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A multimorbid patient with heart failure and long-term treatment with enhanced external counterpulsation: a case report

https://doi.org/10.15829/1728-8800-2024-3982

EDN: GBQKFZ

Abstract

Management of multimorbid patients is challenging, despite advances in pharmacotherapy and widespread use of surgical treatment. The combination of diseases such as coronary artery disease leading to heart failure, hypertension, type 2 diabetes and chronic kidney disease requires an individualized approach to the patient. Adjuvant non-invasive therapies could facilitate the management of such patients. In addition, the use of longer-term non-pharmacological treatment is associated with prolonged follow-up by medical personnel, which can improve patient adherence to therapy and, thus, their quality of life.

This article presents a case of long-term follow-up and complex management of a patient with multimorbid pathology, including heart failure of ischemic etiology, with the addition of enhanced external counterpulsation in intermittent mode to therapy.

About the Authors

A. S. Lishuta
I.M. Sechenov First Moscow State Medical University
Russian Federation

Moscow



O. A. Slepova
I.M. Sechenov First Moscow State Medical University
Russian Federation

Moscow



N. A. Nikolaeva
I.M. Sechenov First Moscow State Medical University
Russian Federation

Moscow



M. V. Kozhevnikova
I.M. Sechenov First Moscow State Medical University
Russian Federation

Moscow



V. Yu. Zektser
I.M. Sechenov First Moscow State Medical University
Russian Federation

Moscow



A. V. Rustomyan
I.M. Sechenov First Moscow State Medical University
Russian Federation

Moscow



M. F. Petrukhnova
I.M. Sechenov First Moscow State Medical University
Russian Federation

Moscow



Yu. N. Belenkov
I.M. Sechenov First Moscow State Medical University
Russian Federation

Moscow



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Supplementary files

  • Heart failure significantly aggravates the course of co­ronary artery disease, and in some cases is com­bined with hypertension and diabetes, which are independent risk factors for life-threatening com­plications.
  • Multimorbid patients are at greatest risk, which sig­nificantly limits their life expectancy and reduces its quality.
  • A personalized strategy for multimorbid patients combines optimal drug therapy and, if necessary, sur­gical revascularization, but the addition of va­rious non-invasive methods over a long period of ti-­me may be able to slow down the progression of exis­ting diseases.

Review

For citations:


Lishuta A.S., Slepova O.A., Nikolaeva N.A., Kozhevnikova M.V., Zektser V.Yu., Rustomyan A.V., Petrukhnova M.F., Belenkov Yu.N. A multimorbid patient with heart failure and long-term treatment with enhanced external counterpulsation: a case report. Cardiovascular Therapy and Prevention. 2024;23(6):3982. (In Russ.) https://doi.org/10.15829/1728-8800-2024-3982. EDN: GBQKFZ

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ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)