The influence of surgical revascularization on diastolic function in patients with diabetes mellitus type 2

Abstract

Scientific achievements of the third millennium -47 -3. Vloshinsky P.E. The state of carbohydrate and fat exchanges, their relationship with the structure of nutrition in the inhabitants of the Far North: the author. dissertation Novosibirsk, 1999, 36 4. Gazdarov V.M., Betsukov Kh.Kh., Antonov S.N., Kovalsky E.D. The effect of energy and enzyme preparations on the metabolism of early weaning lambs: Scientific-practical conference on sheep and goat breeding: Abstracts of scientific reports. Stavropol 1997, part 2 p.129-130. 5. Kiznacheev V.P. Mechanisms of human adaptation in the conditions of high latitudes L. Medicine, 1980. 200 p. 6. Panin L.E. Homeostasis and the problems of circumpolar medicine (methodological aspects of adaptation) // Bull. SB RAMS, 2010, V.3. with. 6-11. 7. Fridman, Haugen G.E.Puruvic acid. The cletermination of keto acids in blood and urone // J.Bid.chem.1 Maharramova L.I. The influence of surgical revascularization on diastolic function in patients with diabetes mellitus type 2 Central Hospital of Oil workers (Azerbaijan, Baku) AbstractThe study included 122 patients diagnosed with coronary artery disease who received comprehensive treatment. The diagnosis of coronary artery disease was confirmed on the basis of anamnesis, complaints, objective and instrumental methods of research. Among the instrumental methods of research selective coronarography occupied the main role. All patients underwent coronary artery bypass grafting (CABG). The studied patients were divided into two groups: Group 1 -52 patients with coronary artery disease CHD without diabetes; 2nd group -70 patients with coronary artery disease CHD and type 2 diabetes. Of the 52 patients without diabetes, 29 patients received β-blockers (metoprolol 12.5-25 mg twice a day), and 23 patients a specific selective If-channel inhibitorivabradine (5-7.5 mg twice a day).Left ventricular diastolic dysfunction (LVDD) (85.7%) are more common in patients with type 2 diabetes than in patients without diabetes (65.3%). The results of echocardiographic studies performed at different stages of surgical revascularization showed that LVDD was partially reversible in both groups.Revascularization leads to a decrease in the degree of DD, to reduce the number of patients with LVDD and does not depend on the drugs selected for heart rate control.