ASSOCIATION OF THE EXPRESSION OF CORONARY ATHEROSCLEROSIS WITH PSYCHOSOCIAL FACTORS IN PATIENTS WITH ACUTE CORONARY SYNDROME, LIVING IN THE NORTH CONDITIONS
K.G. Cojokhar1, I.A. Urvantseva1, K.Y. Nikolaev2
1SE KMAD - Yugra В«Regional cardiologic dispensary "Center of diagnostics and cardiovascular surgery"», Surgut
2FSBSE В«Scientific Research institute of therapy and preventive medicine», Novosibirsk
Keywords: острый коронарый синдром, психосоциальные факторы, тяжесть поражения коронарного русла по шкале SYNTAX, acute coronary syndrome, psychosocial factors, the severity of coronary lesions by SYNTAX score
Abstract
The aim of this study was to investigate the connection between coronary atherosclerosis severity, measured on a scale of the SYNTAX with psychosocial factors in patients with acute coronary syndrome who live in the North. The study involved 269 consecutive patients (n = 203, 21.2% female, n = 66, 78.8% - men) with acute coronary syndrome with the average age of 56,0 ± 6,1 years (45-64 years). It revealed a high level of alcohol consumption on the AUDIT scale in patients with severe coronary disease compared with mild and moderate (p = 0.03). Direct correlation among severity of coronary lesions, a total cholesterol (r = 0,15, p <0,05) and low density lipoprotein cholesterol (r = 0,15, p <0,05) in patients with severe coronary disease were found out. With the help of binary logistic regression it was stated that the low level of instrumentally support increases in 2,16 times the risk of presence of acute coronary syndrome ona scale of the SYNTAX (p = 0,02), however, the age (p = 0.06) and male gender (p = 0 94) did not significantly influence the dependent variable above.
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