atherosclerotic lesions seems to be a pressing issue.
Objective: dynamic assessment of results after recanalization of the femoral artery and preventive therapy in patients with LEAD.
Material and methods. Long-term results of recanalization, risk factors, and adherence to an individual approach were studied in 30 patients after 3, 6 and 9 months.
Results. Most patients with LEAD have comorbid pathology and a combination of several risk factors (smoking, arterial hypertension, excess body weight, increased LDL levels). In 80% of patients with LEAD over 9 months of observation, there was no deterioration in the clinical picture achieved after revascularization. There was low adherence to preventive treatment, which decreased with increasing time after discharge from hospital. An important reason for non-compliance with recommendations is low patient awareness of the need for preventive therapy and the significance of risk factors for the prognosis of the disease.
Conclusion. There is significant unrealized potential in the treatment of patients with LEAD to improve outcomes after revascularization. There is a need to more strictly monitor the implementation of recommendations for secondary prevention of the disease and to increase patient awareness of the importance of smoking, excess body weight, achieving the target level of blood pressure and lipid spectrum indicators on the course and prognosis of the disease.
Keywords: risk factors of lower extremity arterial diseases, lower extremity arterial diseases, treatment results, preventive therapy, recanalization
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About the Autors

Vera V. Stolyarova, MD, professor, head of the Department of outpatient therapy, N.P. Ogarev National Research Mordovia State University. Address: 430005, Saransk, 68 Bol`shevistskaya St.
E-mail: vera_s00@mail.ru
ORCID: https://orcid.org/0000-0002-6164-4737
Svetlana V. Shokina, PhD in Medical Sciences, associate professor of the Department of outpatient therapy, N.P. Ogarev National Research Mordovia State University. Address: 430005, Saransk, 68 Bol`shevistskaya St.
E-mail: sveti-kh@mail.ru
ORCID: https://orcid.org/0000-0001-8650-1778
Yulia A. Skopina, PhD in Medical Sciences, associate professor of the Department of outpatient therapy, N.P. Ogarev National Research Mordovia State University. Address: 430032, г. Saransk, 26а Ulyanova St.
E-mail: skopina@bk.ru
ORCID: https://orcid.org/0000-0001-7598-5690
Tatyana A. Kunyaeva, PhD in Medical Sciences, associate professor of the Department of outpatient therapy, N.P. Ogarev National Research Mordovia State University. Address: 430005, Saransk, 68 Bol`shevistskaya St.
E-mail: kunya_eva@mail.ru
ORCID: https://orcid.org/0000-0003-4245-4265
Elizaveta V. Suraeva, student of N.P. Ogarev National Research Mordovia State University. Address: 430005, Saransk, 68 Bol`shevistskaya St.
E-mail: liza.suraeva@mail.ru
Ilya G. Shabanov, student of N.P. Ogarev National Research Mordovia State University. Address: 430005, Saransk, 68 Bol`shevistskaya St.
E-mail: shhabanov@mail.ru
ORCID: https://orcid.org/0000-0006-1072-7918
Mikhail V. Zorkin, PhD in Medical Sciences, associate professor of the Department of outpatient therapy, N.P. Ogarev National Research Mordovia State University. Address: 430005, Saransk, 68 Bol`shevistskaya St.
E-mail: saerdan@mail.ru
ORCID: https://orcid.org/0000-0002-1862-6613

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