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of the Ivanovo Medical AcademyISSN 1606-8157

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Issue: 2012, Vol. 17, No. 2

Shchapova Надежда Николаевна, Omelianenko Мин Григорьевич, Shumakova Вера Анатольевна, Tomilova Ирина Константиновна

PSYCHOEMOTIONAL FACTORS AND ENDOTHELIAL DYSFUNCTION AS THE PREDICTORS OF FOLLOW-UP EVENTS IN PATIENTS WITH ISCHEMIC HEART DISEASE AND ARTERIAL HYPERTENSION

Keywords
psychoemotional status, endothelial dysfunction, ischemic heart disease, arterial hypertension, predictors of follow-up events
Abstarct
Psychoemotional status, endothelial dysfunction in patients of young and middle age with ischemic heart disease and arterial hypertension (AH) were examined. It was determined that the mostly manifested disorders of endothelial function and psychoemotional status were revealed in patients with these nosologies combination. The authors evaluated the prognosis of follow-up events in dependence on psychoemotional disorders level and markers of endothelial function (EF) in 124 patients by prognostic model according to CART technique. The number of desquamative endotheliocytes, level of stress, anxiety and depression were determined as the predictors of follow-up events development. It was recommended to use the techniques of psychoemotional status and ED markers evaluation in the standard examination of patients with ischemic heart disease and AH in order to timely correction of these factors.