Experience of a multidisciplinary approach to the treatment of comorbid pathology patient
- Authors: Vladimirova N.N.1, Myasnikova E.V.1, Shunaev V.M.1, Komleva G.A.1, Pikunova I.N.1, Peredelkina A.I.1
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Affiliations:
- Central Clinical Hospital with Outpatient Department of the Administration of the President of the Russian Federation
- Issue: Vol 9, No 8 (2023)
- Pages: 98-106
- Section: CLINICAL CASE
- URL: https://journal-vniispk.ru/2412-4036/article/view/258899
- DOI: https://doi.org/10.18565/therapy.2023.8.98–106
- ID: 258899
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Abstract
Currently, due to the increasing life expectancy of the population and the aging of the population, an increase in the number of comorbid patients with ≥2 pathologies is observed in clinical practice. The presence of mutually aggravating diseases, chronic clinical course and specific manifestations of most of them complicate making diagnosis, adjusting further tactics for patient’s management and drug therapy selection. Article presents the history of the disease of an 88-year-old female patient who was urgently hospitalized with clinical manifestations of gastric bleeding from a newly diagnosed acute ulcer, development of severe posthemorrhagic anemia, complicated by acute anterior widespread myocardial infarction (type 2 according to ESC). The severity of her condition was aggravated by the long course of type 2 diabetes mellitus, diabetic polyneuropathy, angiopathy, and nephropathy. The complexity of diagnostic search, multidisciplinary approach to the management of a comorbid patient, teamwork of highly specialized specialists with the formation of a common opinion, as well as the development of treatment tactics with careful compliance to the requirements of rational pharmacotherapy are described.
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##article.viewOnOriginalSite##About the authors
Nadezhda N. Vladimirova
Central Clinical Hospital with Outpatient Department of the Administration of the President of the Russian Federation
Author for correspondence.
Email: glavcchp@cchp.ru
PhD in Medical Sciences, cardiologist, Deputy chief physician for therapy of Central Clinical Hospital with Polyclinic of the Administration of the President of the Russian Federation
Russian Federation, MoscowElena V. Myasnikova
Central Clinical Hospital with Outpatient Department of the Administration of the President of the Russian Federation
Email: dr.myasnikova@mail.ru
therapist, head of the Department of Therapy No. 2 of Central Clinical Hospital with Polyclinic of the Administration of the President of the Russian Federation
Russian Federation, MoscowValentin M. Shunaev
Central Clinical Hospital with Outpatient Department of the Administration of the President of the Russian Federation
Email: glavchp@cchp.ru
therapist at Central Clinical Hospital with Polyclinic of the Administration of the President of the Russian Federation
Russian Federation, MoscowGalina A. Komleva
Central Clinical Hospital with Outpatient Department of the Administration of the President of the Russian Federation
Email: k-g-a-l@yandex.ru
therapist at Central Clinical Hospital with Polyclinic of the Administration of the President of the Russian Federation
Russian Federation, MoscowIrina N. Pikunova
Central Clinical Hospital with Outpatient Department of the Administration of the President of the Russian Federation
Email: glavchp@cchp.ru
therapist at Central Clinical Hospital with Polyclinic of the Administration of the President of the Russian Federation
Russian Federation, MoscowAnna I. Peredelkina
Central Clinical Hospital with Outpatient Department of the Administration of the President of the Russian Federation
Email: anik_lederep@bk.ru
cardiologist at Central Clinical Hospital with Polyclinic of the Administration of the President of the Russian Federation
Russian Federation, MoscowReferences
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